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Current trends toward routine mass use of sophisticated diagnostic tools is killing off the science and art of clinical reasoning. An ideal clinician would present a harmonic fusion of almost all the investigative methods of fictional detectives and avoid slavish adherence to protocols and procedures Our underlying premise is that the current trend towards mass use of sophisticated diagnostic tools in routine practice-accompanied by a blind faith in technology and predefined diagnostic algorithms-is threatening to kill off the science and art of clinical reasoning. Besides burning a lot of public and private money to make diagnostic work rather superficial, doctors also risk losing the intellectual pleasure that comes from careful diagnostic reasoning.
Rapezzi et al. (Thu,) studied this question.