Influences of early diagnostic suggestions on clinical reasoning

Cognitive Research: Principles and Implications

Table 3 Diagnoses by scenario version

Scenario version	Scenario severity	% accuracy	% serious diagnoses	% non-serious diagnoses
Musculoskeletal chest pain	Non serious	84.68% (105/124)	15.32% (19/124)	84.68% (105/124)
Irritable bowel syndrome	Non serious	70.97% (88/124)	20.16% (25/124)	79.84% (99/124)
Angina	Serious	97.58% (121/124)	97.58% (121/124)	2.42% (3/124)
Colorectal cancer	Serious	62.10% (77/124)	67.74% (84/124)	32.26% (40/124)

Scenario severity is the severity of the disease that the scenario version intended to depict (the expected diagnosis); “% accuracy” is the proportion of initial diagnoses that matched the expected diagnoses. “% serious/non-serious diagnoses” are proportions of responses that provided a serious/non-serious initial diagnosis