In a recent commentary, Dr. Abhishek Biswas asks the question whether physicians should rely on their "gut feeling" when making clinical decisions. Biswas describes a situation where his intuition resulted in an immediate course of action that prompted urgent medical attention for a patient who had "routine" pain. Inspired by the author's account, I would like to further Biswas' discussion and examine its importance using the educational theories of Donald Schön and his concept of the reflective practitioner. Schön argues that technical knowledge alone is not sufficient to solve the complex problems that professionals face on a daily basis and intuition, developed through a reflective practice, is crucial for any professional's practice, especially in a time of greater uncertainty in the workplace.
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http://dx.doi.org/10.3109/0142159X.2015.1078893 | DOI Listing |
J Clin Endocrinol Metab
January 2025
Dept. of Ob/Gyn, Heersink School of Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.
Background: Polycystic ovary syndrome (PCOS) is one of the most prevalent cardio-metabolic disorders in women. However, PCOS diagnosis is often missed or delayed, which may have serious physical and mental health consequences. The extent of underdiagnosis remains unknown.
View Article and Find Full Text PDFBMJ Open
January 2025
Department of Medical Education, Ajou University School of Medicine, Suwon, Korea (the Republic of)
Objectives: The study aims to explore the workplace learning experiences of medical faculty in critical care specialties at a university hospital, focusing on how they develop their professional identity and construct the meaning of their work.
Design: Qualitative, phenomenological study.
Setting: The current study was conducted at a university hospital in South Korea between November 2022 and October 2023.
J Med Ethics
January 2025
Warwick Medical School, University of Warwick, Coventry, UK
In the UK, the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) is a widely used process, designed to facilitate shared decision-making between a clinician and a patient or, if the patient lacks capacity to participate in the conversation, a person close to the patient. A key outcome of the ReSPECT process is a set of recommendations, recorded on the patient-held ReSPECT form, that reflect the conversation. In an emergency, these recommendations are intended to inform clinical decision-making, and thereby enable the attending clinician-usually a general practitioner (GP) or paramedic-to act in the patient's best interests.
View Article and Find Full Text PDFJ Clin Nurs
January 2025
Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.
Aim: To develop and test a Family and Community Nursing-Advanced Practice Scale.
Design: A cross-sectional and methodological scale validation design, following classical test theory.
Methods: Three phases, the first of which involved scale development, including item generation.
Int J Prison Health (2024)
January 2025
Department of Pedagogy, AMBIS vysoká škola, a.s./ AMBIS University, Prague, Czech Republic.
Purpose: The purpose of this paper is to analyse the historical development and current challenges of professional training for prison service staff in the Czech Republic. This study focuses on the transition from a repressive system under communism to a democratic approach emphasising human rights, ethics and professionalisation. It aims to assess the effectiveness of the current training programmes and their alignment with international standards, highlighting their impact on safety, recidivism reduction and prisoner re-socialisation.
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