Skip Navigation
Menu
Letters |15 May 2018

Diagnostic Reasoning

David M. Mitchell, MD, PhD

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
×
FULL TEXT
TO THE EDITOR:
As a former hospital medicine inpatient teaching attending and a hospitalist with 15 years of experience in several states, groups, and hospital sizes, I agree with Simpkin and colleagues (1) that the practice of diagnostic reasoning is sadly fading quickly in inpatient medicine. However, I believe that education is not the sole problem or the final solution. Financial and time-related pressures are turning even well-trained “thinking” residents into inpatient triage robots unfortunately retrained to stop thinking and instead focus on generating more revenue, building higher case-mix indices, and producing higher patient satisfaction and quality scores rather than refining their diagnostic skills.
FULL TEXT
PDF
Not Available
Citations
Citation

Mitchell DM. Diagnostic Reasoning. Ann Intern Med. ;168:750. doi: 10.7326/L18-0010

Download citation file:

© 2019

×
Permissions

Published: Ann Intern Med. 2018;168(10):750.

DOI: 10.7326/L18-0010

©
2018 American College of Physicians
0 Citations
CONTINUE WITH LIMITED ACCESS
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
acp link acp
silverchair link silverchair

Copyright © 2019 American College of Physicians. All Rights Reserved.

Print ISSN: 0003-4819 | Online ISSN: 1539-3704

Privacy Policy

|

Conditions of Use

This site uses cookies. By continuing to use our website, you are agreeing to our privacy policy. | Accept
×

You need a subscription to this content to use this feature.

×
PDF Downloads Require Access to the Full Article.
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
Access to this Free Content Requires Users to be Registered and Logged In. Please Choose One of the Following Options
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×