Table 1 Overview of cases and questions
Case A | 55 year-old man with pneumonia, PORT study Class lll, with or without free medical care access and frequent visit history | |
Q1 | Test | Do you order blood culture test? Yes or no? |
Q2 | Test | Do you order chest CT scan? Yes or no? |
Q3 | Admission | Do you hospitalize the patient? Yes or no? |
Q4 | Emergent procedure | Do you perform thoracentesis if there were suspicion of empyema in the chest CT scan? Yes or no? |
Case B | 55 year-old man with pyelonephritis, vitals stable, with or without free medical care access and frequent visit history | |
Q1 | Test | Do you order blood culture test? Yes or no? |
Q2 | Test | Do you order abdominal ultrasound exam? Yes or no? |
Q3 | Admission | Do you hospitalize the patient? Yes or no? |
Q4 | Emergent procedure | Do you perform urinary tract drainage if there were hydronephrosis with a 15 mm urinary stone? Yes or no? |
Case C | 55 year-old man with heart failure and mild pulmonary oedema, vitals stable, with or without schizophrenia and frequent visit history | |
Q1 | Test | Do you order arterial blood gas test? Yes or no? |
Q2 | Treatment | Do you administer furosemide? Yes or no? |
Q3 | Admission | Do you hospitalize the patient? Yes or no? |
Q4 | Emergent procedure | Do you administer catecholamine if there were circulatory failure? Yes or no? |
Case D | 55 year-old man with upper gastrointestinal bleeding, Blatchford Score 1, vitals stable, with or without schizophrenia | |
Q1 | Test | Do you order blood test? Yes or no? |
Q2 | Treatment | Do you perform emergent esophagogastroduodenoscopy? Yes or no? |
Q3 | Admission | Do you hospitalize the patient? Yes or no? |
Q4 | Emergent procedure | Do you perform red blood cell transfusion if haemoglobin were 6.5 g/dL? Yes or no? |
Case E | 55 year-old man with atypical chest pain, with or without schizophrenia and frequent visit history | |
Q1 | Test | Do you order electrocardiogram? Yes or no? |
Q2 | Test | Do you order troponin test? Yes or no? |
Q3 | Test | Do you order d-dimer test? Yes or no? |
Q4 | Follow-up | Do you schedule the next medical follow-up visit? Yes or no? |
Case F | 55 year-old man with gradual onset continuous dizziness, with or without schizophrenia and frequent visit history | |
Q1 | Test | Do you order blood test? Yes or no? |
Q2 | Test | Do you order head CT scan? Yes or no? |
Q3 | Test | Do you order head MRI scan? Yes or no? |
Q4 | Follow-up | Do you schedule the next medical follow-up visit? Yes or no? |
Case G | 55 year-old man with transient loss of consciousness, spontaneous recovery, with or without free medical care access | |
Q1 | Test | Do you order electrocardiogram? Yes or no? |
Q2 | Test | Do you order head CT scan? Yes or no? |
Q3 | Treatment | Do you perform tetanus vaccination? Yes or no? |
Q4 | Follow-up | Do you schedule the next medical follow-up visit? Yes or no? |
Case H | 55 year-old man with palpitation, heart rate 90/min regular, with or without free medical care access and frequent visit history | |
Q1 | Test | Do you order electrocardiogram? Yes or no? |
Q2 | Test | Do you order troponin test? Yes or no? |
Q3 | Test | Do you order thyroid function test? Yes or no? |
Q4 | Follow-up | Do you schedule the next medical follow-up visit? Yes or no? |