[What is the contribution of intuitive diagnosis in cardiac pain?]

This study reports on a new type of experiment developed by the author for general practice and tested over a period of 1 1/2 years. In the course of the test period all patients presenting with uncharacteristic precordial pain were once again solely counselled according to the dictate of experience. Previously the author had based his diagnosis on intuitive assessment over 25 years, followed by a further period of 10 years in which he had acted according to a programmed schedule as far as possible. The consulations were recorded on tape during the period and this recording was subsequently tested against the parameter supplied by the specific diagnostic programme. The outcome of the test was even less favourable than had been anticipated. The young doctor can work appreciably more efficiently without any further investment, than previously. It follows that it would appear essential to proceed in general practice according to the outlined programme given for 86 problematic situations.