Protocol for a prospective study on gut feelings and dyspnoe and/or thoracic pain.
Tuesday, March 17th, 2015
The accuracy of the general practitioner’s sense of alarm when confronted with dyspnoea and/or thoracic pain: protocol for a prospective observational study, published in the BMJ Open (see http://bmjopen.bmj.com/content/5/3/e006810.long) (Marie Barais et al). The sensitivity, the specificity, the positive and negative likelihood ratio of the sense of alarm will be calculated from a constructed contingency table…. read more
Posted in Publications, Resources
Gut feelings questionnaire in real settings: a feasibility study protocol
Monday, October 20th, 2014
Marie Barais will present on the 79the EGPRN conference (Heraklion-Greece) in a five minutes-one slide presentation a multinational feasability study protocol of the gut feelings questionnaire (GFQ). The GFQ is a 10 items questionnaire based on the consensus statements defining gut feelings in a general practitioner’s diagnostic reasoning. The construct validity of the questionnaire was tested by case vignettes.The aim of the GFQ… read more
Posted in Presentations, Resources
How do gut feelings feature in tutorial dialogues?
Wednesday, September 10th, 2014
Discussing gut feelings in tutorial dialogues seems to be a good educational method to familiarize trainees with non-analytical reasoning. Supervisors need specialised knowledge about these aspects of diagnostic reasoning and how to deal with them in medical education.... read more
Posted in Publications, Resources
“I Can’t Find Anything Wrong: It Must Be a Pulmonary Embolism”
Thursday, May 22nd, 2014
“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
Posted in Publications, Resources
Presentation Medical Decision Making in Antwerp 2014
Monday, May 12th, 2014
Prof. P. Van Royen gave an poster presentation at the 15th Biennial European Meeting of the Society for Medical Decision Making in Antwerp, Belgium (8-10 June 2014). How do gut feelings feature in tutorial dialogues on diagnostic reasoning in GP traineeship? Introduction: Diagnostic reasoning is considered to be based on the interaction between analytical and non-analytical… read more
Posted in Presentations, Resources
Gut feelings in general practice on radio 4 BBC: Inside Health
Sunday, February 16th, 2014
Ann Van den Bruel talks about gut feelings in diagnostic reasoning and protocols in medicine (see http://www.bbc.co.uk/programmes/b03ts4g0 20 minutes after the start of the programme).
Posted in Resources
Postgraduate courses for GPs relevant to diagnostics?
Monday, December 23rd, 2013
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
Posted in Publications
Clinicians’ gut feeling about serious infections in children
Wednesday, November 6th, 2013
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
Posted in Publications, Resources
EBM and Gut Feelings
Thursday, October 17th, 2013
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
Posted in Publications
How family physicians come to suspect pulmonary embolism?
Saturday, October 5th, 2013
Background: The Wells rule is a tool to support physicians in their decisions regarding Pulmonary Embolism (PE). The rule includes a subjective element: 3 points are allocated to the physician’s assessment whether PE is more likely than an alternative diagnosis. The diagnostic process leading to the suspicion of PE is not well described in… read more
Posted in Presentations, Resources
