Matches in SemOpenAlex for { <https://semopenalex.org/work/W4313197997> ?p ?o ?g. }
Showing items 1 to 93 of
93
with 100 items per page.
- W4313197997 endingPage "97" @default.
- W4313197997 startingPage "88" @default.
- W4313197997 abstract "Assessing expertise using psychometric models usually yields a measure of ability that is difficult to generalize to the complexity of diagnoses in clinical practice. However, using an item response modeling framework, it is possible to create a decision-aligned response model that captures a clinician's decision-making behavior on a continuous scale that fully represents competing diagnostic possibilities. In this proof-of-concept study, the authors demonstrate the necessary statistical conceptualization of this model using a specific electrocardiogram (ECG) example.The authors collected a range of ECGs with elevated ST segments due to either ST-elevation myocardial infarction (STEMI) or pericarditis. Based on pilot data, 20 ECGs were chosen to represent a continuum from definitely STEMI to definitely pericarditis, including intermediate cases in which the diagnosis was intentionally unclear. Emergency medicine and cardiology physicians rated these ECGs on a 5-point scale (definitely STEMI to definitely pericarditis). The authors analyzed these ratings using a graded response model showing the degree to which each participant could separate the ECGs along the diagnostic continuum. The authors compared these metrics with the discharge diagnoses noted on chart review.Thirty-seven participants rated the ECGs. As desired, the ECGs represented a range of phenotypes, including cases where participants were uncertain in their diagnosis. The response model showed that participants varied both in their propensity to diagnose one condition over another and in where they placed the thresholds between the 5 diagnostic categories. The most capable participants were able to meaningfully use all categories, with precise thresholds between categories.The authors present a decision-aligned response model that demonstrates the confusability of a particular ECG and the skill with which a clinician can distinguish 2 diagnoses along a continuum of confusability. These results have broad implications for testing and for learning to manage uncertainty in diagnosis." @default.
- W4313197997 created "2023-01-06" @default.
- W4313197997 creator A5013975026 @default.
- W4313197997 creator A5020680009 @default.
- W4313197997 creator A5033646522 @default.
- W4313197997 creator A5035614629 @default.
- W4313197997 creator A5051486664 @default.
- W4313197997 creator A5059119463 @default.
- W4313197997 creator A5089298592 @default.
- W4313197997 creator A5089918212 @default.
- W4313197997 creator A5091513059 @default.
- W4313197997 date "2022-08-09" @default.
- W4313197997 modified "2023-10-18" @default.
- W4313197997 title "Modeling Diagnostic Expertise in Cases of Irreducible Uncertainty: The Decision-Aligned Response Model" @default.
- W4313197997 cites W2018503807 @default.
- W4313197997 cites W2051780620 @default.
- W4313197997 cites W2058627066 @default.
- W4313197997 cites W2068036692 @default.
- W4313197997 cites W2097675516 @default.
- W4313197997 cites W2150197113 @default.
- W4313197997 cites W2155284013 @default.
- W4313197997 cites W2801818793 @default.
- W4313197997 cites W2889407761 @default.
- W4313197997 cites W2899004899 @default.
- W4313197997 cites W3009248208 @default.
- W4313197997 cites W4205418447 @default.
- W4313197997 cites W4226129776 @default.
- W4313197997 cites W4247243758 @default.
- W4313197997 cites W4254972346 @default.
- W4313197997 doi "https://doi.org/10.1097/acm.0000000000004918" @default.
- W4313197997 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36576770" @default.
- W4313197997 hasPublicationYear "2022" @default.
- W4313197997 type Work @default.
- W4313197997 citedByCount "1" @default.
- W4313197997 countsByYear W43131979972023 @default.
- W4313197997 crossrefType "journal-article" @default.
- W4313197997 hasAuthorship W4313197997A5013975026 @default.
- W4313197997 hasAuthorship W4313197997A5020680009 @default.
- W4313197997 hasAuthorship W4313197997A5033646522 @default.
- W4313197997 hasAuthorship W4313197997A5035614629 @default.
- W4313197997 hasAuthorship W4313197997A5051486664 @default.
- W4313197997 hasAuthorship W4313197997A5059119463 @default.
- W4313197997 hasAuthorship W4313197997A5089298592 @default.
- W4313197997 hasAuthorship W4313197997A5089918212 @default.
- W4313197997 hasAuthorship W4313197997A5091513059 @default.
- W4313197997 hasBestOaLocation W43131979971 @default.
- W4313197997 hasConcept C121332964 @default.
- W4313197997 hasConcept C142724271 @default.
- W4313197997 hasConcept C154945302 @default.
- W4313197997 hasConcept C164705383 @default.
- W4313197997 hasConcept C2778755073 @default.
- W4313197997 hasConcept C2781001862 @default.
- W4313197997 hasConcept C41008148 @default.
- W4313197997 hasConcept C500558357 @default.
- W4313197997 hasConcept C534262118 @default.
- W4313197997 hasConcept C62520636 @default.
- W4313197997 hasConcept C71924100 @default.
- W4313197997 hasConcept C90734943 @default.
- W4313197997 hasConceptScore W4313197997C121332964 @default.
- W4313197997 hasConceptScore W4313197997C142724271 @default.
- W4313197997 hasConceptScore W4313197997C154945302 @default.
- W4313197997 hasConceptScore W4313197997C164705383 @default.
- W4313197997 hasConceptScore W4313197997C2778755073 @default.
- W4313197997 hasConceptScore W4313197997C2781001862 @default.
- W4313197997 hasConceptScore W4313197997C41008148 @default.
- W4313197997 hasConceptScore W4313197997C500558357 @default.
- W4313197997 hasConceptScore W4313197997C534262118 @default.
- W4313197997 hasConceptScore W4313197997C62520636 @default.
- W4313197997 hasConceptScore W4313197997C71924100 @default.
- W4313197997 hasConceptScore W4313197997C90734943 @default.
- W4313197997 hasIssue "1" @default.
- W4313197997 hasLocation W43131979971 @default.
- W4313197997 hasLocation W43131979972 @default.
- W4313197997 hasLocation W43131979973 @default.
- W4313197997 hasLocation W43131979974 @default.
- W4313197997 hasOpenAccess W4313197997 @default.
- W4313197997 hasPrimaryLocation W43131979971 @default.
- W4313197997 hasRelatedWork W2119852139 @default.
- W4313197997 hasRelatedWork W2165119695 @default.
- W4313197997 hasRelatedWork W2316107365 @default.
- W4313197997 hasRelatedWork W2367140913 @default.
- W4313197997 hasRelatedWork W2377483921 @default.
- W4313197997 hasRelatedWork W2384102316 @default.
- W4313197997 hasRelatedWork W2411183214 @default.
- W4313197997 hasRelatedWork W2443697580 @default.
- W4313197997 hasRelatedWork W2595649087 @default.
- W4313197997 hasRelatedWork W2794495824 @default.
- W4313197997 hasVolume "98" @default.
- W4313197997 isParatext "false" @default.
- W4313197997 isRetracted "false" @default.
- W4313197997 workType "article" @default.