Thomson G H
J R Coll Gen Pract. 1978 Jun;28(191):343-6.
In family practice, early undifferentiated signs and symptoms dominate many consultations. A physician must learn to tolerate uncertainty in addition to managing well-defined pathological processes. A series of steps are presented on how to approach the uncertain. I hope these will stimulate further comment and help to develop a body of organized and testable knowledge on the skills of managing the uncertain problems in family practice.
在家庭医疗中,早期未分化的体征和症状在许多诊疗过程中占主导地位。除了处理明确的病理过程外,医生还必须学会容忍不确定性。本文介绍了一系列应对不确定性的步骤。我希望这些内容能引发更多讨论,并有助于形成一套关于家庭医疗中处理不确定性问题技能的系统且可验证的知识体系。