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Diagnostic aids: the Surgical Sieve revisited
Jason Chai1, Lloyd Evans1, Tom Hughes2
1Cardiff University, Cardiff, UK.
The Clinical Teacher
|July 2, 2016
Summary
Both the Surgical Sieve and the new Compass Medicine diagnostic aids help medical students generate more diagnoses. This study found no significant difference in effectiveness between these two diagnostic tools for improving diagnostic thinking.
Area of Science:
- Medical Education
- Diagnostic Reasoning
- Clinical Decision Support
Background:
- Diagnostic errors are a significant concern in healthcare.
- Medical schools need to teach diagnostic skills early to foster safe clinicians.
- Diagnostic aids can provide a structured framework for generating potential diagnoses.
Purpose of the Study:
- To compare the efficacy of the Surgical Sieve and a newly developed diagnostic aid, Compass Medicine.
- To evaluate the impact of these tools on the generation of differential diagnoses in medical students.
Main Methods:
- A study involving 48 third-year medical students from Cardiff University.
- Quantified the effect of the Surgical Sieve and Compass Medicine on the number of diagnoses generated.
- Compared the magnitude of this effect between the two diagnostic aids.
Main Results:
- Both the Surgical Sieve and Compass Medicine increased the number of diagnoses generated by students.
- No statistically significant difference was observed in the effect size between the two diagnostic aids.
Conclusions:
- Diagnostic aids can be valuable tools for teaching medical students diagnostic thinking.
- The study encourages the use of visualized frameworks to enhance diagnostic skills.
- Further research may explore the broader application of such tools in medical education.

