Evidence map›Paper›PMID 20973873›Full record

ReviewJournal of evaluation in clinical practice2011

Clinical judgement and the medical profession.

Gunver S Kienle, Helmut Kiene

Abstract readReview
In one paragraph

Review in Journal of evaluation in clinical practice, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed.

  1. Trial
  2. Integrating Systems and Critical Thinking, Clinical Reasoning, Decision-Making, and Judgement in Dietetic Education: Development of a Conceptual Pilot Model.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
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  4. Review
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  10. Can overzealous reliance on evidence-based medicine overshadow good clinical judgement?Journal of the colleges of medicine of South Africa · 2024
    Article
  11. Article
  12. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Gunver S KienleInstitute for Applied Epistemology and Medical Methodology, Freiburg i.Br., Germany. gunver.kienle@ifaemm.de
Helmut Kiene

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesClinical judgment is a central element of the medical profession, essential for the performance of the doctor, and potentially generating information also for other clinicians and for scientists and health care managers. The recently renewed interest in clinical judgement is primarily engaged with its role in communication, diagnosis and decision making. Beyond this issue, the present article highlights the interrelations between clinical judgement, therapy assessment and medical professionalism.

methodsLiterature review and theory development.

resultsThe article presents different methodological approaches to causality assessment in clinical studies and in clinical judgement, and offers criteria for clinical single case causality. The article outlines models of medical professionalism such as technical rationality and practice epistemology, and characterizes features of professional expertise such as tacit knowledge, reflection in action, and gestalt cognition.

conclusionsConsequences of a methodological and logistical advancement of clinical judgment are discussed, both in regard to medical progress and to the renewal of the cognitive basis of the medical profession.

Indexed as

JudgmentGeneral PracticeGestalt TheoryHealth PersonnelHumansModels, TheoreticalPatient Care

Identifiers

PMID20973873
PMCPMC3170707

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.