Journal of general internal medicine
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Randomized Controlled Trial Comparative Study
Does prevalence matter to physicians in estimating post-test probability of disease? A randomized trial.
The probability of a disease following a diagnostic test depends on the sensitivity and specificity of the test, but also on the prevalence of the disease in the population of interest (or pre-test probability). How physicians use this information is not well known. ⋯ Most physicians do not take into account the prevalence of disease when interpreting a positive test result. This may cause unnecessary testing and diagnostic errors.
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Randomized Controlled Trial Comparative Study
The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.
A key goal of resident duty hour reform by the Accreditation Council for Graduate Medical Education (ACGME) in 2003 was to improve patient outcomes. ⋯ Among Medicare beneficiaries, there were no changes in hospital readmission rates associated with resident duty hour reform.