Subjects’ reported diagnostic reasoning patterns
Diagnostic reasoning patterns | Pre intervention | Post intervention | P value | ||
Often or almost always | Often or almost always | McNemar’s | |||
n | % | n | % | ||
I know the correct diagnosis by the time I finish interviewing and examining a patient | 19 | 66 | 14 | 56 | 1.000 |
I need to read the patient’s old medical records before settling on a diagnosis | 15 | 52 | 11 | 44 | 1.000 |
I need to look up informational resources (eg, UpToDate) before settling on a diagnosis | 1 | 3 | 4 | 16 | 0.248 |
I use published algorithms to determine the correct diagnosis | 3 | 10 | 4 | 16 | 1.000 |
I use my clinical judgement to make diagnoses | 27 | 93 | 25 | 100 | 0.480 |
I rely on my experience to make diagnoses | 22 | 76 | 21 | 84 | 0.683 |
I use my intuition to make diagnoses | 8 | 28 | 9 | 36 | 0.371 |
I first identify possible diagnoses and find evidence to support them | 22 | 76 | 21 | 84 | 1.000 |