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EXCELLENT clinical judgment requires optimal decision making. Many of the decisions that physicians make in their practices involve little uncertainty and little risk: these rote or routine choices need no special contemplation because they are "tried and true" practices. But for each routine problem there are several for which no easy solution is at hand. To deal with these, the tough problems, a physician can search for a properly designed, double-blind controlled study that examined patients of the same age, sex, and race and with the same conditions in the same stage; use an algorithm developed for such patients; use . . .
Pauker et al. (Thu,) studied this question.