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Comment & Response
November 6, 2018

Diagnostic vs Management Reasoning

Author Affiliations
  • 1Division of Pulmonary & Critical Care Medicine, Medical College of Wisconsin, Milwaukee
JAMA. 2018;320(17):1818. doi:10.1001/jama.2018.13354

To the Editor Dr Cook and colleagues discussed management reasoning, an incompletely understood subset of clinical reasoning.1 We agree that a diagnosis is a means to an end and that diagnostic reasoning is primarily a classification task. However, we disagree with the implication that diagnostic and management reasoning are 2 distinct processes that occur in succession. We contend they often overlap and act synergistically, and we wonder whether separating them would negatively affect how these elements of clinical reasoning are studied and taught.