Gut feelings in the diagnostic reasoning process; the role of uncertainty

Wednesday, January 23rd, 2019

Abstract What role does uncertainty play in the doctor’s diagnostic reasoning process? Would it not be better to avoid uncertainty as much as possible? In this article we answer this question from an epistemological perspective. Doctors build up relevant, situational knowledge during the diagnostic process through listening, observation and interpretation during their contact with the… read more

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Gut Feelings Questionnaire in daily practice: a feasibility study using a mixed-methods approach in three European countries

Friday, November 9th, 2018

Abstract Objectives The validated Gut Feelings Questionnaire (GFQ) is a 10-item questionnaire based on the definitions of the sense of alarm and the sense of reassurance. The purpose of the GFQ is to determine the presence or absence of gut feelings in the diagnostic reasoning of general practitioners (GPs). The aim was to test the… read more

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Cross-cultural translation and validation of the ‘gut feelings’ questionnaire into Spanish and Catalan

Sunday, July 8th, 2018

The Gut Feelings Questionnaire is available in Spanish and Catalan language. Read the publication in EJGP. Or look up all translations on Abstract Background: The gut feelings questionnaire (GFQ) is the only tool developed to assess the presence of a ‘sense of alarm’ or a ‘sense of reassurance’ in the diagnostic process of general practitioners… read more

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Do GPs know more than other doctors?

Monday, July 3rd, 2017

Norbert Donner-Banzhoff wrote a commentary on: ‘COGITA network has constructed a glossary of diagnostic reasoning terms’. The answer to the question in the title is a clear ‘yes’. Read more.

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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

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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

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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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