Influence of predicting the diagnosis from history on the accuracy of physical examination

Advances in Medical Education and Practice
Kiyoshi ShikinoTakanori Uehara

Abstract

This study aimed to clarify the influence of predicting a correct diagnosis from the history on physical examination by comparing the diagnostic accuracy of auscultation with and without clinical information. The participants were 102 medical students from the 2013 clinical clerkship course. Auscultation was performed with a cardiology patient simulator. Participants were randomly assigned to two groups. Each group listened to a different simulated heart murmur and then made a diagnosis without clinical information. Next, a history suggesting a different murmur was provided to each group and they predicted the diagnosis. Finally, the students listened to a murmur corresponding to the history provided and again made a diagnosis. Correct and incorrect diagnosis rates of auscultation were compared between students with and without clinical information, between students predicting a correct or incorrect diagnosis from the history (correct and incorrect prediction groups, respectively), and between students without clinical information and those making an incorrect prediction. For auscultation with or without clinical information, the correct diagnosis rate was 62.7% (128/204 participants) versus 54.4% (111/204 participants), showin...Continue Reading

Citations

Jun 21, 2017·Teaching and Learning in Medicine·Alexandre LafleurLuc Côté
Mar 30, 2021·Journal of Otology·Garrett NiJason Mouzakes
Jun 12, 2021·Journal of Voice : Official Journal of the Voice Foundation·Cara SauderTanya Eadie

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