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?
Studie Overzicht
Studietype
Inschrijving (Verwacht)
Contacten en locaties
Studiecontact
- Naam: Marie Barais
- Telefoonnummer: 06 98 18 96 81
- E-mail: marie.barais@gmail.com
Studie Contact Back-up
- Naam: Matthieu Schuers
- Telefoonnummer: 06 47 00 86 41
- E-mail: matthieu.schuers@univ-rouen.fr
Studie Locaties
-
-
-
Brest, Frankrijk
- Werving
- Dr Marie BARAIS
-
Contact:
- Marie BARAIS, Dr
-
-
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Bemonsteringsmethode
Studie Bevolking
- 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
Beschrijving
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
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
Cohorten en interventies
Groep / Cohort |
Interventie / Behandeling |
|---|---|
|
General practitioner
Answer the Gut Fellings questionnaire
|
Answer the Gut Fellings questionnaire
|
|
Internal
Answer the Gut Fellings questionnaire
|
Answer the Gut Fellings questionnaire
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Error assessment
Tijdsspanne: 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
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Types of professional activity of installed GPs
Tijdsspanne: 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
Tijdsspanne: Day 1
|
Care proposed at the end of each clinical vignette (answers to question n°11 of the questionnaire)
|
Day 1
|
|
Practitioner's orientation
Tijdsspanne: 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
|
Medewerkers en onderzoekers
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Verwacht)
Studie voltooiing (Verwacht)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Andere studie-ID-nummers
- 29BRC21.0359 (EGFGP)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
IPD-tijdsbestek voor delen
IPD-toegangscriteria voor delen
IPD delen Ondersteunend informatietype
- LEERPROTOCOOL
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .