Balancing confidence and humility in the diagnostic process
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Jianni Wu
Abstract
Humility in medicine can be difficult to achieve, yet arguably is one of the most important competencies to master. Overconfidence, on the contrary, is a natural tendency, having established its roots in evolution where quicker and more confident decisions likely conferred a selective advantage. Moreover, humility may evoke an image of weakness and vulnerability, antithetical to contemporary medicine, whose culture is dominated by overconfidence. Nevertheless, humility can be learned, and is important because overconfident behavior can be detrimental to our patients medically, psychosocially and legally, when it results in delayed or missed diagnoses. To achieve humility requires a great deal of metacognition, normalizing doubt and not being afraid to utilize tools that may feel beneath us. To practice humility requires strength and emotional resilience. In this paper we explore the definitions, roles and implications of humility in medicine, and we pose suggestions of how to accomplish this in the diagnostic process.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
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©2020 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Editorial
- Learning and teaching aren’t the same – the need for diagnosis curricula in graduate medical education
- Mini Review
- Controversies in diagnosis: contemporary debates in the diagnostic safety literature
- Opinion Paper
- Balancing confidence and humility in the diagnostic process
- Point/Counterpoints
- Roots of the total testing process
- Total testing process: roots and state-of-the-art
- Original Articles
- Embedding a longitudinal diagnostic reasoning curriculum in a residency program using a bolus/booster approach
- Structured case reviews for organizational learning about diagnostic vulnerabilities: initial experiences from two medical centers
- Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database
- Perspectives from the other side of the screen: how clinicians and radiologists communicate about diagnostic errors
- Routine coagulation testing in Vacutainer® Citrate Plus tubes filled at minimum or optimal volume
- Diagnostic accuracy of fine needle aspiration cytology of thyroid nodules
- Letter to the Editor
- The day God created man
- Case Reports
- Entamoeba histolytica liver abscess case: could stool PCR avoid it?
- A rare cause of subclinical hypothyroidism: macro-thyroid-stimulating hormone
Artikel in diesem Heft
- Frontmatter
- Editorial
- Learning and teaching aren’t the same – the need for diagnosis curricula in graduate medical education
- Mini Review
- Controversies in diagnosis: contemporary debates in the diagnostic safety literature
- Opinion Paper
- Balancing confidence and humility in the diagnostic process
- Point/Counterpoints
- Roots of the total testing process
- Total testing process: roots and state-of-the-art
- Original Articles
- Embedding a longitudinal diagnostic reasoning curriculum in a residency program using a bolus/booster approach
- Structured case reviews for organizational learning about diagnostic vulnerabilities: initial experiences from two medical centers
- Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database
- Perspectives from the other side of the screen: how clinicians and radiologists communicate about diagnostic errors
- Routine coagulation testing in Vacutainer® Citrate Plus tubes filled at minimum or optimal volume
- Diagnostic accuracy of fine needle aspiration cytology of thyroid nodules
- Letter to the Editor
- The day God created man
- Case Reports
- Entamoeba histolytica liver abscess case: could stool PCR avoid it?
- A rare cause of subclinical hypothyroidism: macro-thyroid-stimulating hormone
