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I agree, Juan. One of the challenges of medical practice (and education) is to use System 1 (intuition) and System 2 (deliberative, conscious thought) as they have evolved—synergistically. A primary problem with the intuition (System 1) of physicians (and other members of the patient’s care team) is that medical education addresses System 2 almost exclusively, leaving System 1 to develop catch-as-catch-can, resulting in most of the faux pas that System 2 zealots love to ridicule. If physicians were soccer players or piano players, we’d understand that all sophisticated practice is primarily System 1; we’d use System 2 primarily to refine System 1’s performance (and to support that performance in the small number of boundary situations encountered). Cheers! > On Jul 7, 2018, at 6:27 AM, Juan Gérvas <[log in to unmask]> wrote: > > It is time to stop the witch hunt on intuition, and see it for what it is: a fast, automatic, subconscious processing style that can provide us with very useful information that deliberate analysing can’t. We need to accept that intuitive and analytic thinking should occur together, and be weighed up against each other in difficult decision-making situations. > https://theconversation.com/is-it-rational-to-trust-your-gut-feelings-a-neuroscientist-explains-95086 <https://theconversation.com/is-it-rational-to-trust-your-gut-feelings-a-neuroscientist-explains-95086> > -un saludo juan gérvas @JuanGrvas > > > 2016-12-13 12:04 GMT+01:00 Juan Gérvas <[log in to unmask] <mailto:[log in to unmask]>>: > 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 <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] <mailto:[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… <http://bmjopen.bmj.com/content/6/12/e012847.full?keytype=ref&ijkey=b5UUQeuTzpPEG4D> > -un saludo juan gérvas > > 2016-09-16 17:03 GMT+02:00 Juan Gérvas <[log in to unmask] <mailto:[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 <http://bmjopen.bmj.com/content/6/9/e012511.long> … > -un saludo juan gérvas @JuanGrvas > > > > > To unsubscribe from the EVIDENCE-BASED-HEALTH list, click the following link: > https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=EVIDENCE-BASED-HEALTH&A=1 <https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=EVIDENCE-BASED-HEALTH&A=1> ######################################################################## To unsubscribe from the EVIDENCE-BASED-HEALTH list, click the following link: https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=EVIDENCE-BASED-HEALTH&A=1