Intergenerational cognitive heritage
Cognitive capital transmitted across generations · Weight 10%
15%
0 pts
▼
The family intellectual environment creates cognitive stimulation from childhood, transmitted across generations. Indicate the academic and professional level of your ancestors.
Great-grandparents
University graduates
+1 pt / person
Grandparents
University graduates
+2 pts / person
Parents
University graduates
+3 pts / person
Liberal or academic professions — same generation
Brothers, sisters, cousins, second cousins — physicians, lawyers, professors, engineers, architects...
+0 pts
Physicians in the immediate family
Parents, siblings, children
+0 pts
✦ Inherited visual-cognitive capital — same generation
Intensive early visual practice shared in the sibling group
Photography darkroom built and operated together · Father's / grandfather's cameras (Leica, 6x9...) · Shared visual training before age 15 (+3 pts/sibling involved, max 9 pts)
+0 pts
Convergence toward visual professions in the same generation +5 pts
Siblings independently gravitating toward image-based professions — medical imaging, photography, architecture, design. Empirical proof of shared inherited visual cognitive capital.
Active visual transmission by a family figure +3 pts
Father, uncle, cousin who actively taught photography or optics — structured transmission of the expert visual gaze across the family.
Cross-disciplinary profile — engineering + medicine +5 pts
Validated competency in mathematics, chemistry & geometry at engineering entrance level, AND medicine. Note: physics — the science underlying MRI/CT — was the only failed subject, yet mastered intuitively through 48 years of practice.
Academic training capital
Degrees, specialisations, continuing education · Weight 22%
25%
0 pts
▼
Medical degree (Doctorate)
Doctor of Medicine validated by a university (+20 pts/degree)
+0 pts
Medical specialisation diploma
Each recognised specialist diploma (+15 pts/specialisation — e.g. Radiodiagnostics, Oncology...)
+0 pts
Validated post-graduate training
Additional diplomas, certifications, master's... (+3 pts/training)
+0 pts
Fellowship / Residencies abroad
Clinical training in a foreign country (+5 pts/country)
+0 pts
Scientific publications
Articles published in medical journals (+4 pts/publication)
+0 pts
Linguistic capital
Languages mastered — cap at 5-6 languages for 100% · Weight 10%
15%
0 pts
▼
Mastery of multiple languages is a strong cognitive indicator — it reflects neural plasticity and cross-cultural adaptability. The score is capped at 5-6 languages (50 pts = 100%): beyond this, each additional language contributes but the score is capped at 100.
Add another language
Clinical experience capital
Years of practice, cases treated, diagnostic accuracy · Weight 27%
30%
0 pts
▼
Years of professional experience
Years of active medical practice (+2 pts/yr, max 40 yrs → max 80 pts)
+0 pts
Total number of clinical cases / reports
Cumulative total over career (+0.001 pt/case)
+0 pts
Diagnostic success rate
% of exams without confirmed diagnostic error (×0.5)
0%
+0 pts
Distinct specialisations mastered
Radiodiagnostic domains mastered (+5 pts/specialisation)
+0 pts
Different countries of practice
Countries where you have practised professionally (+5 pts/country)
+0 pts
Current annual study volume
Number of studies performed per year currently (+0.01 pt/study)
+0 pts
Professional recognition capital
Scientific societies, teaching, expertise, State distinctions · Weight 15%
15%
0 pts
▼
Member of scientific societies
National or international medical societies (+3 pts/society)
+0 pts
Conferences and presentations given
Congresses, symposiums, training sessions (+2 pts/conference)
+0 pts
Medical leadership positions held
Service director, department head (+5 pts/position)
+0 pts
Training delivered to other physicians
Teaching, mentoring, training (+3 pts/session)
+0 pts
Judicial or regulatory expert roles +5 pts each
Designated medical expert, official consultant
🎖️ State distinction / National honour +10 pts each
National order awarded by a Head of State — e.g. Cavaliere OMRI, Légion d'honneur, OBE... (+10 pts/distinction)
+0 pts
Member of scientific committees +5 pts each
Editorial boards, ethics committees, scientific councils
+0 pts
Expert perceptual capital
Anatomy mastered · Pattern Recognition · What AI cannot replicate · Weight 16%
10%
0 pts
▼
In neuroradiology, mastery of human anatomy in cross-sections and the ability to recognise patterns (pattern recognition) are very high-level cognitive skills — built over years of intensive practice and impossible to replicate by AI.
