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A physician must act with that degree of care, knowledge, and skill ordinarily possessed and exercised in similar situations by the average member of the profession practicing in the field. Walck v. Johns-Manville Prods. Corp., 56 N.J. 533, 560, 267 A.2d 508 (1970). A person who is engaged in the general practice of medicine represents that he/she will have and employ knowledge and skill normally possessed and used by the average physician practicing his/her profession as a general practitioner. That standard, 'recognizing that 'medicine is not an exact science,' holds physicians responsible for their negligence without making them guarantors of the health of their patients.' Aiello v. Muhlenberg Reg'l Med. Ctr., 159 N.J. 618, 626, 733 A.2d 433 (1999)(quoting Schueler v. Strelinger, 43 N.J. 330, 344, 204 A.2d 577 (1964)).

In Schueler, the court recognized that 'good treatment will not necessarily prevent a poor result.' Schueler, supra, 43 N.J. at 344, 204 A.2d 577. '[W]hen a surgeon selects one of two courses . . . either one of which has substantial support as proper practice by the medical profession, a claim of malpractice cannot be predicated solely on the course pursued.' Id. at 346, ...

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