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Learn to Navigate the Seas of Uncertainty in Rheumatology Training

Richard Zamore, MD, MPH  |  Issue: August 2019  |  August 16, 2019

In Sum

Sir William Osler once said, “Medicine is a science of uncertainty and an art of probability.” Although we have made tremendous strides over the past several decades in our understanding of rheumatic disease, unknowns will remain pervasive in our field. Becoming a proficient rheumatologist requires we recognize our own human fallibility in our decision-making process and learn to cope with the restlessness that comes when definitiveness is obscured from our view.  


Richard Zamore, MD, MPH, is a rheuma­tologist at Lahey Hospital and Medical Center, and was formerly a rheuma­tology fellow at the Hospital of the University of Pennsylvania, Philadelphia.

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References

  1. Kolasinski SL, Bass AR, Kane-Wanger GF, et al. Subspecialty choice: Why did you become a rheumatologist? Arthritis Rheum. 2007 Dec 15;57(8):1546–1551.
  2. Tversky A, Kahneman D. Judgment under uncertainty: Heuristics and biases. Science. 1974 Sep 27;185(4157):1124–1131.
  3. Reilly JB, Ogdie AR, von Feldt JM, Myers JS. Teaching about how doctors think: A longitudinal curriculum in cognitive bias and diagnostic error for residents. BMJ Qual Saf. 2013 Dec;22(12):1044–1050.

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Filed under:Career DevelopmentEducation & TrainingProfessional Topics Tagged with:Fellows-in-Training

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