Three questions for uncertainty in consultations

Launer asserts the need to introduce handling uncertainty into medical school and subsequent training.1 This should be for all specialties, not just general practice. Handling uncertainty is a source of stress to doctors who are taught the black and white of science. Patients also need a better understanding of the uncertainty that underpins their healthcare. Complaints often arise through failure to communicate, and communicating uncertainty is the most difficult.Every consultation carries a risk, because there is no absolute certainty of outcome. The key is to keep the door open and to review if new problems arise or “warning signs” occur. Education on what these are is part of dealing with uncertainty for both the GP and the patient.There are three steps to take in every single consultation—the serious, what, and how. Is it serious? Rule out the serious first by asking relevant questions. Document these negatives in case they become…
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