Integrating intuition and reasoning--how Balint groups can help medical decision making.

Abstract

Given the need to multitask and make rapid decisions, optimal medical practice requires a doctor to use intuitive, automatic cognitive processes. It is also imperative that a doctor knows when to override intuition and routine with deliberate reasoning. Knowing when to do this requires skills in self awareness, introspection and empathy. This article describes how Balint groups help develop these skills through a unique peer consultation model. Informal case presentation followed by a skillfully facilitated group discussion leads to an increased empathic understanding of both the presenting doctor and the patient's experience. (author abstract)