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?
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Inscripción (Anticipado)
Contactos y Ubicaciones
Estudio Contacto
- Nombre: Marie Barais
- Número de teléfono: 06 98 18 96 81
- Correo electrónico: marie.barais@gmail.com
Copia de seguridad de contactos de estudio
- Nombre: Matthieu Schuers
- Número de teléfono: 06 47 00 86 41
- Correo electrónico: matthieu.schuers@univ-rouen.fr
Ubicaciones de estudio
-
-
-
Brest, Francia
- Reclutamiento
- Dr Marie BARAIS
-
Contacto:
- Marie BARAIS, Dr
-
-
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Método de muestreo
Población de estudio
- 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
Descripción
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
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
Cohortes e Intervenciones
Grupo / Cohorte |
Intervención / Tratamiento |
|---|---|
|
General practitioner
Answer the Gut Fellings questionnaire
|
Answer the Gut Fellings questionnaire
|
|
Internal
Answer the Gut Fellings questionnaire
|
Answer the Gut Fellings questionnaire
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Error assessment
Periodo de tiempo: 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
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Types of professional activity of installed GPs
Periodo de tiempo: 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
Periodo de tiempo: Day 1
|
Care proposed at the end of each clinical vignette (answers to question n°11 of the questionnaire)
|
Day 1
|
|
Practitioner's orientation
Periodo de tiempo: 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
|
Colaboradores e Investigadores
Patrocinador
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Anticipado)
Finalización del estudio (Anticipado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Otros números de identificación del estudio
- 29BRC21.0359 (EGFGP)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Descripción del plan IPD
Marco de tiempo para compartir IPD
Criterios de acceso compartido de IPD
Tipo de información de apoyo para compartir IPD
- PROTOCOLO DE ESTUDIO
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .