Abstract
Virtually every clinician knows the sickening feeling of making a bad mistake. You feel singled out and exposed - seized by the instinct to see if anyone has noticed. You agonize about what to do, whether to tell anyone, what to say. Later, the event replays itself in your mind. You question your competence but fear being discovered. You know you should confess, but dread the prospect of potential punishment and of the patient's anger.
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