- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05175157
Assessment of "Gut Feelings" Accuracy Regarding the Effect of Professional Experience in General Practitioners in Clinical Decision Making (EGFGP)
Knowledge, experience and professional development limit the risk of diagnostic error for the clinician in daily practice. However, research has shown that other non-analytical factors are involved in clinical decision making. Intuition (or "gut feelings") is a subjective element involved in medical decision-making, and its place and relevance are being explored. The concept of "gut feelings" comes from General Practitioners (GPs) themselves and their description of their own practice. Several studies have shown its place in medical decision-making models, particularly in the face of diagnostic uncertainty.
A questionnaire used as a standardized measurement tool for gut feelings was created to address this issue. The Gut Feelings Questionnaire (GFQ) has been translated into French, German and Polish during a standardized linguistic validation procedure. It is currently validated and available in five languages. The QGF has been tested and validated in clinical practice by Belgian, French and Dutch physicians. Its feasibility has been evaluated in these three health systems.
The Gut Feelings Questionnaire was used in a prospective study to determine the accuracy of the sense of alarm in patients consulting their GP for chest pain and/or dyspnea. But the role of the practitioner's experience has not been studied: is the gut feeling more accurate in experienced GPs than in first semester interns in general practice?
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Marie Barais
- Phone Number: 06 98 18 96 81
- Email: marie.barais@gmail.com
Study Contact Backup
- Name: Matthieu Schuers
- Phone Number: 06 47 00 86 41
- Email: matthieu.schuers@univ-rouen.fr
Study Locations
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Brest, France
- Recruiting
- Dr Marie BARAIS
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Contact:
- Marie BARAIS, Dr
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
- General practitioners established for more than 3 years
- Interns in the first year of the third cycle of the diploma of specialized studies in general medicine of the Universities of Brest and Rouen
Description
Inclusion Criteria:
- GP population: General practitioners established for more than 3 years
- Intern population: Interns in general medicine in the first year of the third cycle of the diploma of specialized studies in general medicine
Exclusion Criteria:
- For the 2 populations: Refusal to participate
- Intern population: Interns in the second and third year of the diploma of specialized studies in general medicine
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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General practitioner
Answer the Gut Fellings questionnaire
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Answer the Gut Fellings questionnaire
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Internal
Answer the Gut Fellings questionnaire
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Answer the Gut Fellings questionnaire
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Error assessment
Time Frame: Day 1
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Gut Feelings Questionnaire response score comparaison for each of 12 clinical vignettes.
Gut Feelings Questionnaire is a 10-item questionnaire based on the definitions of the sense of alarm and the sense of reassurance.
The purpose of the Gut Feelings Questionnaire is to determine the presence or absence of gut feelings in the diagnostic reasoning.
These gut feelings are defined as a 'sense of alarm' and a 'sense of reassurance'.
A 'sense of alarm' implies that a GP worries about a patient's health status, even though he/she has found no specific indications yet; it is a sense that 'there's something wrong here'.
A 'sense of reassurance' means that a GP feels secure about the further management and course of a patient's problem, even though he/she may not be certain about the diagnosis: everything fits in.
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Day 1
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Types of professional activity of installed GPs
Time Frame: Day 1
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To study the relationship between professional variables and GFQ response score errors in the GP population.
Professional variables are be : University training supervisor (yes/no); type of activity (group of physicians, alone, multiprofessional group); place of practice (town of <2000 inhabitants, between 2000 and 5000, over 5000); number of years of practice in general medicine.
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Day 1
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Type of care
Time Frame: Day 1
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Care proposed at the end of each clinical vignette (answers to question n°11 of the questionnaire)
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Day 1
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Practitioner's orientation
Time Frame: Day 1
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Items highlighted by each participant within the clinical vignette that contributed to the practitioner's orientation (identification of a sense of alarm or a sense of reassurance) to complete the Gut Fellings Questionnaire.
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Day 1
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 29BRC21.0359 (EGFGP)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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