How Doctors Think

Most physicians already have in mind two or three possible diagnoses within minutes of meeting a patient. Jerome Groopman writes about the concept of cognitive dimension of clinical decision-making—the process by which doctors interpret their patients’ symptoms and weigh test results in order to arrive at a diagnosis and a plan of treatment @ http://www.newyorker.com/reporting/2007/01/29/070129fa_fact_groopman

It is interesting to analyze the similarity of clinical decision making by doctors with gem identification. The experts have a sweet way of describing the process. Gem identification is a logical process of deduction or alternatively of elimination. The gemologist performs a series of observations and tests upon a particular stone and with each test will eliminate some of the possible identities of that stone. Finally through step-by-step testing only one identity will fit the stone in question. This is the end point of the exercise, to identify an unknown material in terms of its mineralogical group, species and variety.