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June 2, 1989

Reasoning in Medicine: An Introduction to Clinical Inference

JAMA. 1989;261(21):3179-3180. doi:10.1001/jama.1989.03420210129035

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Medical Decision Making, by Harold C. Sox, Jr, Marshal A. Blatt, Michael C. Higgins, et al, 406 pp, with illus, $24.95, Boston, Mass, Butterworths, 1988  .As with many physicians, the seeds of my ability to reason clinically, though sewn during medical school, really only began to sprout in my internship. Through regular exposure to an Oslerian internist legendary in the community for his ability to assimilate clinical information and make appropriate judgments about diagnosis and treatment, I had the opportunity to comprehend in almost unspoken ways what the "art" of medicine was. My guess is that each one of our group of 12 interns took away from that year a somewhat different set of impressions of just exactly how this particular physician arrived at his almost magically insightful conclusions. And in all likelihood we have continued to whatever level of skill we now have with these biased perspectives acting as