Ideas on improving rates of missed/delayed diagnoses in PCP type visits.

Vic Nicholls nichollsvi2 at GMAIL.COM
Mon Jan 6 18:50:39 UTC 2014

Would a change in medical education to include more EBM, reference clinical tools such as Isobel or UpToDate/ClinicalKey/MDConsult, help with less missed/erroneous diagnoses? Would another method of
gathering data from a patient help, in terms of more effective H&P? Would more emphasis on a physical exam vs. tests help?

How about a change in testing and what is tested? I know there have been articles out regarding radiology exams, that they appear to focus more on physics and other aspects not related to patient care type issues.

Would an emphasis on understanding lab work help? I know I've been able to figure things out by understanding what a test is and what it is looking for.

Have doctors ever considered whether patient education would help? If I have a few educated patients, would I be willing to allow them to be more participatory than others? What is the attitude towards medical research brought by a patient?


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