Clinical vignette | USMGs N = 2360 Mean (SE) | IMGs N = 366 Mean (SE) | p value* |
---|---|---|---|
% 50 y/o males prescribed oral agents for total cholesterol of 240, LDL of 150 and HDL of 50 after 6 months of diet therapy and no other cardiac risk factors (n = 2726) | 21.60 (0.87) | 22.92 (1.71) | 0.4533 |
% 60 y/o males referred to urology for moderate BPH symptoms without signs of renal disease or cancer (n = 2726) | 11.65 (0.55) | 15.52 (1.77) | 0.0276 |
% 50 y/o males with 1 month history of exertional chest pain referred to Cardiology after an abnormal stress test (n = 2726) | 47.20 (1.15) | 50.93 (2.80) | 0.1791 |
% 35 y/o males ordered MRI for acute low back pain with new left foot drop (n = 2726) | 33.39 (0.90) | 39.58 (1.97) | 0.0036 |
% Asymptomatic, male, Caucasian patients > 60 y/o without family history of prostate cancer and normal digital rectal exams who are ordered PSA test (n = 2726) | 37.31 (1.34) | 42.57 (2.64) | 0.0301 |
% 40 y/o monogamous, female patients with 2 days of vaginal itching and thick white discharge without abdominal pain or fever who are required an office visit (n = 2726) | 21.84 (0.95) | 34.91 (2.61) | <0.001 |
% 10 y/o males with primary enuresis with negative work-up and failure of water restriction and environmental measures who are prescribed DDAVP (n = 2726) | 26.23 (0.84) | 31.98 (2.50) | 0.0265 |
% 10 y/o males with 2 day history of sore throat and fever who required an office visit (n = 2726) | 31.74 (1.03) | 25.92 (1.99) | 0.0084 |
% 10 y/o females with fever, tachypnea and right-basilar rales who are ordered chest X-rays (n = 2726) | 23.40 (1.01) | 27.56 (2.22) | 0.0574 |
% 24-month-old females with history of 6 resolved episodes of supporative otitis media in past year with normal hearing and failure of prophylactic antibiotics who are referred to ENT for PE tubes (n = 2726) | 22.94 (0.87) | 22.60 (1.97) | 0.8816 |
% Full-term, 6-week-old children given sepsis work-up (CBC, sterile urine and blood cultures) for a fever of 101 (n = 2726) | 29.54 (0.91) | 26.63 (2.25) | 0.2458 |
% 4 y/o children with eczema and asthma that is worsening despite inhaled corticosteroids who are referred to an allergist (n = 2726) | 29.42 (0.97) | 28.40 (2.31) | 0.6605 |