Rheumatology
Conditions
Brief summary
This study compares the ability of clinicians to make diagnoses with or without the assistance of diagnostic decision support software. The area of clinical focus is primarily rheumatology.
Detailed description
The study uses written case vignettes, not decisions about patients seeking care from the study subjects (i.e., clinicians).
Interventions
OTHERDiagnosis
Unaided: The testers will record a differential diagnosis consisting of a list of diseases and their ranking and a prioritized list of test orders, as well as the most appropriate referral for further evaluation and treatment of the patient. Aided: Then testers will enter the case into diagnostic decision support software and after getting advice from the software, the testers will record the same information as in Unaided, but allowing for the possibility that responses could differ as a result of using the software.
Sponsors
SimulConsult, Inc.
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
Clinicians in various medical specialties
Exclusion criteria
Non-clinician
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measures of Diagnostic effectiveness | Completion of each case vignette (typically ½ hour) | Each clinician subject reviews each case vignette and lists their differential diagnosis (Unaided). Then the clinician subject uses the diagnostic decision support software and then lists a revised differential diagnosis (Aided). The match between the clinician subject's differential diagnosis and a Gold Standard differential diagnosis list for each case is measured, looking at rank order of correct diseases and omissions. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Measures of Patient workup effectiveness | Completion of each case vignette (typically in the same ½ hour as measure 1) | Each clinician subject reviews each case vignette and lists their initial workup (Unaided). Then the clinician subject uses the diagnostic decision support software and then lists a revised initial workup (Aided). The match between the clinician subject's initial workup and a Gold Standard workup list for each case is measured, looking at rank order of correct diseases and omissions. |
Countries
United States
Contacts
Primary ContactRobert M Sundel, MD
Backup ContactLynn Feldman, MBA
Outcome results
None listed