The Nocturnists

Uncertainty in Medicine: The Art of Not Knowing

7 snips
Apr 3, 2025
In this engaging discussion, Alexa Miller, an arts educator with over 20 years of experience, serves as the uncertainty correspondent. She explores medicine's tricky relationship with not knowing, contrasting the tidy resolutions in medical dramas with the unpredictable realities physicians face. Topics include the mental health impacts of misdiagnosis and the necessity for future doctors to embrace ambiguity. Miller emphasizes that navigating uncertainty can enhance clinicians' skills, improve communication, and foster better collaboration with patients.
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ANECDOTE

House MD Avoids Uncertainty

  • House MD never shows an unsolved case; uncertainty must be explained away in the show.
  • Fans struggled to find an episode where House truly fails to solve the medical mystery.
ADVICE

Teach Thriving in Uncertainty

  • Teach medical trainees to sit with and thrive in diagnostic uncertainty, not just solve neat cases.
  • Embrace the messiness of real clinical cases instead of seeking only clean answers.
INSIGHT

Uncertainty Defines Doctor's Role

  • Without uncertainty, doctors wouldn't be needed; any predictable issue could be handled by AI or kiosks.
  • Uncertainty is what defines the doctor's role and purpose.
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