Two great blog commentaries on "Diagnostic skepticism" and why we are seeing less of that?

Dr. RW Donnell in this blog commentary  outlines some of the factors that are impeding  the diagnostic skepticism that traditionally internists had drummed into their heads during their training period.  Dr. Donnell carried forward and expanded comments made by Dr. Robert Centor in his recent blog offering.

Guidelines,the worse aspects of EMRs,time pressures and the metrics by which hospitalists are too often graded are some of the factors that make it more difficult than it used to be to  ask  "what else could the diagnosis be".