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The Clinical Competencies for the CCE

Competencies

9. Managing uncertainty

Last revised: 19 Mar 2024

CS 2.2.10 The uncertainty of ongoing undifferentiated conditions is managed.

Ongoing undifferentiated conditions can cause considerable anxiety for patients, their families, and the GP. There is a need for a structured, evidence-based approach to minimise risk from health and economic perspectives.

Undifferentiated conditions are often associated with uncertainty and ambiguity, and present management challenges for the clinician. Clinical decision-making around choices of investigations needs to be rational and balance the potential risks of both over and under investigation and management, against the benefits in the context of the individual. 

Criteria

  1. Manages the uncertainty of ongoing, undifferentiated conditions
  2. Addresses problems that present early and/or in an undifferentiated way by integrating all the available information to help generate differential diagnoses
  3. Recognises when to act and when to defer doing so, and uses time as a diagnostic tool

For the trainee

Your approach to ongoing undifferentiated conditions needs to be structured and evidence-based to minimise risk from health and economic perspectives. Clinical decision making around choices of investigations needs to be rational and must balance the risks of over-investigating and under-investigating against the potential benefits for the individual.

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