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Email invitations to the screening interview were sent out to the relevant specialty panels.
The protocol was successfully implemented within each of the four specialty panels, and each produced lists of high priority targets amenable to CDS (Table 9).
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Second opinions given by another institution or a specialty panel at the time of patient referral produce highly discordant rates as compared to analysis of cases referred to experts for review [ 13].
We ensured our panel comprised different specialities, as less disagreement has been found among same-specialty panels.
[ 5- 7] Studies examining group processes in determining appropriateness of coronary procedures have found that physicians of diverse specialties are likely to converge on a given recommendation after discussion in a multi-specialty panel.
For specialty-specific panels we also sought to include a relevant range of clinical sub-domains within the specialty.
Specialty-specific panels might be more likely to generate CDS priorities that are considered highly relevant within the specialty, however, this approach might reinforce the "silo" nature of medicine by failing to include the full scope of care provided for the conditions in question.
To maintain similar specificity at each level in each specialty, the panel decided that a three-level classification was not required in ENT surgery, urology, ophthalmology and obstetrics, in which cases Level 2 was omitted.
Lagging rates of reimbursement and concerns over malpractice -- the examinations miss 10percentto20percentcent of cancers -- are leading many would-be mammographers to choose other specialties, the panel members added.
The butter, which won out over 600 entries, was selected by an independent panel of specialty food experts.
Compared to other specialities, oncologists identified the time it takes to obtain results as a barrier to practice (59%) more often than other specialties (figure 5, panel A).
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