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Begin early to make a threefold category—clear cases, doubtful cases, mistakes. And learn to play the game fair, no self­deception, no shrinking from the truth; mercy and consid­ eration for the other man, but none for yourself, upon whom you have to keep an incessant watch... It is only by getting your cases grouped in this way that you can make any real progress in your education; only in this way can you gain wisdom with experience. sir WiLLiAM osLer9

Introduction: The science of practice: addressing the challenges of modern health care