ReviewThe British journal of general practice : the journal of the Royal College of General Practitioners2002
Intuition and evidence--uneasy bedfellows?
Review in The British journal of general practice : the journal of the Royal College of General Practitioners, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
60 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Understanding the role of GPs' gut feelings in diagnosing cancer in primary care: a systematic review and meta-analysis of existing evidence.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Pooled it
- Barriers to GPs' use of evidence-based medicine: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Pooled it
- Implementation outcomes of evidence-based quality improvement for depression in VA community based outpatient clinics.Implementation science : IS · 2012Trial
- Medical expertise as hybrid expertise: a proposal for the articulation of medical knowledge.Philosophy, ethics, and humanities in medicine : PEHM · 2025Article
- Intuitive Medicine: A New Vision for Medical Education.Advances in medical education and practice · 2025Article
- Diagnosing intuition: a phenomenological account of intuitive knowledge in clinical practice.Frontiers in psychology · 2025Review
- Medicine, emotience, and reason.Philosophy, ethics, and humanities in medicine : PEHM · 2024Article
- Piloting a classification framework for the types of evidence used in alcohol policymaking.Drug and alcohol review · 2023Article
- The interpretation of forensic conclusions by professionals and students: Does experience matter?Forensic science international. Synergy · 2023Article
- Supporting elderly patients in strengthening their personal and spiritual health resources.Frontiers in psychology · 2023Review
- Integrating Clinical Signs at Presentation and Clinician's Non-analytical Reasoning in Prediction Models for Serious Bacterial Infection in Febrile Children Presenting to Emergency Department.Frontiers in pediatrics · 2022Article
- Conceptualizing the complexity of reflective practice in education.Frontiers in psychology · 2022Review
- Development of a systematic multidisciplinary clinical and teaching model for the palliative approaches in patients with severe lung failure.European clinical respiratory journal · 2022Article
- CPP or Not, That Is the Question: Physicians' Work With Activating CPPs.Qualitative health research · 2021Article
- Clinician perspectives and understanding of the adaptogenic concept: A focus group study with Naturopaths and Western Herbalists.Integrative medicine research · 2021Article
- Between diagnostic precision and rapid decision-making: Using institutional ethnography to explore diagnostic work in the context of Cancer Patient Pathways in Norway.Sociology of health & illness · 2021Article
- The Organic Turn: Coping With Pandemic and Non-pandemic Challenges by Integrating Evidence-, Theory-, Experience-, and Context-Based Knowledge in Advising Health Policy.Frontiers in public health · 2021Article
- Role of intuitive knowledge in the diagnostic reasoning of hospital specialists: a focus group study.BMJ open · 2019Article
- Article
- Why do family doctors prescribe potentially inappropriate medication to elderly patients?BMC family practice · 2016Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Intuition is a decision-making method that is used unconsciously by experienced practitioners but is inaccessible to the novice. It is rapid, subtle, contextual, and does not follow simple, cause-and-effect logic. Evidence-based medicine offers exciting opportunities_for improving patient outcomes, but the 'evidence-burdened' approach of the inexperienced, protocol-driven clinician is well documented Intuition is not unscientific. It is a highly creative process, fundamental to hypothesis generation in science. The experienced practitioner should generate and follow clinical hunches as well as (not instead of applying the deductive principles of evidence-based medicine. The educational research literature suggests that we can improve our intuitive powers through systematic critical reflection about intuitive judgements--for example, through creative writing and dialogue with professional colleagues. It is time to revive and celebrate clinical storytelling as a method for professional education and development. The stage is surely set for a new, improved--and, indeed, evidence-based--'Balint'group.
Indexed as
Identifiers
12014539PMC1314297What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.