Inductive foraging, triggered routines, descriptive questions, and hypotheses testing in diagnostic reasoning
The phenomenology of the diagnostic process: a primary care based survey Abstract Background. While dichotomous tasks and related cognitive strategies have been extensively researched in cognitive psychology, little is known about how primary care practitioners (general practitioners [GPs]) approach ill-defined or polychotomous tasks and how valid or useful their strategies are. Objective. To investigate cognitive… read more
Spanish general practitioners (GPs)Â recognise the presence and role of gut feelings in their diagnostic reasoning process. The results of this study are similar to those of previous research of GPs conducted in the Netherlands and France, in terms of recognition of the existence of GFs and their typology.Â However, the authors found some small differences in… read more
Rare diseases are those with a prevalence of less than 1 in 2000 and about 8000 have been identified. When is is impossible for general practitioners (GPs) to be able to diagnose all these diseases, it is important that they are alert to possible diagnoses and order investigations or to refer the patient on as… read more
Stolper CF, Van de Wiel MWJ, Van Royen P. Diagnostic thinking about everyday ailments. Huisarts Wet 2016;59(11):478-81. Everyday, or minor, ailments are those that are not chronic, acute, or potentially life-threatening. Because general practitioners can think in terms of prognosis, they are able to distinguish between minor ailments and less common, serious diseases that almost… read more
The average positive predictive value of cancer-related gut feeling was 35%, and it increased with 2% with each year a patient becomes older, and with 3% with each year a GP becomes older. See this link.
Invited comment: In a letter to the editor of the Annals of Family Medicine, Marie Barais, Erik Stolper and Paul Van Royen give their comments on an article comparing the results of the Wells rule with the Gestalt. Their main criticism is that whatÂ the authors called Gestalt did not differ from what they measured in… read more
Abstract of a literature study Background Diagnostic reasoning is one of the most important skills a doctor has to possess. Recent literature tells us that during the process of diagnostic reasoning, doctors use several methods, which can be classified along a continuum from analytical to non-analytical reasoning; this is known as the dual process theory…. read more
We proudly announce the Wonca World Book of Family Medicine – European Edition 2015. ItÂ is aÂ free to download Anniversary Edition! Find it here in full text.. You will have the best abstracts of the last 25 years, presented on Wonca conferences. Chapter 57 is about gut feelings acting as a guide in the diagnostic reasoning… read more
See our selective review of literature.
Can a gut feeling help to diagnose cancer? SeeÂ our selected review of literature.