Comments on ‘Recognition of sepsis in primary care: a survey among GPs’.

Monday, June 26th, 2017

Recently, in the BJGP Open an article was published about how GPs recognize a sepsis. The authors’ final conclusion was that the history, the general appearance and a gut feeling are more important elements than body temperature, heart rate, blood pressure, and peripheral oxygen saturation in self-reported cases of patients referred due to a possible serious infection…. read more

Posted in Publications, Resources

Towards a consensus on gut feelings in pediatrics in France

Tuesday, June 20th, 2017

In France, children represent an important part of consultations in general practice. Gut feelings (GF) is a transcultural concept studied by Dutch and French general practitioners according to precise definition criteria. International literature suggests the importance of GF in detecting severe childhood infections. We aim to evaluate the place that GF can have in the… read more

Posted in Publications, Resources

The linguistic validation of the gut feelings questionnaire in three European languages

Monday, May 29th, 2017

Abstract BACKGROUND: Physicians’ clinical decision-making may be influenced by non-analytical thinking, especially when perceiving uncertainty. Incidental gut feelings in general practice have been described, namely, as “a sense of alarm” and “a sense of reassurance”. A Dutch Gut Feelings Questionnaire (GFQ) was developed, validated and afterwards translated into English following a linguistic validation procedure. The… read more

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COGITA network has constructed a glossary of diagnostic reasoning terms

Thursday, March 9th, 2017

Abstract The role of gut feelings in diagnostic reasoning is recognized by most GPs throughout Europe, and probably throughout the world. Studies on this topic have emerged from different countries but there is the risk that authors will use different terms for similar concepts. The European Expert Group on Cognitive and Interactive Processes in Diagnosis… read more

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Inductive foraging, triggered routines, descriptive questions, and hypotheses testing in diagnostic reasoning

Friday, January 13th, 2017

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

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Gut feelings in Spanish GPs

Saturday, December 10th, 2016

Spanish general practitioners (GPs) 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. However, the authors found some small differences in… read more

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Rare diseases: an impossible diagnostic challenge?

Tuesday, November 8th, 2016

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

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Diagnostic thinking about everyday ailments

Friday, November 4th, 2016

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

Posted in Publications

GP’s gut feeling for cancer proves to be a useful tool in diagnosing cancer

Thursday, September 15th, 2016

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.

Posted in Publications, Resources

What about GPs’ gut feelings when faced with dyspnea and thoracic pain?

Friday, August 12th, 2016

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 what the authors called Gestalt did not differ from what they measured in… read more

Posted in Publications, Resources