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Clinical judgment: an essential method in medicine.

Giovanni A Fava1, Nicoletta Sonino1,2, Jenny Guidi3,4

  • 1Department of Psychiatry, State University of New York at Buffalo, 462 Grider Street, Buffalo, NY 14215, United States.

Postgraduate Medical Journal
|March 23, 2026
PubMed
Summary
This summary is machine-generated.

Clinical judgment, essential for physicians and patients, involves information gathering, reasoning, and decision-making. Enhancing clinical judgment through clinimetrics can advance precision medicine.

Keywords:
clinical judgmentclinical reasoningclinimetricsindividual caretreatment outcomes

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Area of Science:

  • Medical Practice and Research
  • Psychosomatic Medicine
  • Clinimetrics

Background:

  • Clinical judgment is crucial but under-discussed, often viewed as intuitive and replaceable by AI.
  • This review reconceptualizes clinical judgment using psychosomatic medicine insights.

Purpose of the Study:

  • To offer a reconceptualization of clinical judgment in modern medicine.
  • To highlight the role of clinical judgment in research and practice.

Main Methods:

  • Literature review informed by psychosomatic medicine.
  • Analysis of clinical judgment phases: data collection, reasoning, and decision-making.
  • Discussion of clinimetrics' role in enhancing clinical judgment.

Main Results:

  • Clinical judgment comprises three phases: information collection (via interviewing), interpretation/reasoning, and decision-making.
  • Clinimetrics aids physician reasoning and data organization.
  • Improving clinical judgment features can lead to effective precision medicine.

Conclusions:

  • Clinical judgment remains a vital component of medical practice.
  • Integrating clinimetrics can refine clinical judgment processes.
  • Enhanced clinical judgment is key to advancing precision medicine.