Junior staff experience with a decision aid for differential diagnosis of jaundice.
The Copenhagen pocket diagnostic chart can be used for early differentiation between obstructive and non-obstructive causes of jaundice. We present a reevaluation of the chart being used by a recently graduated physician and by two medical students. Non-error rates of 84-87% were found indicating that the students and the physician performed equally well. As to the observer error, the students and the physician typically differed on 0-2 of the chart's 21 items. This disagreement did not lead to a confident obstructive diagnosis being changed into a diagnosis of non-obstruction, or vice versa.
Malchow-Møller
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Department of Medicine, Svendborg Hospital, Denmark.
D000328:Adult; D000368:Aged; D000465:Algorithms; D002779:Cholestasis / Q000175:diagnosis*; D002983:Clinical Competence; D003661:Decision Support Techniques; D003936:Diagnosis, Computer-Assisted / Q000379:methods; D003937:Diagnosis, Differential; D006801:Humans; D007565:Jaundice / Q000175:diagnosis*; D008875:Middle Aged; D015588:Observer Variation; D013337:Students, Medical