How many questions and decisions in clinical practice?

Mark Graber Mark.Graber at IMPROVEDIAGNOSIS.ORG
Mon Jan 8 22:58:30 UTC 2018

Two articles, FYI….

Thanks to Steve Schoenbaum for forwarding this recent article from Ofstad and colleagues – they found that an average of 17 discrete decisions were made per internal medicine encounter, and that the largest fraction of these related to diagnosis (defining the problem).

It brings to mind the earlier study from John Ely on how many clinical knowledge-related questions physicians generated in the course of seeing patients – Answer:  Lots !

Mark L Graber MD FACP
President, SIDM
Senior Fellow, RTI International
Professor Emeritus, Stony Brook University
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