Physician clinical management strategies and reasoning: a cross-sectional survey using clinical vignettes of eight common medical admissions.

ABSTRACT:

Background

Physicians often select clinical management strategies not strongly supported by evidence or guidelines. Our objective was to examine the likelihood of selecting, and rationale for pursuing, clinical management strategies with more or less guideline support among physicians using clinical vignettes of eight common medical admissions.

Methods

We conducted a cross-sectional survey using clinical vignettes of attending physicians and housestaff at one internal medicine program in New York City. Each clinical vignette included a brief clinical scenario and a varying number of clinical management strategies: diagnostic tests, consultations, and treatments, some of which had strong evidence or guideline support (Level 1 strategies) while others had limited evidence or g

SUBMITTER: Smith KL 

PROVIDER: S-EPMC4021187 | biostudies-literature | 2014 Apr

REPOSITORIES: biostudies-literature