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Volume 359:213-214 July 10, 2008 Number 2
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The Uncertain Art: Thoughts on a Life in Medicine

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By Sherwin B. Nuland. 198 pp. New York, Random House, 2008. $25. ISBN 978-1-4000-6478-6.

The relentless "scientification" of medical training during the past century has laudably taken medicine far from its roots in hucksterism. Each generation of physicians is steeped in an ever-expanding universe of medical facts. Evidence-based medicine, randomized, controlled trials, clinical prediction rules, and treatment algorithms reassure today's medical trainees that physicians have indeed evolved from shamans and that we are purveyors of science, just like our colleagues who do bench research. In fact, the hallmark of newly minted doctors fresh out of residency training is confidence — not just in their own abilities, but in medicine itself. But as surely as . . . [Full Text of this Article]




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