{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:12:33Z","timestamp":1790777553186,"version":"4.1.0"},"reference-count":39,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T00:00:00Z","timestamp":1559347200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T00:00:00Z","timestamp":1559347200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.fr","em-consulte.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["La Revue de M\u00e9decine Interne"],"published-print":{"date-parts":[[2019,6]]},"DOI":"10.1016\/j.revmed.2018.10.382","type":"journal-article","created":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T17:39:08Z","timestamp":1541093948000},"page":"361-367","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":17,"title":["Gestion de l\u2019incertitude et comp\u00e9tence m\u00e9dicale\u00a0: une r\u00e9flexion clinique et p\u00e9dagogique"],"prefix":"10.1016","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9438-3350","authenticated-orcid":false,"given":"N.","family":"Belhomme","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Jego","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5475-5212","authenticated-orcid":false,"given":"P.","family":"Pottier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.revmed.2018.10.382_bib0200","first-page":"452","article-title":"Addenda lexicis latinis","volume":"Tome 23","author":"Gustave","year":"1862"},{"key":"10.1016\/j.revmed.2018.10.382_bib0205","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1046\/j.1365-2923.2002.01140.x","article-title":"Reviewing intuitive decision-making and uncertainty: the implications for medical education","volume":"36","author":"Hall","year":"2002","journal-title":"Med Educ"},{"key":"10.1016\/j.revmed.2018.10.382_bib0210","series-title":"The student physician","first-page":"207","article-title":"Training for uncertainty","author":"Fox","year":"1957"},{"key":"10.1016\/j.revmed.2018.10.382_bib0215","doi-asserted-by":"crossref","first-page":"310","DOI":"10.2307\/2955407","article-title":"Uncertainty and control in professional training","volume":"20","author":"Light","year":"1979","journal-title":"J Health Soc Behav"},{"key":"10.1016\/j.revmed.2018.10.382_bib0220","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1111\/j.1365-2753.2010.01464.x","article-title":"How do primary care doctors deal with uncertainty in making diagnostic decisions? The development of the \u201cDealing with Uncertainty Questionnaire\u201d (DUQ)","volume":"16","author":"Schneider","year":"2010","journal-title":"J Eval Clin Pract"},{"key":"10.1016\/j.revmed.2018.10.382_bib0225","doi-asserted-by":"crossref","first-page":"2249","DOI":"10.1001\/archinte.1986.00360230189027","article-title":"Physician management of patients with adverse outcomes","volume":"146","author":"Applegate","year":"1986","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.revmed.2018.10.382_bib0230","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1684\/sss.2010.0104","article-title":"\u00c0 propos de l\u2019incertitude dans la pratique m\u00e9dicale (commentaire)","volume":"28","author":"Bateman","year":"2010","journal-title":"Sci Soc Sante"},{"key":"10.1016\/j.revmed.2018.10.382_bib0235","doi-asserted-by":"crossref","first-page":"6","DOI":"10.2307\/3562993","article-title":"Uncertainty and the shaping of medical decisions","volume":"21","author":"Beresford","year":"1991","journal-title":"Hastings Cent Rep"},{"key":"10.1016\/j.revmed.2018.10.382_bib0240","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1086\/229860","article-title":"Uncertainty and professional work: perceptions of physicians in clinical practice","volume":"97","author":"Gerrity","year":"1992","journal-title":"Am J Sociol"},{"key":"10.1016\/j.revmed.2018.10.382_bib0245","doi-asserted-by":"crossref","first-page":"84","DOI":"10.3109\/02813432.2014.929820","article-title":"Medical errors and uncertainty in primary healthcare: a comparative study of coping strategies among young and experienced GPs","volume":"32","author":"Nevalainen","year":"2014","journal-title":"Scand J Prim Health Care"},{"key":"10.1016\/j.revmed.2018.10.382_bib0250","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1001\/archinte.1985.00360070137023","article-title":"The \u201cchagrin factor\u201d and qualitative decision analysis","volume":"145","author":"Feinstein","year":"1985","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.revmed.2018.10.382_bib0255","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1177\/0272989X8700700307","article-title":"Risk preference and laboratory