Pursuing Attainable Excellence
Board certification of qualifications in a given discipline of medicine does not mean that one is ready for competent practice in that discipline; the prevailing general idea is that full competence as a diagnostician, most notably, is the result of subsequent extensive experience with practice. This means that the greatest attainable competence in a doctor’s professional work actually is seen to be attained only late in the career, and only if (s)he by then indeed has gained extensive experience and has optimally learned from it.
A student of medicine heeding the ethical obligation to develop into an excellent doctor not only defines his/her future discipline with a view to this (Sections 7.1 and 7.2); (s)he also adopts a plan for maximizing the rate of learning from experience in that discipline.
But before this (s)he needs to learn how challenging it is to learn about diagnostic and other gnostic probabilities on the basis of case-by-case experience, and that the source of genuine knowledge about gnostic probabilities ultimately is not practitioners’ case-based learning but scientists’ gnostic research.