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Journal of Research in Medical Sciences، جلد ۱۶، شماره ۴، صفحات ۰-۰
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Evidence-based history taking under "time constraint"
چکیده انگلیسی مقاله Physicians all through the world visit patients under time limitations. The most important troubled clinical skill under "time constraint" is the diagnostic approach. In this situation, clinicians need some diagnostic approaches to reduce both diagnostic time and errors. It seems that highly experienced physicians utilize some special tactics in this regard. Evidence-based medicine (EBM) as a relatively new paradigm for clinical practice stresses on using research evidences in diagnostic evaluations. The authors aimed to evaluate experts' strategies and assess what EBM can add to these tactics. They reviewed diagnostic strategies of some veteran internists in their busy outpatient clinics and proposed an evidence-based diagnostic model engaging clinical experience and research evidence. It appears that every clinician utilizes a set of "key pointer" questions for decision-making. In addition to use of evidence-based resources for making differential diagnosis and estimating utility of various diseases, clinicians should use "key pointers" with significant likelihood ratios and from independent systems to reduce time and errors of history taking. Clinical trainees can improve their practice by constructing their own set of pointers from valid research evidences. Using this diagnostic model, EBM can help physicians to struggle against their "time constraint". KEYWORDS: Clinical Competence, Diagnosis, Evidence-Based Medicine, Outpatient Clinics, Hospital, Time Management.
کلیدواژه‌های انگلیسی مقاله
نویسندگان مقاله علیرضا معیری | alireza moayyeri
department of public health and primary care, university of cambridge, united kingdom


اکبر سلطانی | akbar soltani
evidence based medicine and critical thinking working team, endocrinology and metabolism research center, tehran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

حمیده موسی پور | hamideh moosapour
evidence based medicine and critical thinking working team, endocrinology and metabolism research center, tehran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

محسن رضا | mohsin raza
applied neuroscience research center, baqiyatallah medical sciences university, tehran, iran
نشانی اینترنتی http://jrms.mui.ac.ir/index.php/jrms/article/view/5894
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کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده Educational Research Articles
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