use","volume":"7","author":"Nightingale","year":"1987","journal-title":"Med Decis Making"},{"key":"10.1016\/j.revmed.2018.10.382_bib0260","doi-asserted-by":"crossref","first-page":"1518","DOI":"10.1016\/j.pec.2018.03.030","article-title":"Tolerance of uncertainty: a systematic review of healthcare-related outcomes","volume":"101","author":"Strout","year":"2018","journal-title":"Patient Educ Couns"},{"key":"10.1016\/j.revmed.2018.10.382_bib0265","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1186\/s12875-017-0650-0","article-title":"Managing diagnostic uncertainty in primary care: a systematic critical review","volume":"18","author":"Alam","year":"2017","journal-title":"BMC Fam Pract"},{"key":"10.1016\/j.revmed.2018.10.382_bib0270","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1111\/j.1369-7625.2011.00717.x","article-title":"Physicians\u2019 attitudes about communicating and managing scientific uncertainty differ by perceived ambiguity aversion of their patients","volume":"16","author":"Portnoy","year":"2013","journal-title":"Health Expect"},{"key":"10.1016\/j.revmed.2018.10.382_bib0275","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1007\/s11606-006-0059-2","article-title":"Practice inquiry: clinical uncertainty as a focus for small-group learning and practice improvement","volume":"22","author":"Sommers","year":"2007","journal-title":"J Gen Intern Med"},{"key":"10.1016\/j.revmed.2018.10.382_bib0280","series-title":"Boys in white: student culture in medical school","author":"Becker","year":"1976"},{"key":"10.1016\/j.revmed.2018.10.382_bib0285","doi-asserted-by":"crossref","unstructured":"Bloy G. L\u2019incertitude en m\u00e9decine g\u00e9n\u00e9rale\u00a0: sources, formes et accommodements possibles. Sci Soc Sante n.d.;26:67\u201391.","DOI":"10.1684\/sss.2008.0104"},{"key":"10.1016\/j.revmed.2018.10.382_bib0290","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1111\/medu.13530","article-title":"Resident hesitation in the operating room: does uncertainty equal incompetence?","volume":"52","author":"Ott","year":"2018","journal-title":"Med Educ"},{"key":"10.1016\/j.revmed.2018.10.382_bib0295","doi-asserted-by":"crossref","first-page":"35","DOI":"10.2307\/3560848","article-title":"Why doctors don\u2019t disclose uncertainty","volume":"14","author":"Katz","year":"1984","journal-title":"Hastings Cent Rep"},{"key":"10.1016\/j.revmed.2018.10.382_bib0300","doi-asserted-by":"crossref","first-page":"1270009","DOI":"10.1080\/10872981.2016.1270009","article-title":"Ambiguity and uncertainty tolerance, need for cognition, and their association with stress. A study among Italian practicing physicians","volume":"22","author":"Iannello","year":"2017","journal-title":"Med Educ Online"},{"key":"10.1016\/j.revmed.2018.10.382_bib0305","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1016\/S0140-6736(96)91284-2","article-title":"Uncertainty in clinical practice: implications for quality and costs of health care","volume":"347","author":"Logan","year":"1996","journal-title":"Lancet"},{"key":"10.1016\/j.revmed.2018.10.382_bib0310","doi-asserted-by":"crossref","first-page":"1489","DOI":"10.1056\/NEJM198906013202211","article-title":"Our stubborn quest for diagnostic certainty. A cause of excessive testing","volume":"320","author":"Kassirer","year":"1989","journal-title":"N Engl J Med"},{"key":"10.1016\/j.revmed.2018.10.382_bib0315","doi-asserted-by":"crossref","first-page":"1713","DOI":"10.1056\/NEJMp1606402","article-title":"Tolerating uncertainty\u00a0\u2013\u00a0The next medical revolution?","volume":"375","author":"Simpkin","year":"2016","journal-title":"N Engl J Med"},{"key":"10.1016\/j.revmed.2018.10.382_bib0320","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.1056\/NEJM197901253000410","article-title":"To be complete","volume":"300","author":"Hardison","year":"1979","journal-title":"N Engl J Med"},{"key":"10.1016\/j.revmed.2018.10.382_bib0325","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1016\/0140-6736(93)91759-F","article-title":"Biases in how physicians choose to withdraw life support","volume":"342","author":"Christakis","year":"1993","journal-title":"Lancet"},{"key":"10.1016\/j.revmed.2018.10.382_bib0330","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1097\/00001888-199907000-00012","article-title":"Heuristics and biases: selected errors in clinical reasoning","volume":"74","author":"Elstein","year":"1999","journal-title":"Acad Med"},{"key":"10.1016\/j.revmed.2018.10.382_bib0335","first-page":"722","article-title":"Building physician resilience","volume":"54","author":"Jensen","year":"2008","journal-title":"Can