Rebecca Miller-Kuhlmann, Marzena Sasnal, Carl A Gold, Aussama K Nassar, James R Korndorffer, Sandrijn Van Schaik, Andrea Marmor, Sarah Williams, Rebecca Blankenburg, Caroline E Rassbach
Tips for developing a coaching program in medical education
Medical education online
acute chest pain management risk stratification tools including medical history recommended compared fraction patients sufficient clinical data obtained using computerized history taking software cht versus physicianacquired medical history calculate established risk scores assessed patientbypatient agreement 2 ways obtaining medical history information prospective cohort study clinically stable patients aged 18 years presenting emergency department ed danderyd university hospital stockholm sweden 20172019 acute chest pain nondiagnostic ecg serum markers medical histories selfreported using cht tablet observations discrete variables risk scores extracted electronic health records ehr cht database patientbypatient agreement described cohens kappa statistics total 1000 patients included mean age 553 174 years 54 women heart score edacs tmacs could calculated 75 74 83 cht 31 7 25 ehr respectively agreement cht ehr slight moderate kappa 019070 chest pain characteristics moderate almost perfect kappa 055091 risk factors cht acquire document data chest pain risk stratification ed patients using established risk scores achieving goal substantially larger number patients compared ehr data agreement cht physicianacquired history taking high traditional risk factors lower chest pain characteristics clinicaltrialsgov nct03439449