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Utility of the History and Physical Exam in the Emergency Department

This study has been completed.
Information provided by:
Henry Ford Health System Identifier:
First received: June 30, 2010
Last updated: NA
Last verified: July 2009
History: No changes posted
The study is trying to prove that the history and physical exam (H&P) in the emergency department is the most important tool in exam of patients. The investigator is attempting to correlate the time of the H&P of residents and attendings to the accuracy of diagnosis.

Abdominal Pain Back Pain Dyspnea Headache Weakness

Study Type: Observational
Study Design: Time Perspective: Prospective
Official Title: Utility of the History and Physical Exam in the Emergency Department

Further study details as provided by Henry Ford Health System:

Enrollment: 128
Study Start Date: July 2009
Study Completion Date: June 2010
Primary Completion Date: June 2010 (Final data collection date for primary outcome measure)
Detailed Description:

The purpose of the study is to examine the utility of the history and physical exam in the emergency room towards obtaining a diagnosis. The goal of this observational study is to correlate physician level of experience and time spent on history and physical exam, to the correct diagnosis.

The aim of this study is:

  1. To draw a connection between time and accuracy of the history and physical exam.
  2. To draw a connection between time and level of experience as a physician based on post-graduate level.
  3. To assess the number of laboratory and radiographic studies and the post-graduate level.
  4. To assess the relevance of the labs and radiographs ordered. (Relevance is defined as something that changes plan of care.)

Time is a critical component of the ED physician. Our study will analyse if modern medicine has created a more laboratory/image based need to ascertain a diagnosis or if history and physical examination alone can predict the ultimate diagnosis.


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Emergency Department Patients

Inclusion Criteria:

  • Anyone over the age of 18 with a generalized complaints able to provide consent

Exclusion Criteria:

  • Anyone under 18 yrs and anyone with a very specific, system based complaint.
  Contacts and Locations
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Please refer to this study by its identifier: NCT01154517

United States, Michigan
Henry Ford Macomb Hospital
Clinton Township, Michigan, United States, 48038
Sponsors and Collaborators
Henry Ford Health System
Study Director: Jennifer Stevenson, DO Henry Ford Macomb
  More Information

Responsible Party: Peter Lunny, Henry Ford Identifier: NCT01154517     History of Changes
Other Study ID Numbers: 3617
Study First Received: June 30, 2010
Last Updated: June 30, 2010

Additional relevant MeSH terms:
Back Pain
Abdominal Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms
Disease Attributes
Pathologic Processes
Respiration Disorders
Respiratory Tract Diseases
Signs and Symptoms, Respiratory
Signs and Symptoms, Digestive processed this record on August 16, 2017