Publications

Building the case for the use of gut-feelings in cancer referrals: perspectives of patients referred to a non-specific symptoms pathway

Friday, October 15th, 2021

Abstract Background: Gut-feelings may be useful when dealing with uncertainty that is ubiquitous in primary care. Both patients and GPs experience this uncertainty but patients’ views on gut-feelings in the consultation have not been explored. Aim: To explore patients’ perceptions of gut-feelings in decision-making, and compare these perceptions to those of GPs. Design and setting:… read more

Posted in Publications, Resources

Cultivating Doctors’ Gut Feeling: Experience, Temporality and Politics of Gut Feelings in Family Medicine

Tuesday, October 5th, 2021

Abstract For the past decade, within family medicine there has been a focus on cultivating doctors gut feelings as ‘a way of knowing’ in cancer diagnostics. In this paper, building on interviews with family doctors in Oxford shire, UK we explore the embodied and temporal dimensions of clinical reasoning and how the cultivation of doctors’… read more

Posted in Publications, Resources

Gut feelings of patients in general practice: validating a questionnaire

Thursday, April 22nd, 2021

Abstract accepted for presentation (workshop Clinical Decision Making, 2021 April) Background Research indicated that patients’ feelings of worriedness play a role in their physicians’ clinical reasoning and judgment of clinical tribunals. Interviews with primary care workers and patients showed how these feelings are expressed. Based on these expressions we developed a questionnaire to measure gut… read more

Posted in Presentations, Resources

Gut feelings of patients in general practice: description and significance

Thursday, April 22nd, 2021

Abstract accepted for presentation (workshop Clinical Decision Making 2021 April) Background: General practitioners’ diagnostic gut feelings (GF) proved to be valuable. But what about patients’ GF? Dutch medical tribunals consider patients’ worry useful for doctors’ diagnostics. Research showed that patients’ GF contribute to their physicians’ clinical reasoning but how this happens is unclear. Research questions… read more

Posted in Presentations, Resources

GPs’ use of gut feelings when assessing cancer risk: a qualitative study in UK primary care

Thursday, April 22nd, 2021

Background The use of gut feelings to guide clinical decision making in primary care has been frequently described but is not considered a legitimate reason for cancer referral. Aim To explore the role that gut feeling plays in clinical decision making in primary care. Design and setting Qualitative interview study with 19 GPs in Oxfordshire, UK. Method GPs who… read more

Posted in Publications, Resources

Understanding the role of GPs’ gut feelings in diagnosing cancer in primary care: a systematic review and meta-analysis of existing evidence

Thursday, April 22nd, 2021

Background Growing evidence for the role of GPs’ gut feelings in cancer diagnosis raises questions about their origin and role in clinical practice. Aim To explore the origins of GPs’ gut feelings for cancer, their use, and their diagnostic utility. Design and setting Systematic review and meta-analysis of international research on GPs’ gut feelings in… read more

Posted in Publications, Resources

Embracing complexity with systems thinking in general practitioners’ clinical reasoning helps handling uncertainty

Thursday, February 18th, 2021

Clinical reasoning in general practice is increasingly challenging because of the rise in the number of patients with multimorbidity. This creates uncertainty because of unpredictable interactions between the symptoms from multiple medical problems and the patient’s personality, psychosocial context and life history. Case analysis may then be more appropriately managed by systems thinking than by… read more

Posted in Publications, Resources

How child health care physicians struggle from gut feelings to managing suspicions of child abuse

Wednesday, January 13th, 2021

Abstract Aim We examined how gut feelings of child health care physicians’ (CHCPs) contribute to the development of a suspicion of child abuse, how they act upon this suspicion and what barriers they experience in their management. To gain insight into the youth health care chain, we compared the diagnostic reasoning and management regarding this… read more

Posted in Publications, Resources

Gut feelings in general practice: why you should join our international research group COGITA

Saturday, December 19th, 2020

WONCA Berlin presentation by Marie Barais (2020)

Posted in Presentations, Resources

How to better predict the future? A taste of practical philosophy for generalists and trainees

Friday, December 11th, 2020

A short introduction into the philosophical aspects of clinical reasoning in general practice (WONCA 2020 Berlin, Sietse Wieringa and Erik Stolper).

Posted in Presentations, Resources