ReviewJournal of general internal medicine2024
Navigating Uncertainty in Clinical Practice: A Structured Approach.
Review in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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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
13 citing papers in PubMed.
- What Should We Aim for when Addressing Uncertainty from Serious Illness? A Stakeholder Focus Group Study.Journal of general internal medicine · 2026Article
- What aspects of clinical uncertainty are addressed by published competencies in evidence-based medicine? A scoping review.BMJ open · 2026Article
- Living with the Unknown: Intolerance of Uncertainty in Parkinson's Disease.Movement disorders clinical practice · 2026Review
- Article
- 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
- The value of doubt: training LLMs to consider diagnostic uncertainty may improve clinical utility.NPJ digital medicine · 2026Article
- Managing diagnostic uncertainty in primary care: a mixed-methods study of family physicians' experiences in Türkiye.BMC primary care · 2026Article
- Feeling the Vibes: An Investigation Into Resident Antibiotic Prescribing Practices.Open forum infectious diseases · 2026Article
- Twelve Tips to Train Medical Students to Manage Their Uncertainty and to Provide Reassurance to Patients and Their Caregivers.Medical science educator · 2025Article
- Communicating prognostic uncertainties in advanced multimorbidity: a multimethod qualitative study to co-design practice recommendations.European geriatric medicine · 2025Article
- "With Great Responsibility Comes Great Uncertainty".Journal of general internal medicine · 2025Article
- Exploring COVID-19 vaccine attitudes among pregnant women: key factors and strategies to enhance uptake.npj women's health · 2025Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The practice of clinical medicine is imbued with uncertainty. The ways in which clinicians and patients think about, communicate about, and act within situations of heightened uncertainty can have significant implications for the therapeutic alliance and for the trajectory and outcomes of clinical care. Despite this, there is limited guidance about the best methods for physicians to recognize, acknowledge, communicate about, and manage uncertainty in clinical settings. In this paper, we propose a structured approach for discussing and managing uncertainty within the context of a clinician-patient relationship. The approach involves four steps: Recognize, Acknowledge, Partner, and Seek Support (i.e., the RAPS framework). The approach is guided by existing literature on uncertainty as well as our own experience as clinicians working at different stages of career. We define each component of the approach and present sample language and actions for how to implement it in practice. Our aim is to empower clinicians to regard situations of high uncertainty as an opportunity to deepen the therapeutic alliance with the patient, and simultaneously to grow and learn as practitioners.
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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.