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Participants completed a 6-page questionnaire with 51-items, which covered a range of topics including: decision-making under uncertainty, consultation and preferred interventions for periviable patients, work experiences, and demographics.
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They felt this was a skill that was refined over time with experience, so although they suggested strategies to manage the uncertainty (shared consultation, consultation review) they recognised that this was a difficult skill to teach.
A model containing demographics and GP practice alone explained 22% of the uncertainty in consultation rates.
A general finding made in an investigation by Arborelius et al. [ 36] was that GPs do not usually allow themselves to show feelings of uncertainty in consultations that they have difficulty grasping.
Recommendation 2. Most of the uncertainties (during consultation) were broad and nonspecific, or did not specify the comparator, the duration of treatment or the population, when others from the research community were very focused.
In the event of uncertainty, there was consultation that resulted in consensus.
The literature search was performed by the first author and the evaluation of inclusion criteria by CB, IVK and GJR, with uncertainties resolved through consultation among all the authors.
Uncertainty still surrounds that consultation – not referendum, as that's not allowed by the Spanish constitution – as the Catalan and Spanish governments are in a stand-off about its celebration.
In cases of uncertainty, we required the consultation and approval of two other members of the ECMO team.
Any uncertainty was resolved by consultation with another reviewer involved in the review.
Some voiced unease about whether they were incorporating the questions correctly within consultations or uncertainty about how to handle potential new diagnoses, particularly nursing staff.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com