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Book and Media Reviews
January 20, 2010

Learning Clinical Reasoning

JAMA. 2010;303(3):277. doi:10.1001/jama.2009.2030

When I was in residency, one of my colleagues presented a report of a child she had seen while on call the night before. The child presented with fever, mild dehydration, and lethargy and without any localizing findings on physical examination. “What did you do next?” asked our department chief, a brilliant pediatric nephrologist who, we all knew, did not suffer fools lightly. “I admitted her and gave her antibiotics,” answered the resident. “Hah!” scoffed the chief. “Antibiotics! Any idiot can give antibiotics! That's not what being a doctor is about; it's about figuring out what's wrong with your patient and how make her better!”