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Nevalainen M et al. – Uncertainty is a major cause of mental strain for medical students, particularly fear of making mistakes. Main themes related to facing uncertainty and found in the diaries and writings were insecurity of professional skills, own credibility, facing with the inexactness of medicine, fear of making mistakes, coping with responsibility, and tolerating oneself as incomplete and accepting oneself as a good–enough doctor–to–be. Common steps of development towards tolerance of uncertainty were found in diaries over a one–year time period as the students progressed in their clinical studies. Reflective writing showed to be an effective means for the students of both expressing and dealing with uncertainty, both with the difficult and the pleasant feelings and the experiences the students had with their first patient contacts. It also gave some of them the means of self–reflection which they afterwards found worthwhile.

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