Comparing diagnostic performance and the utility of clinical vignette-based assessment under testing conditions

Jonathan S Ilgen1, Judith L Bowen, Lucas A McIntyre

  • 1Dr. Ilgen is assistant professor, Division of Emergency Medicine, University of Washington, School of Medicine, Seattle, Washington. Dr. Bowen is professor, Department of Medicine, Oregon Health & Science University, School of Medicine, Portland, Oregon. Mr. McIntyre is a student, University of Washington, School of Medicine, Seattle, Washington. Dr. Banh is assistant clinical professor, Department of Emergency Medicine, University of California, San Francisco, School of Medicine, Fresno, California. Dr. Barnes is assistant professor, Department of Emergency Medicine, University of California, Davis, School of Medicine, Sacramento, California. Dr. Coates is professor of clinical medicine, Department of Emergency Medicine, University of California, Los Angeles, David Geffen School of Medicine, and Los Angeles Biomedical Research Institute, Los Angeles, California. Dr. Druck is associate professor, Department of Emergency Medicine, University of Colorado, School of Medicine, Denver, Colorado. Dr. Fix is assistant professor, Division of Emergency Medicine, University of Utah, School of Medicine, Salt Lake City, Utah. Dr. Rimple is associate professor, Department of Emergency Medicine, University of New Mexico, School of Medicine, Albuquerque, New Mexico. Dr. Yarris is associate professor, Department of Emergency Medicine, Oregon Health & Science University, School of Medicine, Portland, Oregon. Dr. Eva is professor and director of education research and scholarship, Department of Medicine, and senior scientist, Centre for Health Education Scholarship, University of British Columbia, Vancouver, British Columbia, Canada.

Abstract

Related Concept Videos

Critical Thinking II01:25

Critical Thinking II

Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Critical Thinking I01:24

Critical Thinking I

Critical thinking helps decision-making and allows nurses to recognize barriers to success and find solutions to possible issues. It helps to brainstorm and implement ideas to achieve goals. Critical thinking helps acknowledge and state workflow inefficiencies while improving management techniques. Nurses understand the value of critical thinking and look for fellow nurses with critical thinking skills to upgrade their professional standards. Critical thinking can advance a nurse's career with...
Automated Microbial Diagnostics01:24

Automated Microbial Diagnostics

Automated diagnostic analyzers have transformed clinical microbiology by providing rapid and reliable methods for pathogen identification and antibiotic susceptibility testing. Among these systems, the Vitek 2 is widely used because it automates the traditionally labor-intensive processes of microbial identification (ID) and antibiotic susceptibility testing (AST), delivering standardized and timely results that are essential for effective patient care.Microbial Identification with ID CardsThe...
Decision Making: Traditional Method01:14

Decision Making: Traditional Method

The process of hypothesis testing based on the traditional method includes calculating the critical value, testing the value of the test statistic using the sample data, and interpreting these values.
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
Sensitivity, Specificity, and Predicted Value01:13

Sensitivity, Specificity, and Predicted Value

In healthcare diagnostics, laboratory tests play a crucial role in identifying and diagnosing a wide range of medical conditions. However, interpreting test results is not always straightforward. An abnormal test result does not always confirm the presence of a disease, just as a normal result does not guarantee its absence. To assess the reliability of these diagnostic tools, healthcare practitioners rely on two key statistical indicators: sensitivity and specificity.
Sensitivity is the...