Pattern Disruption in GP speciality training: a practical intervention to enhance cognitive flexibility and diagnostic reasoning

describes the theoretical rationale, design principles, and practical implementation of Pattern Disruption across tutorials, simulation, and supervised real clinic 'pause and pivot' moments. The approach introduces novel elements, including trainee-generated disruptors drawn from near-miss experiences, counterfactual rehearsal of everyday cases, and longitudinal documentation of reasoning shifts.Early reflections suggest improved tolerance of uncertainty, clearer articulation of diagnostic risk, and more proportionate follow-up planning. Pattern Disruption is low-cost, integrates into existing GP training structures, and offers a replicable educational approach nationally.