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

Alan Morris Alan.Morris at IMAIL.ORG
Mon Jan 6 23:57:08 UTC 2014


I think these pertinent comments address a central deficiency in medical
research and its funding.
We have little attention paid to the important issues involved in
decision-making and outcomes at the patient-clinician encounter scale.
Note, for example, the absence os significant funding of T3 and T4
translation research (compared to funding for T1 and T2 translations
research).
Have  a nice day.

Alan H. Morris, M.D.
Professor of Medicine
Adjunct Prof. of Medical Informatics
University of Utah

Director of Research
Director Urban Central Region Blood Gas and Pulmonary Laboratories
Pulmonary/Critical Care Division
Sorenson Heart & Lung Center - 6th Floor
Intermountain Medical Center
5121 South Cottonwood Street
Murray, Utah  84157-7000, USA

Office Phone: 801-507-4603
Mobile Phone: 801-718-1283
Fax: 801-507-4699
e-mail: alan.morris at imail.org
e-mail: alanhmorris at gmail.com


On 1/6/14 11:50 AM, "Vic Nicholls" <nichollsvi2 at GMAIL.COM> wrote:

>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?
>
>Victoria
>
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