🧬 Human anatomy mastered
Specific training in human anatomy
Years of study dedicated to anatomy (dissection, atlas, cross-sections) · +5 pts/yr (max 3 yrs)
+0 pts
Mastery of multiplanar cross-section anatomy
Axial · Sagittal · Coronal — perceived level of mastery
0 — Non évalué
+0 pts
Normal anatomical variants documented
Variants known and distinguished from pathologies (+0.5 pt/variant, max 30 pts)
+0 pts
Intracranial vascular anatomy +10 pts
Mastery of the Circle of Willis, perforating arteries, deep cerebral veins
Spinal anatomy segment by segment +8 pts
Mastery C1-S1, foramina, canal, root by root
👁️ Pattern Recognition
Expert reading speed per examination
Average time for a complete examination with conclusion — advanced pattern recognition indicator
+0 pts
Rare or difficult cases correctly identified
Rare pathologies, atypical presentations, complex differential diagnoses (+2 pts/case, max 30 pts)
+0 pts
Self-assessed pattern recognition level
Ability to immediately recognise a typical pathological aspect without hesitation
0 — Non évalué
+0 pts
Training with atlas and iconographic references +5 pts
Systematic study of anatomical and iconographic reference atlases (Netter, etc.)
Teaching pattern recognition +8 pts
Training other physicians in image interpretation and differential diagnosis
Clinical Intuition Index — Bonus Module
Gut feeling · Alarm detection · What AI cannot replicate · Bonus up to +20 pts beyond 100
BONUS
+0 / 20
▼
Clinical intuition — the "gut feeling" — is rapid expert cognition built on accumulated experience. It allows physicians to detect serious pathologies before all obvious signs are measurable. This is precisely what AI cannot replicate. (Klein, 1993 · Kahneman, System 1)
✦ A — Early alarm experience (max +8 pts)
Cases where early alarm preceded confirmed diagnosis
Documented situations where intuition triggered investigation before obvious signs (+1 pt/case, max 5 pts)
+0 pts
Normal scan — intuition triggered complement — positive result
Cases where scan appeared normal but intuition led to additional exam that found pathology (+1 pt/case, max 3 pts)
+0 pts
✦ Gist of anomaly — 'dal bosco all'albero' · Risk detected before visible signs
Cases where you sensed an elevated risk or anomaly on an apparently normal image — later confirmed. The 'bosco' (global impression) detected what the 'albero' (analytic scan) could not yet see. Validated by Brennan et al. (cited in Waite et al. 2019, PMID: 31293407) : expert radiologists detected cancer above chance on mammograms of patients who had not yet developed visible disease. (+2 pts/case, max 6 pts)
+0 pts
✦ B — Expert emergency triage (max +4 pts)
Capacity to identify urgent exam in < 60 seconds in a routine stack
Self-assessed — the ability to instantly sense which study requires immediate attention
+0 pts
Years of emergency radiology experience
Years of practice in emergency or on-call radiology (+0.5 pt/yr, max 2 pts)
+0 pts
✦ C — Calibrated metacognition (max +4 pts)
Ability to distinguish "I am certain" from "I doubt"
Diagnostic confidence calibration — knowing when you know, and when you don't
+0 pts
Training in cognitive biases / decision under uncertainty
Courses, workshops, or reading on medical decision-making and cognitive bias (+1 pt/training, max 2 pts)
+0 pts
✦ D — Transmission of intuition (max +4 pts)
Teaching early detection and gut feeling to colleagues +2 pts
Formal or informal transmission of clinical intuition skills to trainees or peers
Publications or conferences on clinical intuition / medical decision +2 pts
Scientific contributions to the field of expert medical cognition
✦ E — Human-Patient Relationship · The art of listening (max +21 pts)
The ANM Rapport 26-01 (Jan. 2026) explicitly states that "the time saved by AI must be reinvested in the human dimension of imaging — listening to the patient, indispensable to the quality of care and the human physician-patient relationship." Studies show that 70–80% of diagnosis occurs during the patient interview, before any imaging. A radiologist who listens to patients before reading images contextualises what they see — something AI cannot do.
Systematic patient interview (anamnesis) before image reading
Self-assessed — do you systematically speak with patients before reading their images?
+0 pts
✦ Pathologies identified during patient interview — before imaging confirmed
Cases where a pathology was detected or strongly suspected during anamnesis, BEFORE image reading confirmed it. The rarest and most valuable form of clinical expertise. (+2 pts/case, max 8 pts)
+0 pts
Training in medical communication or therapeutic relationship
Courses, workshops, or reading on patient communication (+2 pts)
Anamnesis conducted in multiple languages with patients
Ability to interview patients in their own language, improving diagnostic accuracy (+1 pt/language, max 3 pts)
+0 pts
Teaching physician-patient relationship to colleagues +2 pts
Formal or informal transmission of patient-listening skills to trainees or peers
🇮🇹 Direct-access examinations — patients without medical prescription +3 pts
In Italy, patients can now request MRI/CT directly without a referring physician. In this context, the radiologist becomes the first — and only — medical contact. The patient interview is not optional: it is the sole clinical information available. Documented practice of systematic anamnesis in this context.
Your PCCI™ Analysis
Score calculated in real time · FSM Consulting EI & EM Consulting EI — Confidential
PCCI™ Score
0 / 100
Estimated centile
—
PCCI™ Level
—
📊 Qualitative analysis
Fill in the modules above to obtain your personalised analysis.
Hourly rate suggested by the PCCI™
— €/h
Complete the modules to obtain the valuation range