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Ten Principles for More Conservative, Care-Full Diagnosis

TO THE EDITOR: Schiff and colleagues' commentary (1) is much more than a perspective piece. As intended, the authors not only incorporate principles of decreasing diagnostic harm but also highlight the dearth of time to accomplish what matters to patients and caregivers (2, 3); the need for clinical reasoning to precede diagnostic testing; and the central roles that continuity, humility, and trust play if care is to be focused on the person (4) rather than on a particular symptom, diagnosis, or laboratory test. I believe that it should be considered a landmark publication, to be actively taught and broadly reflected upon within undergraduate and graduate medical education.