Literature DB >> 27664173

Prime time to resuscitate clinical medicine and kill diagnostic greed?

C Rajasoorya.   

Abstract

Modern healthcare faces the challenges of rising costs, increasing expectations of patients and changing disease patterns. Physicians practise medicine in an era of easy availability and access to a plethora of modern and sometimes expensive diagnostic aids. The powerful utility of clinical skills cannot be underestimated nor lost. The physician has a powerful platform to encourage the rational use of tests, prevent wasteful overutilisation and ensure that tests do not cause more harm than benefit in physical, emotional or financial terms. Diagnostic skills should not be substituted by diagnostic greed. It is possible to do more for the patient rather than to the patient. Copyright: © Singapore Medical Association.

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Year:  2016        PMID: 27664173      PMCID: PMC5027395          DOI: 10.11622/smedj.2016151

Source DB:  PubMed          Journal:  Singapore Med J        ISSN: 0037-5675            Impact factor:   1.858


  32 in total

1.  Cardiac auscultatory skills of physicians-in-training: a comparison of three English-speaking countries.

Authors:  S Mangione
Journal:  Am J Med       Date:  2001-02-15       Impact factor: 4.965

2.  Routine pregnancy test on admission to hospital.

Authors:  G E Laubach; S A Wilchins
Journal:  Am J Obstet Gynecol       Date:  1975-12-01       Impact factor: 8.661

3.  Bedside skills: a 50-year personal retrospective.

Authors:  Ira Martin Grais
Journal:  Tex Heart Inst J       Date:  2010

4.  Competency in cardiac examination skills in medical students, trainees, physicians, and faculty: a multicenter study.

Authors:  Jasminka M Vukanovic-Criley; Stuart Criley; Carole Marie Warde; John R Boker; Lempira Guevara-Matheus; Winthrop Hallowell Churchill; William P Nelson; John Michael Criley
Journal:  Arch Intern Med       Date:  2006-03-27

5.  The importance of the history in the medical clinic and the cost of unnecessary tests.

Authors:  G Sandler
Journal:  Am Heart J       Date:  1980-12       Impact factor: 4.749

6.  Addressing overutilization in medical imaging.

Authors:  William R Hendee; Gary J Becker; James P Borgstede; Jennifer Bosma; William J Casarella; Beth A Erickson; C Douglas Maynard; James H Thrall; Paul E Wallner
Journal:  Radiology       Date:  2010-08-24       Impact factor: 11.105

7.  HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging.

Authors:  Jorge C Kattah; Arun V Talkad; David Z Wang; Yu-Hsiang Hsieh; David E Newman-Toker
Journal:  Stroke       Date:  2009-09-17       Impact factor: 7.914

8.  Views of US physicians about controlling health care costs.

Authors:  Jon C Tilburt; Matthew K Wynia; Robert D Sheeler; Bjorg Thorsteinsdottir; Katherine M James; Jason S Egginton; Mark Liebow; Samia Hurst; Marion Danis; Susan Dorr Goold
Journal:  JAMA       Date:  2013-07-24       Impact factor: 56.272

9.  Misdiagnosis at a university hospital in 4 medical eras.

Authors:  W Kirch; C Schafii
Journal:  Medicine (Baltimore)       Date:  1996-01       Impact factor: 1.889

10.  Bedside teaching in medical education: a literature review.

Authors:  Max Peters; Olle Ten Cate
Journal:  Perspect Med Educ       Date:  2014-04
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