Table 3

Subjects’ reported diagnostic reasoning patterns

Diagnostic reasoning patternsPre interventionPost interventionP value
Often or almost alwaysOften or almost alwaysMcNemar’s
I know the correct diagnosis by the time I finish interviewing and examining a patient196614561.000
I need to read the patient’s old medical records before settling on a diagnosis155211441.000
I need to look up informational resources (eg, UpToDate) before settling on a diagnosis134160.248
I use published algorithms to determine the correct diagnosis3104161.000
I use my clinical judgement to make diagnoses2793251000.480
I rely on my experience to make diagnoses227621840.683
I use my intuition to make diagnoses8289360.371
I first identify possible diagnoses and find evidence to support them227621841.000