Roy wrote:
"Expertise, after many years of practice, is often judged and measures
by
familiarity with the written 'facts'. In the case of the medical
domain,
there are some immutable truths. There are not always blacks and
white
however. Even when it comes to the diagnosis, don't neglect the fact
that
probability is involved (you could take this further to realms
of
dicussions on causality). So, the doctor, as in your example, might
face a
situation wherein the patience plays a role in correctness of
the
diagnosis."
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Sorry about the delay in replying. I have been both busy and far from
well.
I agree that every patient is different. For example, in key hole
surgery a major problem is that many patients are anatomicaly
different. Then expertise depends on the surgeons "comfort level" - his
willingness to say, I can't carry on on these circumstances but must
"open up" the patient. That ability to judge their own competence is a
kind of expertise...
Lance
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