In reply to Norman et al and to Ilgen et al

Pat Croskerry¹, David A Petrie, James B Reilly+1

• ¹Professor and director, Critical Thinking Program, Division of Medical Education, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada; e-mail: croskerry@eastlink.ca. Professor of emergency medicine and professor, Department of Emergency Medicine, Faculty of Medicine, Dalhousie University, and chief, Capital District Health Authority Department of Emergency Medicine, Halifax, Nova Scotia, Canada. Associate director, Internal Medicine Residency, Allegheny General Hospital, Western Pennsylvania Hospital Educational Consortium, Pittsburgh, Pennsylvania, and assistant professor of medicine, Temple University School of Medicine, Philadelphia, Pennsylvania. Assistant professor, Departments of Surgery and Anesthesia, and staff scientist, Department of Anesthesia, Toronto General Hospital, University Health Network, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.