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The growth in fame, fortune and influence of evidence-based medicine has led to greater interest in the science of clinical decision making. Numerous "experts" have speculated that clinicians use their experience, coupled with evidence and patient characteristics, to make decisions.1,2 In a fascinating report, Jenkins and colleagues, using clinical judgment analysis, explore which variables drive decision making when physicians decide to prescribe systemic steroids or antibiotics for a wheezing child, or admit a child to hospital. Sixty-two vignettes, which varied key characteristics, such as age or respiratory rate, were presented to 62 paediatricians, A&E specialists and general practitioners. Their conclusions—the importance of specific variables varies depending upon the decision and paediatricians place greater emphasis on some variables compared with other types of clinicians. How do we use these data to help us make better decisions? The authors speculate that clinical judgment analysis could help us to understand why specialists and
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