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Table 4 Rationale for selecting Level 1 or Level 3 clinical management strategies, stratified by physician characteristics and self-reported factors that influence clinical practice (N = 79)

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

Selected rationale Clinical strategy Physician characteristics Self-reported factors that influence clinical practice
Clinical practice includes primary care Attending physician Malpractice concerns Practice guidelines
Yes, % No, % P value Yes, % No, % P value Yes, % No, % P value Yes, % No, % P value
Supportive evidence Level 1 64 62 0.97 64 62 0.67 57 64 0.32 63 64 0.87
Level 3 30 30 0.70 31 29 0.72 29 30 0.79 30 31 0.81
Local practice patterns Level 1 38 38 0.80 31 41 0.16 12 43 < 0.001 37 38 0.98
Level 3 29 28 0.94 27 30 0.39 11 32 < 0.001 28 31 0.43
Rule out more serious conditions Level 1 19 17 0.17 20 17 0.15 27 16 0.18 19 14 0.17
Level 3 27 25 0.51 28 25 0.26 31 25 0.53 28 20 0.13
Supervisor expectations Level 1 9 26 < 0.001 3 26 < 0.001 1 21 0.003 21 4 0.004
Level 3 6 22 < 0.001 2 21 < 0.001 1 17 0.005 17 5 0.02
Academic purposes Level 1 2 3 0.26 1 3 0.40 1 3 0.36 3 1 0.16
Level 3 3 3 0.69 2 4 0.20 2 4 0.33 4 2 0.43
Malpractice concerns Level 1 2 4 0.02 1 4 0.02 1 4 0.11 4 1 0.04
Level 3 3 5 0.10 2 5 0.01 2 4 0.13 5 2 0.36