The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.
Teaching Diagnostic Skills: Clinical Vignettes or Chief Complaints?
Open accessAbstract
Two formats of case presentation are traditionally used for teaching problem-solving skills: clinical vignette or chief complaint formats. While the first one is more commonly used, it does not completely reflect the actual problem-solving process during a real encounter, which may hamper the learners to integrate separately acquired data gathering skills into their reasoning process and affect their diagnostic performance in practice. The present study compared diagnostic accuracy when the reasoning stimulus was a case vignette containing all diagnostic information versus the patient's chief complaint only. Forty-two medical students, 53 residents and 60 general internists participated in the study. Diagnostic accuracy was significantly lower for the chief complaint format at the student, resident, and practitioner levels. Analysis of the data gathered in the chief-complaint format revealed that faulty diagnostic decisions resulted from a failure to gather critical data. The results suggest that data gathering techniques, semiology, and medical reasoning should be trained in association and that this effort should be pursued beyond medical school.
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Citations
Cites
Medical Problem Solving: An Analysis of Clinical Reasoning
Elstein, A. S., Shulman, L. S., & Sprafka, S. A. (1978) · doi:10.4159/harvard.9780674189089 · Cited by 1,377 · cited 1×
“process where the clinician has to determine the type of additional information needed from the initial complaint to make the appropriate diagnosis (Barrows et al., 1982; Elstein et al., 1978 ).”
BackgroundA cognitive perspective on medical expertise
Schmidt, H. G., Norman, G. R., & Boshuizen, H. P. A. (1990) · Academic Medicine · doi:10.1097/00001888-199010000-00001 · Cited by 1,135
Bordage, G. (1994) · Academic Medicine · doi:10.1097/00001888-199411000-00004 · Cited by 288
The clinical reasoning of randomly selected physicians in general medical practice.
Hs, B., Gr, N., Vr, N., & Jw, F. (1982) · PubMed · Cited by 242
COGNITION, CONFIDENCE, AND CLINICAL SKILLS
Chang, R. W., Bordage, G., & Connell, K. J. (1998) · Academic Medicine · doi:10.1097/00001888-199810000-00062 · Cited by 113
Information Gathering and Integration as Sources of Error in Diagnostic Decision Making
Gruppen, L. D., Wolf, F. M., & Billi, J. E. (1991) · Medical Decision Making · doi:10.1177/0272989x9101100401 · Cited by 56
Consulting skills training and medical students' interviewing efficiency
Evans, B. J., Coman, G. J., & Goss, B. D. (1996) · Medical Education · doi:10.1111/j.1365-2923.1996.tb00729.x · Cited by 40
Expert-novice differences in the use of history and visual information from patients
Norman, G. R., Brooks, L. R., Cunnington, J. P. W., Shali, V., Marriott, M., & Regehr, G. (1996) · Academic Medicine · doi:10.1097/00001888-199610000-00045 · Cited by 29
Teaching and learning clinical perception
Cox, K. (1996) · Medical Education · doi:10.1111/j.1365-2923.1996.tb00725.x · Cited by 18
Visual information and the diagnosis of chest pain
Friedman, C. P., Mcnutt, R., de Bliek, R., et al. (1994) · Academic Medicine · doi:10.1097/00001888-199410000-00032 · Cited by 6
Research works printed but not linked: 1
- Vu, N.V. & Steward, D.E. (1990). Variant accuracy in methods of assessing clinical performance. In W. Bender, R.J. Hiemstra, A.J.J.A. Scherpbier & R.P. Zwierstra (eds.), Teaching and Assessing Clinical Competence, pp. 190–194. Groningen: BoekWerk Publications.
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Sorted by citations
Bediang, G., Perrin, C., Ruiz de Castañeda, R., Kamga, Y., Sawadogo, A., Bagayoko, C. O., & Geissbuhler, A. (2014) · Frontiers in Public Health · doi:10.3389/fpubh.2014.00180 · Cited by 53
Metadata
- Authors
- Nendaz, M. R., Raetzo, M. A., Junod, A. F., & Vu, N. V.
- Affiliations
- University of Illinois Chicago (US)
- University Hospital of Geneva (CH)
- Corresponding author
- Nendaz, Mathieu R.
- Venue
- Advances in Health Sciences Education
- Published
- 2000-03
- Volume
- 5
- Issue
- 1
- Pages
- 3-10
- ISSN
- 1382-4996 (ISSN-L)
- 1573-1677
- OpenAlex
- W1562479208
- Cited by
- 40
- References
- 10
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 5 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 3 · 2015: 3 · 2014: 1 · 2013: 3 · 2012: 4
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- Licence
- Locations
- Advances in Health Sciences Education (publishedVersion)
- PubMed (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, other-oa)
- Funders
- University of Illinois at Chicago
- Topics
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Social Sciences › Education › Innovations in Medical Education
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Keywords
- clinical vignettes, diagnostic accuracy, medical reasoning, clinical problem solving, semiology, medical education, medical students, residents (medical training), internists
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