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Consensus on gut feelings in general practice
BMC Family Practice, 09/18/09

Stolper E et al. – After four rounds, the authors found 70% or greater agreement on seven of the eleven proposed statements. A "sense of alarm" is defined as an uneasy feeling perceived by a GP as he/she is concerned about a possible adverse outcome, even though specific indications are lacking: There's something wrong here. This activates the diagnostic process by stimulating the GP to formulate and weigh up working hypotheses that might involve a serious outcome. A "sense of alarm" means that, if possible, the GP needs to initiate specific management to prevent serious health problems. A "sense of reassurance" is defined as a secure feeling perceived by a GP about the further management and course of a patient's problem, even though the doctor may not be certain about the diagnosis: Everything fits in. The sense of alarm and the sense of reassurance are well–defined concepts. These descriptions enable us to operationalise the concept of gut feelings in further research.

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