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Assessment of "Gut Feelings" Accuracy Regarding the Effect of Professional Experience in General Practitioners in Clinical Decision Making (EGFGP)

2. maj 2022 opdateret af: University Hospital, Brest

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?

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Undersøgelsestype

Observationel

Tilmelding (Forventet)

260

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

  • Frankrig
      • Brest, Frankrig
        • Rekruttering
        • Dr Marie BARAIS
        • Kontakt:
          • Marie BARAIS, Dr

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

  • 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

Beskrivelse

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

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
General practitioner
Answer the Gut Fellings questionnaire
Andet: Gut Fellings questionnaire
Answer the Gut Fellings questionnaire
Internal
Answer the Gut Fellings questionnaire
Andet: Gut Fellings questionnaire
Answer the Gut Fellings questionnaire

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Error assessment
Tidsramme: Day 1
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.
Day 1

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Types of professional activity of installed GPs
Tidsramme: Day 1
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.
Day 1
Type of care
Tidsramme: Day 1
Care proposed at the end of each clinical vignette (answers to question n°11 of the questionnaire)
Day 1
Practitioner's orientation
Tidsramme: Day 1
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.
Day 1

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

University Hospital, Brest

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

28. april 2022

Primær færdiggørelse (Forventet)

1. april 2023

Studieafslutning (Forventet)

1. april 2024

Datoer for studieregistrering

Først indsendt

14. december 2021

Først indsendt, der opfyldte QC-kriterier

14. december 2021

Først opslået (Faktiske)

3. januar 2022

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

3. maj 2022

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

2. maj 2022

Sidst verificeret

1. maj 2022

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 29BRC21.0359 (EGFGP)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

All collected data that underlie results in a publication

IPD-delingstidsramme

After result publication

IPD-delingsadgangskriterier

The data that will support the findings of this study will be available when the findings will be published in a perreview journal, from the corresponding author, upon reasonable request

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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Kliniske forsøg med Gut Feelings

Kliniske forsøg med Gut Fellings questionnaire

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Sponsorer og samarbejdspartnere

Medicinske tilstande

Narkotikainterventioner

CROs by country

CROs in Zimbabwe

Betingelser

Sjældne sygdomme

Narkotikainterventioner

Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

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