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When Hoofbeats Are Zebras: How Doctors Learn to Think
The old saying goes, "when you hear hooves, think horses, not zebras." But how do doctors actually develop that clinical judgment? This episode dives deep into the cognitive science of medical diagnosis—how family physicians and GPs learn to balance pattern recognition with formal probabilistic reasoning. We explore illness scripts, Bayesian thinking in practice, the critical role of longitudinal feedback loops, and the failure modes that cause diagnostic errors: anchoring, premature closure, and the dangerous false positive problem. Plus, why "more testing" often means worse medicine…
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