Rabih Geha, Reza Manesh
Description
Medicine rarely begins with certainty.
It begins with a patient in front of you, an incomplete story, and the need to decide what matters most.
In The
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Discipline of Diagnosis, Rabih and Reza bring readers into the real-time process of clinical reasoning through twenty-one cases that unfold the way medicine actually does: imperfectly, sequentially, and under pressure. Each chapter invites you to pause, think, and commit before the next clue appears.
This is not a textbook. It is a practical and deeply human guide to how clinicians learn to think. You will learn how to localize disease, navigate uncertainty, avoid cognitive traps, and revise your thinking as new information emerges. Along the way, the book reflects on the hidden curriculum of medicine, including communication, mistakes, and the realities of caring for patients when certainty is out of reach.
In this book, you will learn how to: Frame clinical problems before jumping to diagnosis Use physiology to guide reasoning under uncertainty Recognize and avoid common cognitive traps Apply visual frameworks across different clinical scenarios
Original diagnostic figures throughout the book turn complex problems into usable visual maps. An expanded appendix walks through each figure in detail, showing how physiology, base rates, and clinical reasoning come together to frame problems and guide thinking.
Rabih and Reza trained together in internal medicine at UCSF and helped build The Clinical Problem Solvers, a global educational community devoted to democratizing the teaching of diagnostic reasoning, reaching learners around the world through cases, conversations, and visual frameworks.
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