How Doctors Think
by Jerome Groopman, MD
In my 32 years of clinical practice I have seen an inexorable shift from listening to the patient and employing techniques of medical deduction to the often mindless use of imaging and laboratory tests, often supported by algorithms and flow charts. Much of this is the result of the litigious atmosphere of medicine in the US that casts a long shadow over human fallibility. Jerome Groopman, MD, cites diagnostic errors confirmed by autopsy results at close to 15%.