Dealing with uncertainty in general practice: An essential skill for the general practitioner
Küçük Resim Yok
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Many patients attending general practice do not have an obvious diagnosis at presentation. Skills to deal with uncertainty are particularly important in general practice as undifferentiated and unorganised problems are a common challenge for general practitioners (GPs). This paper describes the management of uncertainty as an essential skill which should be included in educational programmes for both trainee and established GPs. Philosophers, psychologists and sociologists use different approaches to the conceptualisation of managing uncertainty. The literature on dealing with uncertainty focuses largely on identifying relevant evidence and decision making. Existing models of the consultation should be improved in order to understand consultations involving uncertainty. An alternative approach focusing on shared decision making and understanding the consultationfrom the patient's perspective is suggested. A good doctor-patient relationship is vital, creating trust and mutual respect, developed over time with good communication skills. Evidence-based medicine should be used, including discussion of probabilities where available. Trainers need to be aware of their own use of heuristics as they act as role models for trainees. Expression of feelings by trainees should be encouraged and acknowledged by trainers as a useful tool in dealing with uncertainty. Skills to deal with uncertainty should be regarded as quality improvement tools and included in educational programmes involving both trainee and established GPs. © 2011 Radcliffe Publishing.
Açıklama
Anahtar Kelimeler
General Practitioners; Training; Uncertainty, Article; Decision Making; Differential Diagnosis; Doctor Patient Relation; Education; Evidence Based Medicine; General Practice; Human; Interpersonal Communication; Standard; Uncertainty; Communication; Decision Making; Diagnosis, Differential; Evidence-Based Medicine; General Practice; Humans; Physician-Patient Relations; Uncertainty
Kaynak
Quality in Primary Care
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
19
Sayı
3
