Physician clinical management strategies and reasoning: a cross-sectional survey using clinical vignettes of eight common medical admissions

Table 2 Proportion of respondents selecting Level 1 and Level 3 clinical management strategies ‘always’ or ‘most of the time’, overall and stratified by each of the 8 clinical vignettes (N = 79)

	Level 1 strategies, %	Level 3 strategies, %	P value
Overall	82	43	< 0.001
Clinical vignette scenario
Community acquired pneumonia	93	25	< 0.001
Acute coronary syndrome*	93	65	< 0.001
Congestive heart failure	85	31	< 0.001
Syncope	83	33	< 0.001
Asthma*	81	52	< 0.001
End-Stage lung cancer*^†	77	61	0.01
Transient ischemic attack*^†	73	17	< 0.001
Chronic obstructive pulmonary disease*^†	69	57	0.08

*Proportion of respondents that selected Level 3 clinical management strategies was significantly different that the proportion that selected Level 3 strategies for the community acquired pneumonia vignette.
^†Proportion of respondents that selected Level 1 clinical management strategies was significantly different that the proportion that selected Level 1 strategies for the community acquired pneumonia vignette.

ISSN: 1472-6963