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Horses Quote by Maria Semple

“When you hear hoofbeats, think horses, not zebras.” quote by Maria Semple
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““When you hear hoofbeats, think horses, not zebras.””

Maria Semple

About This Quote

Source Medical Training: Clinical Reasoning, USMLE Prep, 2010

Assume common causes first; rare explanations are less likely.

In simple terms: Think of usual suspects.

Key Takeaway

Start with the obvious.

Themes

diagnosis critical thinking probability

Mood

cautious analytical

Type

clinical educational

When to use this quote

  • patient assessment
  • triage
  • emergency care

Key Concepts

Bayesian reasoning pattern recognition diagnostic error

Questions to Reflect On

  • What signs suggest a rare disease?
  • How do you avoid anchoring bias?
A Different Perspective

Rare conditions can be missed if dismissed too quickly.

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