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May 1994

Decision Making in Ophthalmology

Author Affiliations

Madison, Wis

Arch Ophthalmol. 1994;112(5):594-595. doi:10.1001/archopht.1994.01090170038018

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Frequent, accurate, and sometimes rapid decision making is a requirement and a responsibility of the clinical physician. Decision-making ability is one of the hallmarks that separate the physician from the craftsman or technician. The cognitive skills necessary in decision making are becoming increasingly recognized in the medical community and by the government. A recent example is the adoption of the Resource-Based Relative Scale, which increases the financial rewards for the cognitive instead of the technical skills of the physician. Open decision making is an intuitive process that has been described as an art as well as a science. The decision-making process has not been emphasized in traditional textbooks, which focus on symptoms, signs, descriptions of diseases, differential diagnosis, and management, without an analysis of how conclusions are obtained when multiple options are available. Therefore, a book that attempts to analyze the processes of making decisions about ophthalmic problems is an

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