COGITA network has constructed a glossary of diagnostic reasoning terms

• Published in: The European journal of general practice 2017-12, Vol.23 (1), p.53-56
• Main Authors: Barais, Marie, Hauswaldt, Johannes, Dinant, Geert-Jan, van de Wiel, Margje, Stolper, C. F. (Erik), Van Royen, Paul
• Format: Article
• Language: English
• Subjects: Background Paper; Clinical Decision-Making; Decision making; diagnosis; General practice; General Practice - methods; General Practitioners - psychology; Humans; Intuition; Medical diagnosis; Pattern recognition; Primary care; Terminology as Topic; uncertainty
• ISSN: 1381-4788; 1751-1402
• DOI: 10.1080/13814788.2016.1242569

The role of gut feelings in diagnostic reasoning is recognized by most GPs throughout Europe, and probably throughout the world. Studies on this topic have emerged from different countries but there is the risk that authors will use different terms for similar concepts. The European Expert Group on Cognitive and Interactive Processes in Diagnosis and Management in General Practice, COGITA for short, was founded in 2008 to conduct cross-border research in the area of non-analytical diagnostic reasoning. Academic GPs, PhD students, psychologists, linguists and students meet once a year to share their experiences, exchange results and initiate new studies on the topic. A milestone in their research is this publication of a short glossary of diagnostic reasoning terms relating to the gut feelings research topic. It was constructed by the COGITA group members following a literature review, which aimed to define salient terms used in their publications. They described the terms, cross-reviewed the wording and reached consensus within the group. Two sections were created: (1) a diagnostic reasoning section that describes concepts such as analytical and non-analytical reasoning, clinical mind lines, and intuition, and (2) a research methods section describing concepts such as linguistic validity and saturation. The glossary, including relevant literature, has been published on the website http://www.gutfeelingsingeneralpractice.eu . In the future, the glossary will be modified if necessary and completed by members of the COGITA group. KEY MESSAGE A glossary of diagnostic reasoning terms relating to gut feelings research was constructed by the COGITA group to define salient terms, used in their publications. It is a prerequisite to conduct further cross-border research into gut feelings in family medicine. The development of the glossary is ongoing.