Table 1

Diagnostic pause results

Categories of working diagnosesTotal
n=82 patients
%
 Infectious diseases2530
 Gyn/GU1215
 Pulmonary1012
 Musculoskeletal79
 ENT45
 CV34
 GI67
 Endocrine22
 Neurological45
 Psychiatry22
 Rheumatology34
 Ophthalmology11
 Dermatology34
What features of the case go against this diagnosis?
 None3441
 Associated symptoms1215
 Lack of consistent findings1012
 Not responding to therapy911
 Severity of symptoms810
 Duration of symptoms56
 Incidental finding11
 Incomplete workup22
Could it be a can’t miss diagnosis such as ‘ cancer or clot’ ?
 ‘Doubt it’6478
 ‘Maybe’1518
 ‘Actually yes’34
Having had the chance to reflect … do you think you will do anything different?
 Nothing different7187
 Look up information22
 Order another test22
 Make a med change34
 Have patient follow-up34
 Refer to specialist22
 Contact primary care physician11
 Call patient22
 RN to follow-up00
  • GU = genitourinary, ENT = Ear, nose, throat, CV = Cardiovascular, GI = Gastrointestinal, RN = registered nurse, EMR = electronic medical record