We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Surgical Scripts: Master Surgeons Think Aloud About 43 Common Surgical Problems

William George Abel, MD
JAMA. 1994;272(19):1553. doi:10.1001/jama.1994.03520190099049.
Text Size: A A A
Published online


Problem solving and problem correction or amelioration are what a surgeon does. This book is about how a surgeon thinks when presented with a specific problem. Learning has a nonmeasurable end point and is a continuum throughout the surgeon's active life and experience. Commencing with medical school and progressing through residency and other postgraduate training, the surgeon acquires a tremendous mass of information. Judgment, however, demands not only textbook knowledge but repeated exposure to similar situations with memory of what did and did not work. As pointed out in this book, "efficient knowledge aggregation is developed through repeated experience" and "this fact makes organization of knowledge pragmatic."

The authors' intention is to demonstrate how experienced clinical surgeons use pattern recognition in decision making, supplemented by comments from a trained cognitive psychologist on the surgeons' expressed thoughts. The material is presented using 43 surgical scripts encompassing a wide variety of problems


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.