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Cathébras P, Ranque B, Lemogne C. [From "medically unexplained symptoms" to "persistent somatic symptoms": A welcome paradigm shift]. Rev Med Interne 2024; 45:531-534. [PMID: 39244243 DOI: 10.1016/j.revmed.2024.08.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/09/2024]
Affiliation(s)
- Pascal Cathébras
- Service de médecine interne, hôpital Nord, CHU de Saint-Étienne, 42055 Saint-Étienne, France.
| | - Brigitte Ranque
- Service de médecine interne, hôpital européen Georges-Pompidou, AP-HP, Paris, France; Center for Research in Epidemiology and StatisticS (CRESS), université Paris Cité et université Sorbonne Paris Nord, Inserm, INRAE, 75004 Paris, France
| | - Cédric Lemogne
- Center for Research in Epidemiology and StatisticS (CRESS), université Paris Cité et université Sorbonne Paris Nord, Inserm, INRAE, 75004 Paris, France; Service de psychiatrie de l'adulte, hôpital Hôtel-Dieu, AP-HP, 75004 Paris, France
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Belhomme N, Lescoat A, Launey Y, Jégo P, Cavalin C, Pottier P. [Tolerating uncertainty: Towards a competence-based approach]. Rev Med Interne 2023; 44:27-30. [PMID: 36371326 DOI: 10.1016/j.revmed.2022.10.387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 10/16/2022] [Accepted: 10/20/2022] [Indexed: 11/11/2022]
Abstract
Uncertainty in inherent to every aspects of medical practice. As the concept of uncertainty in healthcare is still to explore, deciphering the determinants and the roots of this uncertainty would benefit from the insights of various disciplines, such as epistemology, sociology, mathematics, or philosophy. The urgent need to improve physician's ability to cope with uncertainty, has been recently highlighted by the COVID-19 pandemic. Besides, the concept of uncertainty tolerance has been proposed, and could serve as a relevant basis for approaching uncertainty, in medical education. Thus, we propose at first to discuss the uncertainty tolerance framework from Hillen et al. Then, from an educational perspective, we outline some avenues regarding how uncertainty tolerance could be thought, in a competence-based approach, and discuss several educational activities, which have proven efficient in promoting uncertainty tolerance among medical practitioners abroad.
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Affiliation(s)
- N Belhomme
- Service de médecine interne et immunologie clinique, CHU de Rennes, université Rennes 1, Rennes, France; Inserm, EHESP, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, Rennes, France.
| | - A Lescoat
- Service de médecine interne et immunologie clinique, CHU de Rennes, université Rennes 1, Rennes, France; Inserm, EHESP, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, Rennes, France
| | - Y Launey
- Réanimation chirurgicale, département d'anesthésie-réanimation-médecine Périopératoire, CHU de Rennes, université Rennes 1, Rennes, France
| | - P Jégo
- Service de médecine interne et immunologie clinique, CHU de Rennes, université Rennes 1, Rennes, France; Inserm, EHESP, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, Rennes, France
| | - C Cavalin
- IRISSO, UMR CNRS-INRAE 7170-1427, Université Paris-Dauphine, PSL, Paris, France; Laboratoire interdisciplinaire d'évaluation des politiques publiques (LIEPP), Sciences Po, Paris, France; Centre d'études de l'emploi et du travail (CEET, CNAM), Noisy-le-Grand, France
| | - P Pottier
- Service de médecine interne et immunologie clinique, CHU Nantes, Nantes, France; Faculté de médecine-pôle santé, Nantes Université, Nantes, France
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