ArticleJournal of evaluation in clinical practice2021
Embracing complexity with systems thinking in general practitioners' clinical reasoning helps handling uncertainty.
Article in Journal of evaluation in clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- 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 · 2026Article
- Longitudinal integrated clerkships: a hermeneutic literature review.Advances in health sciences education : theory and practice · 2026Review
- Responsive Equanimity to Uncertainty: Towards the Construction of a Concept for Handling Medical Uncertainty in Clinical Practice.Health care analysis : HCA : journal of health philosophy and policy · 2026Article
- Bridging Health Equity, Quality Improvement, and Patient Safety: A Framework for Medical Student Education.Learning health systems · 2026Article
- Addressing multiple long-term conditions in the undergraduate medical school curriculum: a focus group study.BMC medical education · 2025Article
- Preferences and challenges regarding medical decision-making among patients with a migration background in Belgium: a focus group study.Archives of public health = Archives belges de sante publique · 2025Article
- Artificial intelligence based assessment of clinical reasoning documentation: an observational study of the impact of the clinical learning environment on resident documentation quality.BMC medical education · 2025Observational
- Quantify difference between physicians and medical students in clinical reasoning: evidence from eye-tracking.BMC medical education · 2025Article
- 'Shades of grey': a focus group study on diagnostic uncertainty among general practitioners using point-of-care ultrasound.Scandinavian journal of primary health care · 2025Article
- Primary health care strengthening through the lens of healthcare system thinking.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Article
- Biases in AI: acknowledging and addressing the inevitable ethical issues.Frontiers in digital health · 2025Review
- Clinical Pharmaceutical Reasoning in Hospital Pharmacy Practice using the DRIP framework: a New Approach for a Perfectionist Profession.MedEdPublish (2016) · 2024Article
- Fine-tuning the practical relevance of a quality framework for integrated nature-based interventions in healthcare facilities. A qualitative interview study.Frontiers in public health · 2024Article
- Identifying Existing Evidence to Potentially Develop a Machine Learning Diagnostic Algorithm for Cough in Primary Care Settings: Scoping Review.Journal of medical Internet research · 2023Article
- How patients in general practice voice and value their gut feelings about health: a qualitative interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Physicians' experiences and actions in making complex level-of-care decisions during acute situations within older patients' homes: a critical incident study.BMC geriatrics · 2023Article
- The Future of Burn Care From a Complexity Science Perspective.Journal of burn care & research : official publication of the American Burn Association · 2022Article
- Age and Ageing journal 50th anniversary commentary seriesWhy illness is more important than disease in old age.Age and ageing · 2022Article
- 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
- General Medicine Departments of Japanese Universities Contribute to Medical Education in Clinical Settings: A Descriptive Questionnaire Study.International journal of general medicine · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Clinical reasoning in general practice is increasingly challenging because of the rise in the number of patients with multimorbidity. This creates uncertainty because of unpredictable interactions between the symptoms from multiple medical problems and the patient's personality, psychosocial context and life history. Case analysis may then be more appropriately managed by systems thinking than by hypothetic-deductive reasoning, the predominant paradigm in the current teaching of clinical reasoning. Application of "systems thinking" tools such as causal loop diagrams allows the patient's problems to be viewed holistically and facilitates understanding of the complex interactions. We will show how complexity levels can be graded in clinical reasoning and demonstrate where and how systems thinking can have added value by means of a case history.
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