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Record W4410188644 · doi:10.1007/s40670-025-02402-y

Twelve Tips to Train Medical Students to Manage Their Uncertainty and to Provide Reassurance to Patients and Their Caregivers

2025· article· en· W4410188644 on OpenAlexaff
Colin J. McMahon, Muirne Spooner, Dimitrios Papanagnou, Matthew Sibbald, Maryam Asoodar

Bibliographic record

VenueMedical Science Educator · 2025
Typearticle
Languageen
FieldMedicine
TopicClinical Reasoning and Diagnostic Skills
Canadian institutionsMcMaster University
FundersUniversity College DublinIrish Research eLibrary
KeywordsMedical educationPsychologyMedicine

Abstract

fetched live from OpenAlex

Background: Uncertainty is pervasive in clinical medicine and provides a major hurdle for decision-making. Our previous work has demonstrated the importance of providing parents of paediatric patients reassurance in the medical team's plan of action, what we have termed "comfort with doctors' reassurance." Aims: We provide several practical and implementable tips to medical students in how they can learn to deal with their own uncertainty, recognize the subtle complexities involved and acknowledge the emotional stress that can accompany this process, develop a healthy long-term relationship with uncertainty, and ultimately embrace its potential in providing holistic care to their patients and their caregivers. Results: Twelve tips and actions in four main domains are recommended: (A) Understanding and Integrating Uncertainty into Medical Education, (B) Building Resilience and Empathy Through Self-Regulation and Reflection, (C) Enhancing Communication and Relationship-Building Skills, and (D) Clinical Skills for Reassurance and Decision-Making. Conclusions: Even though uncertainty in medical decision-making is pervasive and challenging for the medical trainee, there are several concrete strategies that can build comfort with uncertainty in trainees and reinforce the potential positive attributes of uncertainty in the holistic care of patients. Empathy and expressing compassion remain key skills in bridging caregiver discomfort with uncertainty and comfort with doctors' reassurance.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.137
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.700
Threshold uncertainty score0.871

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.137
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.002
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0010.001
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.012
GPT teacher head0.354
Teacher spread0.342 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations5
Published2025
Admission routes1
Has abstractyes

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