Collaboration of Internal Medicine Physicians with Patients and Other Health Care Providers in the Diagnostic Process
Given the increasing complexity of patients, the multitude of choices for diagnostic testing, and the specialization of providers, team-based care is an increasingly important part of the diagnostic process.1, 2 “Effective teamwork” is a core goal in the National Academy of Medicine’s (NAMs) report “Improving Diagnosis in Health Care,” to reduce diagnostic errors.3 Our study evaluated how internal medicine physicians are partnering with four underutilized members of the diagnostic team highlighted in the NAM report: patients, interdisciplinary teams, radiologists, and pathologists.
Setting and Participants
Between June 2016 and March 2017, we surveyed internal medicine residents and attendings across nine residency training programs at six Connecticut hospitals. Questions assessed the frequency of collaboration with patients, interdisciplinary teams, radiologists, and pathologists with response choices: every patient, ≥ 2 times per day, once daily, ≥ 2 times per...
Compliance with Ethical Standards
The Yale-New Haven Hospital Institutional Review Board approved the study.
Conflict of Interest
The authors declare that they do not have a conflict of interest.
- 3.National Academies of Sciences, Engineering, and Medicine. Improving diagnosis in health care. Washington, DC: The National Academies Press, 2015.Google Scholar