BRIAN P. SCHMITT, M.D.; ARTHUR S. ELSTEIN, Ph.D.
SCHMITT BP, ELSTEIN AS. Laboratory Use: Persisting Attitudes Implicit in a National Examination. Ann Intern Med. 1988;108:158-159. doi: 10.7326/0003-4819-108-1-159_1
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Published: Ann Intern Med. 1988;108(1):158-159.
To the editor: Over the last 7 years the American College of Physicians (ACP) has supported rational principles of diagnostic test selection and interpretation (1). However, these principles have been reluctantly incorporated into clinical practice. One reason for this reluctance may be faculty attitude (2).
Previously, to evaluate attitudes at a national level, we focused on the Medical Knowledge Self-Assessment Program (MKSAP) (3). Specifically, we reviewed the patient management problem sections of the MKSAP V and VI. We looked at every diagnostic option associated with a dollar cost. We categorized the 563 diagnostic questions from the 23 patient management problems
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