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Article
February 1988

Continuing the Means-Ends Discussion From the History of Science

Author Affiliations

Department of Dermatology University of Iowa College of Medicine Iowa City, IA 52242

Arch Dermatol. 1988;124(2):279-281. doi:10.1001/archderm.1988.01670020089027
Abstract

The editor of this section invited me to reflect on clinical and laboratory relationships in a different way, freeing me from the usual considerations of specific procedures, molecules, tests, or pathophysiologic applications. I reluctantly accepted, and now invite the reader to share my ruminations of another kind, but a kind that I feel should inhabit the intellectual milieu of every scientist and clinician.

When asked about myself, I have responded with many kinds of self-identification, but have never said "I am a scientist." Someone might judge me in error, arguing that "you have studied sciences; you have published articles that some might describe as scientific; you critique the science of others; you teach and practice dermatology using the vocabulary, insights, and tools of science and scientific work; how then are you not a scientist?" My answer would insist, gently, that

No, I am primarily a user of science and one

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