William Aird: Thinking Before Searching in Clinical Decision Making
William Aird, Professor of Medicine at Harvard Medical School, shared a post on LinkedIn:
“Modern clinicians have unprecedented access to evidence.
With a few keystrokes we can pull up continuously updated summaries from resources like UpToDate, DynaMed, or newer AI-assisted tools.
These platforms are extraordinary.
But they answer questions.
They do not determine which question should be asked.
Clinical reasoning begins earlier:
- Orientation.
- Thinking.
- Execution.
Evidence belongs primarily in the last.
In a new essay on The Blood Project – Thinking Before Searching – I explore why searching too early can actually distort clinical reasoning and why the most important educational task today may be teaching trainees how to frame the question before they search for the answer.
Evidence can guide action.
Thinking must guide evidence.”
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