Nidhi P Vedawala, Sakshi J Thakrar, Jayesh V Thakrar, Pratik G Patel, Yash G Patel
Six Thinking Hats model of learning-Creative teaching method in physiotherapy-A pilot study
Journal of education and health promotion
consultations primary care involve patients suffering multimorbidity nevertheless studies exist clinical reasoning processes general practitioners gps followup patients aim systematic review summarise published evidence gps reason make decisions managing patients multimorbidity long term search relevant literature medline embase psycinfo eric databases conducted june 2019 search terms selected five domains primary care clinical reasoning chronic disease multimorbidity issues multimorbidity qualitative quantitative mixedmethods studies published english french included quality assessment performed using mixed methods appraisal tool total 2 165 abstracts 362 fulltext articles assessed thirtytwo studies met inclusion criteria results showcased gps clinical reasoning longterm management multimorbidity setting intermediate goals care ongoing process adapts patients constant evolution contributes preserve quality life absence guidelines adapted multimorbidity single correct plan competing priorities unavoidable uncertainties thus gps consider weigh multiple factors simultaneously context multimorbidity gps describe reasoning essentially intuitive seem perceive less accurate clinical reasoning processes nevertheless analytical might think rooted deep knowledge individual patient although challenges gps facing longterm followup patients suffering multimorbidity increasingly known literature currently offers limited information gps clinical reasoning processes play gps tend underestimate complexity richness clinical reasoning may negatively impact practice teaching