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Required focus/thinking needed decreases with experience.
Eventually each structure evaluated on a case breaks down to something like this…
Clearly normal -> easy
Benign/almost certainly benign -> easy
Clearly abnormal with obvious diagnosis -> easy
Clearly abnormal but exact diagnosis is less clear -> still pretty easy if the differential diagnosis is obvious
Clearly abnormal and WTF is this? -> slower, read up on some possible diagnoses, do your best
This isn’t perfect… but you can see how most cases will end up being easy or pretty easy. This is of course after you’ve put in the training of residency and fellowship.
Eventually each structure evaluated on a case breaks down to something like this…
Clearly normal -> easy
Benign/almost certainly benign -> easy
Clearly abnormal with obvious diagnosis -> easy
Clearly abnormal but exact diagnosis is less clear -> still pretty easy if the differential diagnosis is obvious
Clearly abnormal and WTF is this? -> slower, read up on some possible diagnoses, do your best
This isn’t perfect… but you can see how most cases will end up being easy or pretty easy. This is of course after you’ve put in the training of residency and fellowship.