We were taught bayes in the form of predictive values, but this was pretty cursory. Challenging the medical professors' competence publicly isn't a smart move careerwise, unless they happen to be exceptionally rational and principled, unfortunately. There's a time to shut up and multiply, and a time to bend to the will of the elders :)

I have the Irish equivalent of an MD; "Medical Bachelor, Bachelor of Surgery, Bachelor of the Art of Obstetrics". This unwieldy degree puts me in fairly decent company on Less Wrong.

I may be generalizing from a sample of one, but my impression is that medicine selects out rationalists for the following reasons:

(1) The human body is an incompletely understood highly complex system; the consequences of manipulating any of the components can generally not be predicted from an understanding of the overall system. Medicine therefore necessarily has to rely heavily on memorization (at least until we get algorithms that take care of the memorization)

(2) A large component of successful practice of medicine is the ability to play the socially expected part of a doctor.

(3) From a financial perspective, medical school is a junk investment after you consider the opportunity costs. Consider the years in training, the number of hours worked, the high stakes and high pressure, the possibility of being sued etc. For mainstream society, this idea sounds almost contrarian, so rationalists may be more likely to recognize it.

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My story may be relevant here: I was a middling medical student; I did well in those of the pre-clinical courses that did not rely too heavily on memorization, but barely scraped by in many of the clinical rotations. I never had any real passion for medicine, and this was certainly reflected in my performance.

When I worked as an intern physician, I realized that my map of the human body was insufficiently detailed to confidently make clinical decisions; I still wonder whether my classmates were better at absorbing knowledge that I had missed out on, or if they are just better at exuding confidence under uncertainty.

I now work in a very subspecialized area of medical research that is better aligned with rational thinking; I essentially try to apply modern ideas about causal inference to comparative effectiveness research and medical decision making. I was genuinely surprised to find that I could perform at the top level at Harvard, substantially outperforming people who were in a different league from me in terms of their performance in medical school. I am not sure whether this says something about the importance of being genuinely motivated, or if it is a matter of different cognitive personalities.

In retrospect, I am happy with where this path has taken me, but I can't help but wonder if there was a shorter path to get here. If I could talk to my 18-year old self, I certainly would have told him to stay far away from medicine.

Hello all!

Im a medical student and a researcher. My interests are consciousness, computational theory of mind, evolutionary psychology, and medical decision making. I bought Eliezers book and found here because of it.

Want to thank Eliezer for writing the book, best writing i have read this year. Thank You.