Concepts
Health psychology/Cognitive biases · Clinical reasoning

Base-rate neglect

What it means

Ignoring the underlying prevalence of a condition when estimating its probability in a given patient.

Worked example

Chasing a rare zebra in a low-prevalence setting while ignoring the common cause.

In the exam

Faced with a common presentation, a clinician pursues an exotic rare diagnosis, disregarding how vanishingly uncommon it is in this population.

What settles it

Base-rate neglect ignores PREVALENCE. Representativeness is the broader error of judging by prototype-fit, which often causes base-rate neglect.

Classically confused with

Representativeness

Source: Tversky & Kahneman