A key sign of good medical practice is not confidence alone, but judgement about limits.
No doctor can achieve every outcome for every patient. Anatomy, disease severity, prior treatment, and individual biology all place constraints on what medicine can deliver. Good doctors recognise these constraints and communicate them honestly.
Professional guidance consistently emphasises that clinicians must practise within the limits of their competence and be open about uncertainty¹. This includes explaining when outcomes are unpredictable or when risks outweigh potential benefits.
Patients are best served when limitations are discussed upfront rather than discovered later through disappointment. Honest conversations protect patients from unrealistic expectations and help them make informed choices.
Acknowledging limits is not weakness. It is an essential part of safe, ethical practice.
References
- General Medical Council. Good medical practice. GMC; 2024.
- Epstein RM, Hundert EM. Defining and assessing professional competence. JAMA. 2002;287(2):226–235.
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