Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Controlled trial using computerized feedback to improve physicians' diagnostic judgments.

R M Poses1, R D Cebul, R S Wigton

  • 1Division of General Medicine, Virginia Commonwealth University-Medical College of Virginia, Richmond 23298.

Academic Medicine : Journal of the Association of American Medical Colleges
|May 1, 1992
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Child life intervention successfully decreases anaesthesia requirements in young children undergoing outpatient orthopaedic magnetic resonance imaging (MRI): a retrospective cohort study.

Clinical radiology·2026
Same author

The environmental impact of intravenous antimicrobial therapies: a comparison of OPAT and in-patient administration care pathways-right-to-reply.

JAC-antimicrobial resistance·2025
Same author

The BR-body proteome contains a complex network of protein-protein and protein-RNA interactions.

bioRxiv : the preprint server for biology·2023
Same author

Use of Video Consultation in Irish General Practice:The Views of General Practitioners.

Irish medical journal·2022
Same author

Regulation of gene expression during ontogeny of physiological function in the brackishwater amphipod Gammarus chevreuxi.

Marine genomics·2022
Same author

Pilot Study on Music in the Waiting Room of Outpatient Pain Clinics.

Pain management nursing : official journal of the American Society of Pain Management Nurses·2021
Same journal

Ten-year outcomes from the Columbia-Bassett program: a model for strengthening the underserved health workforce.

Academic medicine : journal of the Association of American Medical Colleges·2026
Same journal

Artificial intelligence teaching assistants: a scalable solution for supporting struggling medical students.

Academic medicine : journal of the Association of American Medical Colleges·2026
Same journal

MDCU MedUMORE: a national digital platform for equitable and lifelong medical education in Thailand and beyond.

Academic medicine : journal of the Association of American Medical Colleges·2026
Same journal

The Minority Ophthalmology Mentoring Program: A Model for Increasing Diversity in Surgical Specialties.

Academic medicine : journal of the Association of American Medical Colleges·2026
Same journal

Toward a global ecosystem for health professions education: harnessing open educational resources and generative AI with shared governance.

Academic medicine : journal of the Association of American Medical Colleges·2026
Same journal

Associations of marital status with well-being and career intentions among medical residents: a national survey in Japan.

Academic medicine : journal of the Association of American Medical Colleges·2026
See all related articles

An innovative educational method combining computer feedback, lectures, and prevalence reports significantly improved physicians' diagnostic accuracy for streptococcal pharyngitis. This cognitive psychology-based approach enhanced clinical judgment quality and agreement with prediction rules.

Area of Science:

  • Medical Education
  • Cognitive Psychology
  • Diagnostic Decision Making

Background:

  • Physicians' diagnostic judgments are crucial for effective patient care.
  • Improving diagnostic accuracy, particularly for conditions like streptococcal pharyngitis, remains an educational challenge.
  • Existing educational methods may not fully optimize clinical decision-making processes.

Purpose of the Study:

  • To evaluate an innovative educational intervention designed to enhance physicians' diagnostic judgments.
  • To compare the efficacy of an integrated method (computer feedback, lecture, prevalence reports) versus a lecture alone.
  • To assess the impact on diagnostic accuracy, calibration, and agreement with a clinical prediction rule.

Main Methods:

  • A controlled trial involving 885 patients and 14 experienced physicians across two university health services.

Related Experiment Videos

  • Intervention group received integrated computer-based cognitive feedback, lecture, and disease-prevalence reports.
  • Control group received a traditional lecture alone.
  • Pre- and postintervention measures assessed diagnostic judgment quality using calibration curves and Brier scores.

    • Main Results:

    • The integrated method significantly improved the quality of physicians' diagnostic judgments.
    • The integrated method increased agreement between physicians' judgments and a clinical prediction rule.
    • The lecture alone yielded less improvement and decreased agreement with the prediction rule.

    Conclusions:

    • The integrated educational method, grounded in cognitive psychology, is a promising tool for enhancing physician diagnostic skills.
    • Computer-based cognitive feedback combined with other educational elements can effectively improve clinical decision-making.
    • Targeted educational interventions can positively impact diagnostic accuracy and adherence to evidence-based rules.