Title

Comparative Value of Clinical Information in Making a Diagnosis

Document Type

Article

Publication Date

2004

Abstract

In 2001-2002, general internal medicine faculty (n = 51) and residents (n = 188) from diverse programs in 3 US states were surveyed about the comparative value of the history, physical examination, and laboratory/imaging investigations in making diagnoses. Comparisons were made by location of program, faculty vs residents, postgraduate year, program type, and sex. In distributing a total of 100%, history was valued at 59.3%, physical examination at 19.8%, and laboratory/imaging data at 20.9%. Faculty valued history more than residents, whereas residents valued investigations more. Among general internal medicine faculty and residents, the primacy of the history remains despite changes in the healthcare system.

PMCID

1395780


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