Table 1
Relevant symptom query elements (based on clinician responses)
|
Relevant symptom querya |
Study cohort (n = 101) |
Comparison cohort (n = 97) |
p-value |
|---|---|---|---|
|
Shortness of breath/dyspnea |
65 (64.36%) |
88 (82.24%) |
0.0035 |
|
Chest pain |
57 (56.44%) |
69 (64.49%) |
0.2351 |
|
Syncope/presyncope |
32 (31.68%) |
28 (26.17%) |
0.3802 |
|
Orthopnea/PND |
34 (33.66%) |
33 (30.84%) |
0.6633 |
|
Lower extremity Swelling/edema |
41 (40.59%) |
45 (42.06%) |
0.8305 |
|
Diaphoresis/heat intolerance |
53 (52.48%) |
27 (25.23%) |
<0.0001 |
|
Weakness or numbness |
20 (19.80%) |
14 (13.08%) |
0.1904 |
|
Weight changes |
51 (50.50%) |
32 (29.91%) |
0.0023 |
|
Fever |
25 (24.75%) |
21 (19.63%) |
0.3733 |
|
Average number of relevant symptoms queried |
3.74 |
3.34 |
p > 0.05 |
CR clinical reasoning, PND paroxysmal nocturnal dyspnea
Study cohort students with clinical reasoning in the curriculum; comparison cohort students not taught clinical reasoning
aOrganized in the frequency of clinician preference
Table 2
High priority differential diagnosis (based on clinician responses)
|
High priority differential diagnosisa |
Study cohort (n = 100) |
Comparison cohort (n = 97) |
p-value |
|---|---|---|---|
|
Atrial fibrillation |
42 (42.00%) |
40 (41.24%) |
0.9135 |
|
Hyperthyroidism |
52 (52.00%) |
21 (21.65%) |
<0.0001 |
|
Acute congestive heart failure |
25 (25.00%) |
31 (31.96%) |
0.2790 |
|
Anxiety attack |
51 (51.00%) |
36 (37.11%) |
0.04970 |
|
Acute pulmonary embolism |
30 (30.00%) |
47 (48.45%) |
0.0008 |
|
Average score on high priority differential diagnosis Maximum: 3 points |
1.98 (0.79) |
1.64 (0.92) |
p < 0.001 |
Study cohort students with clinical reasoning in the curriculum; comparison cohort students not taught clinical reasoning
aOrganized in the frequency of clinician preference