Quibles and Quotes - was: DX error by age groups

Lorri Zipperer Lorri at ZPM1.COM
Wed May 1 23:24:01 UTC 2013


From: Meier, Frederick [mailto:FMEIER1 at hfhs.org] 
Sent: Wednesday, May 01, 2013 4:09 PM
To: 'Society to Improve Diagnosis in Medicine'; 'John Brush'
Subject: RE: DX error by age groups

 

JB-- Thanks to KM and you for this pleasantly surprising intrusion of philosophy. Hume does indeed talk about habit and custom driving induction:

Hume is one of the moderns whom I was trying to exclude; he was, it seems to me,  no fan of Aristotelean phronesis.

Hume's 'habit'  [as I remember it] differs from-- and opposes-- that of improving Aristotelean practitioners-- Hume's is a more discouraging knowing:

DH seems to argue that you don't know and can't possibly know what you think you know.  Still, thanks for making the Humean connection:

 It probably does not matter to us in an era of [too]many converging diagnostic modalities whether DH's solvent skepsis  helped sharpen the distrustful, inductive, diagnostic gaze of  late 18th century Edinburgh  medical teachers, when they had so few means of examination and investigation compared to those which confuse us now. [Decades ago, in a very different intellectual and technological environment, Scottish Enlightenment teachers of clinical diagnosis  were still heroes to my teachers of physical diagnosis.]  In a welter of information & big data, DH's demolition of epistemological confidence would have different impact on people trying to detect &  avoid diagnostic error --and not a confidence building impact.--FAM

 

From: John Brush [mailto:jebrush at ME.COM] 
Sent: Wednesday, May 01, 2013 1:18 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: DX error by age groups

 

David Hume talks about habit and custom as well to justify our use of inductive reasoning.

J

Sent from my iPad


On May 1, 2013, at 11:58 AM, Lorri Zipperer <Lorri at ZPM1.COM> wrote:

From: Meier, Frederick [mailto:FMEIER1 at hfhs.org] 
Sent: Wednesday, May 01, 2013 9:46 AM
To: 'Society to Improve Diagnosis in Medicine'; 'Kathryn Montgomery'
Subject: RE: DX error by age groups

 

KM--That's a keen observation; Aristotelean [rather than modern] understanding of ' habit' [the improving effect of right practice] fits in here, too--FAM

 

From: Kathryn Montgomery [mailto:kmontgomery at NORTHWESTERN.EDU] 
Sent: Tuesday, April 30, 2013 9:08 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: DX error by age groups

 

Aristotle talks about it too-- in the Nicomachean Ethics.  He says that phronesis--which maps fairly well onto system 1 thinking--is emphatically NOT the property of the young.   Hence the hothouse of residency training? 

 

Kathryn

 

 

 Kathryn Montgomery, PhD

Julia and David Uihlein Professor of Medical Humanities and Bioethics

Professor of Medicine

Director of Graduate Studies in Medical Humanities and Bioethics

750 North Lake Shore Drive - Suite 625

Chicago, Illinois 60611, USA   bioethics.northwestern.edu

 

 









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