This approach is based on the somewhat tenuous assumption that diagnostic decision making follows an identical protocol to scientific inquiry-in other words, that the discovery of “facts” about a patient’s illness is equivalent to the discovery of new scientific truths about the universe. Conventional medical training teaches students to view medicine as a science and the doctor as an impartial investigator who builds differential diagnoses as if they were scientific theories and who excludes competing possibilities in a manner akin to the falsification of hypotheses. Science is concerned with the formulation and attempted falsification of hypotheses using reproducible methods that allow the construction of generalisable statements about how the universe behaves. The limits of objectivity in clinical method
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