As psychologists have amply and repeatedly demonstrated, the judgments  and decisions of physicians (like those of other people) are based  largely on our intuitions (Daniel Kahneman’s System 1).1,2  We look for patterns, learn quick rules of thumb, base our confidence  on ease of retrieval and coherence (not always on accuracy),3  and may substitute easy (but less relevant) judgments for difficult  ones. We have limited capacities of attention and have trouble seeing  what we are not looking for,4 but we also tend to maintain coherence by ignoring or distorting information that does not support our initial hypotheses.5–7 Indeed, looking at the long catalogue of our biases,8 it is easy to forget that, mostly, we do quite well.
http://journals.sagepub.com/doi/full/10.1177/0272989x16662643#ref-14

2016-12-10 11:30 GMT+01:00 Juan Gérvas <[log in to unmask]>:

Los presentimientos: importantes en el proceso diagnóstico en medicina general/de familia. Desde Mallorca (España).
From Majorca (Spain) to the world.
Gut feelings are important in the diagnostic process in general practice.
http://bmjopen.bmj.com/content/6/12/e012847.full…

-un saludo juan gérvas

2016-09-16 17:03 GMT+02:00 Juan Gérvas <[log in to unmask]>:

Pérdida de peso, no venía "nunca", síntomas persistentes..."huelen a cáncer". "Olfato" médico general. Vía @ernestob
GP's gut feeling for cancer: a useful tool in diagnosing cancer. High predicting value increases if the GP is older.
http://bmjopen.bmj.com/content/6/9/e012511.long …

-un saludo juan gérvas @JuanGrvas