Chris Burden, Light of Reason, Rose Art Museum, 2014
“If we follow by the light of reason, we must let our minds be bold.”
—Justice Louis Brandeis
BOLD Expertise
How do the most successful diagnosticians approach uncertainty?
What are the actions large and small that make the difference?
The first non-MD to hold a fellowship with the Society to Improve Diagnosis in Medicine, ArtsPractica Founder Alexa Miller studied how the most successful diagnosticians approach uncertainty.
She found four key common principles, each a very simple practice, encapsulated in the acronym BOLD:
Believe: in the legitimacy of the patient experience.
Observe: carefully and adaptively.
Locate: yourself, root causes, and patient goals.
Decide: together and towards agency
Copyright Alexa Miller 2025. All rights reserved.
How can we transcend the harms resulting from standard-fare healthcare, even from within dehumanizing systems?
BOLD practices …
Starting from within the tiny daily moments of clinical practice…
Policies that reward and support BOLD practices …