Abstract
This study was designed to explore the relationship between certain attributes of a diagnostic problem and a particular information-seeking question. Using case vignettes under experimental conditions, fifty residents in internal medicine and family practice informed the experimenter of the most important thing they would need to know to make a preliminary diagnosis. These data were classified nominally using a preexisting taxonomy. Significant results indicated that Quantification questions tend to be asked under urgent conditions and Verification questions tend to be asked when the least amount of information is presented. While the taxonomy used to classify the questions did not prove rich enough to describe information needs fully, results did suggest some consistency in question asking, a skill that could be developed further during medical education.
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Selected References
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- Bergman D. A., Pantell R. H. The impact of reading a clinical study on treatment decisions of physicians and residents. J Med Educ. 1986 May;61(5):380–386. doi: 10.1097/00001888-198605000-00005. [DOI] [PubMed] [Google Scholar]
- Covell D. G., Uman G. C., Manning P. R. Information needs in office practice: are they being met? Ann Intern Med. 1985 Oct;103(4):596–599. doi: 10.7326/0003-4819-103-4-596. [DOI] [PubMed] [Google Scholar]
- Feinstein A. R. An analysis of diagnostic reasoning. I. The domains and disorders of clinical macrobiology. Yale J Biol Med. 1973 Jun;46(3):212–232. [PMC free article] [PubMed] [Google Scholar]
- Feinstein A. R. An analysis of diagnostic reasoning. II. The strategy of intermediate decisions. Yale J Biol Med. 1973 Oct;46(4):264–283. [PMC free article] [PubMed] [Google Scholar]
- Florance V. Medical knowledge for clinical problem solving: a structural analysis of clinical questions. Bull Med Libr Assoc. 1992 Apr;80(2):140–149. [PMC free article] [PubMed] [Google Scholar]
- Forsythe D. E., Buchanan B. G., Osheroff J. A., Miller R. A. Expanding the concept of medical information: an observational study of physicians' information needs. Comput Biomed Res. 1992 Apr;25(2):181–200. doi: 10.1016/0010-4809(92)90020-b. [DOI] [PubMed] [Google Scholar]
- Gruppen L. D., Wolf F. M., Billi J. E. Information gathering and integration as sources of error in diagnostic decision making. Med Decis Making. 1991 Oct-Dec;11(4):233–239. doi: 10.1177/0272989X9101100401. [DOI] [PubMed] [Google Scholar]
- Joseph G. M., Patel V. L. Domain knowledge and hypothesis generation in diagnostic reasoning. Med Decis Making. 1990 Jan-Mar;10(1):31–46. doi: 10.1177/0272989X9001000107. [DOI] [PubMed] [Google Scholar]
- Northup D. E., Moore-West M., Skipper B., Teaf S. R. Characteristics of clinical information-searching: investigation using critical incident technique. J Med Educ. 1983 Nov;58(11):873–881. [PubMed] [Google Scholar]
- Osheroff J. A., Forsythe D. E., Buchanan B. G., Bankowitz R. A., Blumenfeld B. H., Miller R. A. Physicians' information needs: analysis of questions posed during clinical teaching. Ann Intern Med. 1991 Apr 1;114(7):576–581. doi: 10.7326/0003-4819-114-7-576. [DOI] [PubMed] [Google Scholar]
- Schmidt H. G., Norman G. R., Boshuizen H. P. A cognitive perspective on medical expertise: theory and implication. Acad Med. 1990 Oct;65(10):611–621. doi: 10.1097/00001888-199010000-00001. [DOI] [PubMed] [Google Scholar]
- Sloane P. D., Egelhoff C., Curtis P., McGaghie W., Evens S. Physician decision making over the telephone. J Fam Pract. 1985 Oct;21(4):279–284. [PubMed] [Google Scholar]
- Stinson E. R., Mueller D. A. Survey of health professionals' information habits and needs. Conducted through personal interviews. JAMA. 1980 Jan 11;243(2):140–143. [PubMed] [Google Scholar]