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Diagnostic accuracy drops with difficult patients

from MedPage Today

In two separate experiments, primary care residents proved to be less accurate when diagnosing patients who demonstrated disruptive behavior compared with patients showing more neutral behavior, researchers reported. Average diagnostic accuracy scores were 10 percent lower when first- and second-year internal medicine residents evaluated clinical vignettes portraying disruptive patients compared with behavior-neutral patients, according to Silvia Mamede, M.D., Ph.D., of Erasmus Medical Center in Rotterdam, the Netherlands, and colleagues. more

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