General practice – a fertile lagoon in the ocean of medical knowledge

General practitioners (GPs) often find that linear, deductive knowledge does not provide a sufficient map for clinical management. But experience, accompanied by enduring familiarity with individual patients, may offer unique complementary skills to interpret a patient’s symptoms and navigate skilfu...

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Autores principales:	Kirsti Malterud, Harald Kamps
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2021
Materias:	(mesh): general practice knowledge clinical decision-making diagnosis therapeutics uncertainty Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/4feba1a4dcf44f5eac4f81453c3be720
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spelling	oai:doaj.org-article:4feba1a4dcf44f5eac4f81453c3be7202021-11-17T14:21:55ZGeneral practice – a fertile lagoon in the ocean of medical knowledge0281-34321502-772410.1080/02813432.2021.2004831https://doaj.org/article/4feba1a4dcf44f5eac4f81453c3be7202021-11-01T00:00:00Zhttp://dx.doi.org/10.1080/02813432.2021.2004831https://doaj.org/toc/0281-3432https://doaj.org/toc/1502-7724General practitioners (GPs) often find that linear, deductive knowledge does not provide a sufficient map for clinical management. But experience, accompanied by enduring familiarity with individual patients, may offer unique complementary skills to interpret a patient’s symptoms and navigate skilfully through diagnosis, treatment, follow-up and prevention. In this article, we draw attention to the nature of this tacit knowing that is executed by many GPs every day. We argue that the nonlinear, unpredictable complexity of this domain nurtures a particular logic of clinical knowing. This kind of knowledge is not intuition and can to some extent be intersubjectively accessible. We substantiate and discuss how and why general practice research can contribute to knowledge development by transforming reflection-in-action to reflection-on-action. We briefly present some concepts for reflection-on-action of clinical knowing in general practice. The VUCA model (volatility, uncertainty, complexity, ambiguity) embraces dynamic and confusing situations in which agile work (adaptive, flexible and responsive behaviour and cognitive creativity) is assumed to be an appropriate response. Using such perspectives, we may sharpen our gaze and apply reflexivity and analytic elaboration to interpret unique incidents and experiences and appreciate the complexity of general practice. In this way, exploratory research can fertilize general practice and offer innovation to the entire domain of clinical knowledge.Kirsti MalterudHarald KampsTaylor & Francis Grouparticle(mesh): general practiceknowledgeclinical decision-makingdiagnosistherapeuticsuncertaintyPublic aspects of medicineRA1-1270ENScandinavian Journal of Primary Health Care, Vol 0, Iss 0, Pp 1-4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	(mesh): general practice knowledge clinical decision-making diagnosis therapeutics uncertainty Public aspects of medicine RA1-1270
spellingShingle	(mesh): general practice knowledge clinical decision-making diagnosis therapeutics uncertainty Public aspects of medicine RA1-1270 Kirsti Malterud Harald Kamps General practice – a fertile lagoon in the ocean of medical knowledge
description	General practitioners (GPs) often find that linear, deductive knowledge does not provide a sufficient map for clinical management. But experience, accompanied by enduring familiarity with individual patients, may offer unique complementary skills to interpret a patient’s symptoms and navigate skilfully through diagnosis, treatment, follow-up and prevention. In this article, we draw attention to the nature of this tacit knowing that is executed by many GPs every day. We argue that the nonlinear, unpredictable complexity of this domain nurtures a particular logic of clinical knowing. This kind of knowledge is not intuition and can to some extent be intersubjectively accessible. We substantiate and discuss how and why general practice research can contribute to knowledge development by transforming reflection-in-action to reflection-on-action. We briefly present some concepts for reflection-on-action of clinical knowing in general practice. The VUCA model (volatility, uncertainty, complexity, ambiguity) embraces dynamic and confusing situations in which agile work (adaptive, flexible and responsive behaviour and cognitive creativity) is assumed to be an appropriate response. Using such perspectives, we may sharpen our gaze and apply reflexivity and analytic elaboration to interpret unique incidents and experiences and appreciate the complexity of general practice. In this way, exploratory research can fertilize general practice and offer innovation to the entire domain of clinical knowledge.
format	article
author	Kirsti Malterud Harald Kamps
author_facet	Kirsti Malterud Harald Kamps
author_sort	Kirsti Malterud
title	General practice – a fertile lagoon in the ocean of medical knowledge
title_short	General practice – a fertile lagoon in the ocean of medical knowledge
title_full	General practice – a fertile lagoon in the ocean of medical knowledge
title_fullStr	General practice – a fertile lagoon in the ocean of medical knowledge
title_full_unstemmed	General practice – a fertile lagoon in the ocean of medical knowledge
title_sort	general practice – a fertile lagoon in the ocean of medical knowledge
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/4feba1a4dcf44f5eac4f81453c3be720
work_keys_str_mv	AT kirstimalterud generalpracticeafertilelagoonintheoceanofmedicalknowledge AT haraldkamps generalpracticeafertilelagoonintheoceanofmedicalknowledge
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General practice – a fertile lagoon in the ocean of medical knowledge

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