04/12/26

Pattern disruption in GP speciality training: a practical intervention to enhance cognitive flexibility and diagnostic reasoning.

Jerjes, Waseem; Majeed, Azeem. Edu Prim Care.

Summary

Over-reliance on routine diagnostic scripts can lead to reasoning limits and premature closure in uncommon, evolving, or socially problematic cases. This commentary describes the "Pattern Disruption Intervention" a multimodal training approach which inserts novel elements to routine cases to expand flexibility in student diagnostic reasoning, improve tolerance of uncertainty, clarify diagnostic risk, and support effective follow-up planning. Of note, the report shows some feasibility without clinical outcomes.

Jerjes W, Majeed A. Pattern disruption in GP speciality training: a practical intervention to enhance cognitive flexibility and diagnostic reasoning. Educ Prim Care. 2026;37(3-4):180-185.