Remote consulting: recognising the cognitive load
Open accessAbstract
Do you find remote consulting tiring? At the end of the day is your head bursting and do you generally feel exhausted in a different way? I do. First of all I blamed this on my screen, then my chair, my neck and shoulders, perhaps some health anxiety, my phone position, and finally my own inherent dissonance with template consulting. This led me to consider my weariness in terms of my ways of thinking. I had read a chapter by Stanovich about cognitive processing.1 You may have read or heard about dual process theory, which has been widely written about in the medical literature, led by Pat Croskerry.2 Dual process theory brings into play an automated form of thinking called Type 1 processes and an analytical form called Type 2 processes, also described as System …
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Remote consulting is cognitively burdensome.
“Our findings affirmed published claims that remote consulting is cognitively burdensome (54), excludes the physical touch on which the therapeutic relationship has traditionally depended (55), threatens continuity of care (7), brings greater clinical uncertainty, and makes the personal care afforded by the extended, face-to-face “long consultation” more difficult (8, 56, 57).”
From Planning and Evaluating Remote Consultation Services: A New Conceptual Framework Incorporating Complexity and Practical Ethics (2021) · cites this paper as [54]
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Stanovich, K. E. (2009) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199230167.003.0003 · Cited by 532 · see citing works
Better clinical decision making and reducing diagnostic error
Croskerry, P., & Nimmo, G. R. (2011) · The Journal of the Royal College of Physicians of Edinburgh · doi:10.4997/jrcpe.2011.208 · Cited by 148 · see citing works
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- Kahneman D. Thinking, fast and slow. London: Penguin, 2012.
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Greenhalgh, T., Rosen, R., Shaw, S. E., Byng, R., Faulkner, S., Finlay, T., Grundy, E., Husain, L., Hughes, G., Leone, C., et al. (2021) · Frontiers in Digital Health · doi:10.3389/fdgth.2021.726095 · Cited by 173 · see citing works
“Our findings affirmed published claims that remote consulting is cognitively burdensome (54), excludes the physical touch on which the therapeutic relationship has traditionally depended (55), threatens continuity of care (7), brings greater clinical uncertainty, and makes the personal care afforded by the extended, f…”
BackgroundDarici, D., Reißner, C., Brockhaus, J., & Missler, M. (2021) · Annals of Anatomy - Anatomischer Anzeiger · doi:10.1016/j.aanat.2021.151718 · Cited by 106 · see citing works
Mold, F., Cooke, D. D., Ip, A., Roy, P., Denton, S., & Armes, J. (2021) · BMJ Health & Care Informatics · doi:10.1136/bmjhci-2020-100256 · Cited by 54 · see citing works
Protocol: Remote care as the ‘new normal’? Multi-site case study in UK general practice
Greenhalgh, T., Shaw, S. E., Nishio, A. A., Booth, A., Byng, R., Clarke, A., Dakin, F., Davies, R., Faulkner, S. D., Hemmings, N., et al. (2022) · NIHR Open Research · doi:10.3310/nihropenres.13289.1 · Cited by 38 · see citing works
Giffen, S., & Macdonald, G. (2020) · Health and Social Care Chaplaincy · doi:10.1558/hscc.41767 · Cited by 13 · see citing works
Norberg, B. L., Austad, B., Kristiansen, E., Zanaboni, P., & Getz, L. (2024) · JMIR Formative Research · doi:10.2196/63068 · Cited by 8 · see citing works
McCann, S., Entwistle, V. A., Oliver, L., Lewis‐Barned, N., Haines, R., & Cribb, A. (2024) · BMC Family Practice · doi:10.1186/s12875-024-02443-z · Cited by 3 · see citing works
Fletcher, E., Campbell, J., Pitchforth, E., Mounce, L. T. A., Hamilton, W. T., & Abel, G. (2024) · British Journal of General Practice · doi:10.3399/bjgp.2024.0135 · Cited by 2 · see citing works
Greenhalgh, T., Shaw, S. E., Nishio, A. A., et al. (2022) · NIHR Open Research · doi:10.3310/nihropenres.14413.r28751
Greenhalgh, T., Shaw, S. E., Nishio, A. A., et al. (2023) · NIHR Open Research · doi:10.3310/nihropenres.14413.r29094
Greenhalgh, T., Shaw, S. E., Nishio, A. A., et al. (2023) · NIHR Open Research · doi:10.3310/nihropenres.14413.r29093
Raudne, R., & Tillmann, T. (2025) · JMIR Formative Research · doi:10.2196/59620
McCann, S., Entwistle, V. A., Oliver, L., Lewis‐Barned, N., Haines, R., & Cribb, A. (2024) · Figshare · doi:10.6084/m9.figshare.25951936
McCann, S., Entwistle, V. A., Oliver, L., Lewis‐Barned, N., Haines, R., & Cribb, A. (2024) · Figshare · doi:10.6084/m9.figshare.26728225
McCann, S., Entwistle, V. A., Oliver, L., Lewis‐Barned, N., Haines, R., & Cribb, A. (2024) · Figshare · doi:10.6084/m9.figshare.25951797
- Authors
- Ambrose, L.
- Affiliations
- University of Nottingham (GB)
- Corresponding author
- Ambrose, Lucy
- Venue
- British Journal of General Practice
- Published
- 2020-05-28
- Volume
- 70
- Issue
- 695
- Pages
- 295-295
- ISSN
- 0960-1643 (ISSN-L)
- 1478-5242
- PMC
- PMC7241908
- OpenAlex
- W3032061567
- Cited by
- 15
- References
- 5
- Citations by year
- 2025: 1 · 2024: 6 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 1
- FWCI
- 2.21
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal of General Practice (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Keywords
- cognitive load, dual-process theory, psychological exhaustion, general practice
- MeSH terms
- Cognition, Humans, Remote Consultation
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