Fam Physician"},{"key":"10.1016\/j.revmed.2018.10.382_bib0340","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/1472-6920-13-2","article-title":"A survey of resilience, burn-out, and tolerance of uncertainty in Australian general practice registrars","volume":"13","author":"Cooke","year":"2013","journal-title":"BMC Med Educ"},{"key":"10.1016\/j.revmed.2018.10.382_bib0345","doi-asserted-by":"crossref","DOI":"10.1016\/j.annemergmed.2008.12.019","article-title":"Tolerance for uncertainty, burn-out, and satisfaction with the career of emergency medicine","volume":"54","author":"Kuhn","year":"2009","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.revmed.2018.10.382_bib0350","doi-asserted-by":"crossref","DOI":"10.1016\/j.acap.2018.03.002","article-title":"Stress from uncertainty and resilience among depressed and burned out residents: a cross-sectional study","author":"Simpkin","year":"2018","journal-title":"Acad Pediatr"},{"key":"10.1016\/j.revmed.2018.10.382_bib0355","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1111\/j.1525-1497.2005.0093.x","article-title":"Physician responses to ambiguous patient symptoms","volume":"20","author":"Seaburn","year":"2005","journal-title":"J Gen Intern Med"},{"key":"10.1016\/j.revmed.2018.10.382_bib0360","first-page":"319","article-title":"Epistemology and uncertainty in primary care: an exploratory study","volume":"41","author":"Evans","year":"2009","journal-title":"Fam Med"},{"issue":"1","key":"10.1016\/j.revmed.2018.10.382_bib0365","first-page":"e2088","article-title":"Emergency medicine residents perceptions about the need for increased training in communicating diagnostic uncertainty","volume":"10","author":"Rising","year":"2018","journal-title":"Cureus"},{"key":"10.1016\/j.revmed.2018.10.382_bib0370","doi-asserted-by":"crossref","first-page":"e104","DOI":"10.36834\/cmej.36690","article-title":"Learning-by-Concordance (LbC): introducing undergraduate students to the complexity and uncertainty of clinical practice","volume":"7","author":"Fernandez","year":"2016","journal-title":"Can Med Educ J"},{"key":"10.1016\/j.revmed.2018.10.382_bib0375","doi-asserted-by":"crossref","first-page":"e136","DOI":"10.1055\/s-0038-1667315","article-title":"The role of high-fidelity team-based simulation in acute care settings: a systematic review","volume":"4","author":"Armenia","year":"2018","journal-title":"Surg J"},{"key":"10.1016\/j.revmed.2018.10.382_bib0380","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1111\/tct.12678","article-title":"Taking on the doctor role in whole-task simulation","volume":"15","author":"Bartlett","year":"2018","journal-title":"Clin Teach"},{"key":"10.1016\/j.revmed.2018.10.382_bib0385","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1097\/ACM.0000000000001559","article-title":"Transforming medical assessment: integrating uncertainty into the evaluation of clinical reasoning in medical education","volume":"92","author":"Cooke","year":"2017","journal-title":"Acad Med"},{"key":"10.1016\/j.revmed.2018.10.382_bib0195","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1097\/00001888-200006000-00010","article-title":"Toward a normative definition of medical professionalism","volume":"75","author":"Swick","year":"2000","journal-title":"Acad Med"}],"container-title":["La Revue de M\u00e9decine Interne"],"original-title":[],"language":"fr","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0248866318311366?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0248866318311366?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:40:31Z","timestamp":1759336831000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0248866318311366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6]]},"references-count":39,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,6]]}},"alternative-id":["S0248866318311366"],"URL":"https:\/\/doi.org\/10.1016\/j.revmed.2018.10.382","relation":{},"ISSN":["0248-8663"],"issn-type":[{"value":"0248-8663","type":"print"}],"subject":[],"published":{"date-parts":[[2019,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Gestion de l\u2019incertitude et comp\u00e9tence m\u00e9dicale\u00a0: une r\u00e9flexion clinique et p\u00e9dagogique","name":"articletitle","label":"Article Title"},{"value":"La Revue de M\u00e9decine Interne","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.revmed.2018.10.382","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Soci\u00e9t\u00e9 Nationale Fran\u00e7aise de M\u00e9decine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.","name":"copyright","label":"Copyright"}]}}