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The Inability to Calculate Predictive Values: an Old Problem That Has Not Gone Away

Overview
Journal Med Sci Educ
Publisher Springer
Specialty Medical Education
Date 2021 Aug 30
PMID 34457725
Citations 1
Authors
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Abstract

Background: Previous studies suggest that many physicians and medical trainees have trouble calculating the probability that a patient has a condition, also known as the predictive value.

Activity: Two questions from the medical literature were administered to medical students, residents (post-medical school), fellows (post-residency), and faculty physicians.

Results: Only 6% answered both questions correctly. Most commonly, the participants grossly overestimated the probability of disease.

Discussion: Physicians still struggle with the ability to calculate predictive values, a skill that affects all branches of medicine and will become more consequential as new tests are administered to patients at low risk for disease.

Citing Articles

Coronavirus (COVID-19) Assessments and the Importance of Calculating the Probability of Illness.

Stovitz S Med Sci Educ. 2020; 30(2):669-670.

PMID: 32328341 PMC: 7176373. DOI: 10.1007/s40670-020-00964-7.

References
1.
Casscells W, SCHOENBERGER A, Graboys T . Interpretation by physicians of clinical laboratory results. N Engl J Med. 1978; 299(18):999-1001. DOI: 10.1056/NEJM197811022991808. View

2.
Gamulin S . The forthcoming era of precision medicine. Acta Med Acad. 2016; 45(2):152-157. DOI: 10.5644/ama2006-124.171. View

3.
Osborn C . Shared decision making requires statistical literacy. Virtual Mentor. 2012; 11(4):301-5. DOI: 10.1001/virtualmentor.2009.11.4.cprl1-0904. View

4.
Ioannidis J . Why Science Is Not Necessarily Self-Correcting. Perspect Psychol Sci. 2015; 7(6):645-54. DOI: 10.1177/1745691612464056. View

5.
Visschers V, Meertens R, Passchier W, De Vries N . Probability information in risk communication: a review of the research literature. Risk Anal. 2008; 29(2):267-87. DOI: 10.1111/j.1539-6924.2008.01137.x. View