“I Can’t Find Anything Wrong: It Must Be a Pulmonary Embolism”
“I Can’t Find Anything Wrong: It Must Be a Pulmonary Embolism”: Diagnosing Suspected Pulmonary Embolism in Primary Care, a Qualitative Study. by Marie Barais et al. This study illustrated the diagnostic role of gut feelings in the specific context of suspected pulmonary embolism (PE) in primary care. The Family Physicians used the sense of alarm as a… read more
Postgraduate courses for GPs relevant to diagnostics?
Correctly predicting the course of a patient’s pattern of complaints, even if no diagnosis has (yet) been established, is a core task of GPs. This is a complex task requiring extensive knowledge and experience, as the presentation of diseases in primary care regularly deviates from what doctors learn at medical school. In addition, knowledge among… read more
Clinicians’ gut feeling about serious infections in children
An observational study was done by Ann Van den Bruel et al. to investigate the basis and added value of clinicians’ “gut feeling” that infections in children are more serious than suggested by clinical assessment. The participants were consecutive series of 3890 children and young people aged 0-16 years presenting in primary care. The authors… read more
EBM and Gut Feelings
A letter to the editor of Medical Teacher: a shortened version. We have, appreciatively, read the article “Factors influencing the EBM behaviour of GP trainers”.(Te Pas et al. 2013). The authors conclude from their study that GP trainers associate EBM with clinical evidence and do not consider clinical experience as part of the definition. However, these questionnaires… read more
The transculturality of ‘gut feelings’. Results from a French Delphi consensus survey
To determine whether a consensus on ‘gut feelings’ in general practice in France could be obtained a Delphi consensus procedure has been used. The researchers took the Dutch initial statements as starting points. After three Delphi rounds, French GPs reached agreement on nine statements. Many similarities have been found between the Dutch and the French defining… read more
Family physicians’ gut feelings are measurable: construct validation of a questionnaire
We succeeded to validate a short questionnaire measuring the presence of gut feelings in diagnostic reasoning. It enables quantitative research into the role of gut feelings and their diagnostic value in family physicians’ diagnostic reasoning.... read more
Thirteenth tip for teaching expertise in clinical reasoning
A letter to editor published in Medical Teacher: ‘Take your gut feelings seriously’. Increased awareness of gut feelings, fast feedback, structured reflection and specific experience may help student to learn when to trust gut feelings and when to slow down. http://informahealthcare.com/doi/full/10.3109/0142159X.2012.652709
Safety programs in general practice should focus on prognosis instead of diagnosis
Recently, we sent a comment to the editor of Annals of Family Medicine as we do not agree with the ‘lessons for patient safety’ Van Gaal et al stated after studying complaints against family physicians submitted to disciplinary tribunals in the Netherlands. See Track Comments on www.annfammed.org/content/9/6/522.full. The authors concluded that safety programs in family practice should… read more
Intuitive knowledge is valuable knowledge
An article entitled ‘Intuitive knowledge is valuable knowlegde’ (Intuitieve kennis is volwaardige kennis) has been published in Medisch Contact, a Dutch medical journal (November 18 2011). It describes the role of skilled intuition in diagnostic reasoning and how it can be teached in medical education,
A full translation of the ‘Third Track’ into Dutch
In HuisartsNu, the Flemish scientific journal for GPs, a full translation of the “Gut feelings as a third track in general practitioners’ diagnostic reasoning” article has been published, split into two consecutive parts (part 1 http://www.domusmedica.be/onderzoek/huisartsnu/archief/2011-jg-40/3679-het-pluisniet-pluis-gevoel.html and part 2 http://www.domusmedica.be/onderzoek/huisartsnu/archief/2011-jg-40/3837-het-pluisniet-pluis-gevoel-deel-2.html).