Table 2.
Summary of Clinical Scenario Scores by Practice Type
| Variable | Average Points | ||
|---|---|---|---|
| ID (n = 19) | Hospitalists (n = 62) | Other Internists (n = 58) | |
| Scenario 1: Simple cellulitis | |||
| Syndrome classification* | +1.0 | +0.65 | +0.69 |
| Initial antibiotic choice | +0.53 | +0.21 | +0.34 |
| De-escalation antibiotic choice | +0.84 | +0.65 | +0.45 |
| Discharge antibiotic choice | +0.84 | +0.71 | +0.52 |
| Treatment duration | +0.58 | +0.68 | +0.60 |
| Scenario 1 total points (P = .0087 by F test)* | +3.8 (76% concordant) | +2.9 (58% concordant) | +2.6 (52% concordant) |
| Scenario 2: Community-acquired pneumonia | |||
| Syndrome classification | +0.74 | +0.61 | +0.69 |
| Initial antibiotic choice | +0.58 | +0.56 | +0.52 |
| De-escalation antibiotic choice* | +0.74 | +0.34 | +0.33 |
| Treatment duration | +0.90 | +0.89 | +0.69 |
| Scenario 2 total points (P = .091 by F test) | 3.0 (75% concordant) | 2.4 (60% concordant) | 2.23 (56% concordant) |
| Scenario 3: Asymptomatic bacteriuria (non–catheter associated) | |||
| Syndrome classification | +0.63 | +0.56 | +0.41 |
| Antibiotic choice* | +0.63 | +0.52 | +0.34 |
| Scenario 3 total points (P = .322 by F test) | 1.3 (65% concordant) | 1.1 (55% concordant) | 0.8 (40% concordant) |
| Scenario 4: Asymptomatic bacteriuria (catheter associated) | |||
| Syndrome classification | 0 | −0.18 | −0.21 |
| Antibiotic choice | +0.53 | +0.016 | −0.052 |
| Scenario 4 total points (P = .12 by F test)* | 0.53 (27% concordant) | −0.16 (8% discordant) | −0.26 (13% discordant) |
Note. ID, infectious disease.
*P < .05.