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Comment & Response
May 2019

Analyze Patient Tests for Importance Before Ordering

Author Affiliations
  • 1Department of Neurology, Tufts University School of Medicine, Maine Medical Center, Portland
JAMA Intern Med. 2019;179(5):729. doi:10.1001/jamainternmed.2018.8333

To the Editor In a recent Editor’s Note,1 Dr Redberg responded to an analysis of test-ordering habits among internal medicine residents2 with the laudable comment: “Residency is the perfect time to think clearly and deeply what can be learned from each potential test and to order only those tests that will affect the care of the patient.”1(p1721) However, she does not describe that learning process. I propose, in this era of evidence-based medicine, empiricism (in the modern sense) based on inductive logic, is the primary methodology to do so. Data gathered from experience and experiment allow the formation of theories and guide future activities.

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