Five strategies for clinicians to advance diagnostic excellence

Singh, Hardeep; Connor, Denise M.; Dhaliwal, Gurpreet

doi:10.1136/bmj-2021-068044

Cited by 35 publications

(30 citation statements)

References 63 publications

(65 reference statements)

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“…Diagnostic excellence includes the physician’s thoughts about diagnostics and diagnostic errors. 8 However, in recent years, another approach to research on the quality of diagnosis has been proposed, based on two axes: physician factors and environmental factors (situativity). 9 Clinical indicators and concepts to measure the quality of various diagnoses have also been developed, and their validation and application are currently major areas of interest in the diagnostics field.…”

Section: Discussionmentioning

confidence: 99%

Future Research in General Medicine Has Diverse Topics and is Highly Promising: Opinions Based on a Questionnaire Survey

Tago¹,

Hirata²,

Watari³

et al. 2022

IJGM

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In Japan, general medicine is still relatively new as a specialty, having been established in 2018 as the 19th primary specialty. The relevant research field has therefore not been fully established yet, and the detailed research areas in this field have not been identified. We conducted a descriptive questionnaire-based web survey of members of the Japanese Society of Hospital General Medicine. Respondents were asked to highlight their research topics from the following categories: diagnostic excellence, design (problem-solving and thinking methodology), symptomatology, physical examination, clinical epidemiology, home and community medicine, general medicine education, organizational management, hospital administration, and “none of the above (add description of your work if desired)”. The respondents could choose multiple topics. There were 276 respondents (14% response rate), of whom 240 (86.9%) were male, 103 (37.3%) worked at universities, and 232 (84.1%) had previous research experience. Diagnostic excellence was the most common research topic category among generalists (n=87, 21.3%), followed by clinical epidemiology (n=83, 20.3%), symptomatology (n=41, 10.0%), home and community medicine (n=39, 9.6%), and general medicine education (n=36, 8.8%). Seventy-eight respondents (19.1%) chose “none of the above (add description of your work if desired)”. The main research topics were in areas fundamental to diagnostic excellence, ie, diagnostics, diagnostic error, clinical epidemiology, and symptomatology. Home and community medicine and general medicine education were also included as research topics because of their diverse roles. The research interests of generalists are therefore diverse, and new areas and frameworks are likely to be created in the future.

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Section: Discussionmentioning

confidence: 99%

Future Research in General Medicine Has Diverse Topics and is Highly Promising: Opinions Based on a Questionnaire Survey

Tago¹,

Hirata²,

Watari³

et al. 2022

IJGM

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“…Singh and colleagues propose five strategies to advance diagnostic excellence, listing the consideration of bias as one of them 4. Though cognitive bias is acknowledged, most of their focus is on biases associated with “race, ethnicity, gender, and other identities.” Such social or sociological biases, however, are not the typical biases that confound most of diagnostic judgment and decision making 5.…”

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confidence: 99%

Advancing diagnostic excellence: the cognitive challenge for medicine

Croskerry

Clancy

2022

BMJ

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“…For example, one element of diagnostic excellence is avoiding cultural biases such as racism (doi:10.1136/bmj-2021-068044). 3 This goal is more likely to be achieved by clinicians who come from diverse backgrounds and train and work in diverse settings. Why, then, are new private medical schools in the UK admitting well-off students from other countries rather than offering places to UK students from diverse backgrounds and underserved areas such as the north west of England (doi:10.1136/bmj.o421)?4 The schools’ professed common goal of admitting those from under-represented backgrounds has been subverted by the practical need for tuition money.…”

mentioning

confidence: 99%

Progress against health inequities is slow and obstacles are numerous

Loder¹

2022

BMJ

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According to the non-profit think tank Global Health Europe, "health inequities are unfair, avoidable differences arising from poor governance, corruption or cultural exclusion" (https://globalhealtheurope.org/values/inequity-and-inequality-inhealth). 1 The World Health Organization's Commission on Social Determinants of Health likewise identifies "poor social policies and unfair economic arrangements" as key causes of inequities and lack of progress in addressing social determinants of health (

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Five strategies for clinicians to advance diagnostic excellence

Cited by 35 publications

References 63 publications

Future Research in General Medicine Has Diverse Topics and is Highly Promising: Opinions Based on a Questionnaire Survey

Future Research in General Medicine Has Diverse Topics and is Highly Promising: Opinions Based on a Questionnaire Survey

Advancing diagnostic excellence: the cognitive challenge for medicine

Progress against health inequities is slow and obstacles are numerous

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