| Title |
Cultivating Humility and Diagnostic Openness in Clinical Judgment
|
|---|---|
| Published in |
AMA Journal of Ethics, October 2017
|
| DOI | 10.1001/journalofethics.2017.19.10.ecas1-1710 |
| Pubmed ID | |
| Authors |
John R Stone |
| Abstract |
In this case, a physician rejects a patient's concerns that tainted water is harming the patient and her community. Stereotypes and biases regarding socioeconomic class and race/ethnicity, constraining diagnostic frameworks, and fixed first impressions could skew the physician's judgment. This paper narratively illustrates how cultivating humility could help the physician truly hear the patient's suggestions. The discussion builds on the multifaceted concept of cultural humility as a lifelong journey that addresses not only stereotypes and biases but also power inequalities and community inequities. Insurgent multiculturalism is a complementary concept. Through epistemic humility-which includes both intellectual and emotional components-and admitting uncertainty, physicians can enhance patients' and families' epistemic authority and health agency. |
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X Demographics
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 12 | 32% |
| United Kingdom | 11 | 29% |
| Spain | 2 | 5% |
| Australia | 1 | 3% |
| Greece | 1 | 3% |
| Nigeria | 1 | 3% |
| Chile | 1 | 3% |
| Venezuela, Bolivarian Republic of | 1 | 3% |
| Unknown | 8 | 21% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 26 | 68% |
| Practitioners (doctors, other healthcare professionals) | 7 | 18% |
| Scientists | 4 | 11% |
| Science communicators (journalists, bloggers, editors) | 1 | 3% |
Mendeley readers
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 26 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 5 | 19% |
| Student > Doctoral Student | 3 | 12% |
| Student > Bachelor | 3 | 12% |
| Professor > Associate Professor | 3 | 12% |
| Librarian | 2 | 8% |
| Other | 3 | 12% |
| Unknown | 7 | 27% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 10 | 38% |
| Nursing and Health Professions | 5 | 19% |
| Social Sciences | 2 | 8% |
| Philosophy | 1 | 4% |
| Biochemistry, Genetics and Molecular Biology | 1 | 4% |
| Other | 3 | 12% |
| Unknown | 4 | 15% |