Dealing with uncertainty in general practice: An essential skill for the general practitioner

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dc.authorscopusid7005822888
dc.authorscopusid6602647822
dc.authorscopusid6603434695
dc.authorscopusid24074569700
dc.authorscopusid7801565897
dc.authorscopusid7005871842
dc.authorscopusid45761307900
dc.contributor.authorO'Riordan M.
dc.contributor.authorDahinden A.
dc.contributor.authorAktürk Z.
dc.contributor.authorOrtiz J.M.B.
dc.contributor.authorDagdeviren N.
dc.contributor.authorElwyn G.
dc.contributor.authorMicallef A.
dc.date.accessioned2024-06-12T10:29:10Z
dc.date.available2024-06-12T10:29:10Z
dc.date.issued2011
dc.description.abstractMany 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.en_US
dc.identifier.endpage181en_US
dc.identifier.issn1479-1072
dc.identifier.issue3en_US
dc.identifier.pmid21781433en_US
dc.identifier.scopus2-s2.0-79960479743en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage175en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/17621
dc.identifier.volume19en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofQuality in Primary Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGeneral Practitioners; Training; Uncertaintyen_US
dc.subjectArticle; 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; Uncertaintyen_US
dc.titleDealing with uncertainty in general practice: An essential skill for the general practitioneren_US
dc.typeReview Articleen_US

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