TY - JOUR T1 - Scientific reasons to question teleconsultations in expert general practice JF - British Journal of General Practice JO - Br J Gen Pract SP - 271 LP - 271 DO - 10.3399/bjgp21X716033 VL - 71 IS - 707 AU - Joanne Reeve Y1 - 2021/06/01 UR - http://bjgp.org/content/71/707/271.abstract N2 - There has been much discussion of the impact of a move to telephone consultation on both the doctor–patient relationship, and the morale and motivation of clinicians. But to date, there has been less consideration of the potential impact on the scientific practice of medicine. General practice is a scientific discipline — making use of both the knowledge (evidence) and method (reasoning) of scientific practice. So what are the implications of a move to teleconsultations?In a recent blog, Hammond considered the impact of remote consultations on her clinical reasoning in practice.1 She spoke of the need for closer listening and attention to the patient’s story, supporting deeper reflections. She recognised this as a shift from the everyday short-hand thinking of ‘pattern recognition’ back to a deeper, hypothetico-deductive thinking.But generalist medicine, expertise in whole person care, uses a different model … ER -