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Patterns of diagnostic testing in the academic setting: The influence of medical attendings' subspeciality training

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  • Manu, Peter
  • Schwartz, Sheldon E.

Abstract

Internists with subspecialty training (subspecialists) constitute the majority of the medical faculty members and the test-ordering behavior of these subspecialists influences how house officers and students solve clinical problems. To assess whether test-ordering patterns are influenced by the ward attendings' subspecialty status, we identified the number of gastrointestinal endoscopic procedures, bone marrow procedures and exercise stress tests that were ordered on 9608 patients admitted to a medical service during a 3 year period. The patient management was supervised by attendings, 8 of whom were generalists and 37 of whom were subspecialists. House officers supervised by generalists ordered 23% fewer gastrointestinal procedures, 47% fewer bone marrow procedures, 43% fewer exercise stress tests and 29% fewer total procedures than house staff supervised by subspecialists (P--not significant, P

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  • Manu, Peter & Schwartz, Sheldon E., 1983. "Patterns of diagnostic testing in the academic setting: The influence of medical attendings' subspeciality training," Social Science & Medicine, Elsevier, vol. 17(18), pages 1339-1342, January.
    • Handle: RePEc:eee:socmed:v:17:y:1983:i:18:p:1339-1342
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    Cited by:

    1. Nordyke, Robert J., 2002. "Determinants of PHC productivity and resource utilization: a comparison of public and private physicians in Macedonia," Health Policy, Elsevier, vol. 60(1), pages 67-96, April.

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