Please cite this article in press as: Chang C-M, et al. Using a questionnaire among patient, resident doctor and senior
supervisor: Are their answers the same? Complement Ther Med (2014), http://dx.doi.org/10.1016/j.ctim.2014.02.006
ARTICLE IN PRESS
+Model
YCTIM-1317; No. of Pages 8
Complementary Therapies in Medicine (2014) xxx, xxx—xxx
Available online at www.sciencedirect.com
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jo ur nal home p ag e: www.elsevierhealth.com/journals/ctim
Using a questionnaire among patient,
resident doctor and senior supervisor:
Are their answers the same?
Ching-Mao Chang
a,g
, Wen-Hsiang Wu
b,h
,
Benjamin Ing-Tiau Kuo
c,i
, Tzung-Yan Lee
d,j
, Chia-Yu Liu
e,k
,
Hen-Hong Chang
a,d,f,*
a
Graduate Institute of Clinical Medicine, and Graduate Institute of Traditional Chinese Medicine,
College of Medicine, Chang Gung University, Taoyuan 33378, Taiwan
b
Department of Healthcare Management, Yuanpei University, Hsinchu 30015, Taiwan
c
Institute of Clinical Medicine, National Yang-Ming University, Taipei 11221, Taiwan
d
School of Traditional Chinese Medicine, College of Medicine, Chang Gung University, Taoyuan 33378,
Taiwan
e
Department of Chinese Medicine, Linsen Chinese Medicine Branch, Taipei City Hospital, Taipei 10453,
Taiwan
f
Center for Traditional Chinese Medicine, Chang Gung Memorial Hospital, Taoyuan 33378, Taiwan
KEYWORDS
Systemic lupus
erythematosus;
Chinese Medicine
diagnosis;
Questionnaire;
Agreement;
Summary
Objectives: This study aims to contribute to the development of objective diagnostic standards
in Traditional Chinese Medicine (TCM), in order to improve the training of physicians.
Methods: We devised a questionnaire study to evaluate the accuracy of resident doctors’ diag-
nostic skills by comparing their assessment of patients with those of their senior supervising
physician and the patients themselves. We selected 39 patients with systemic lupus erythe-
matosus (SLE) at Chang Gung Memorial Hospital, Taiwan, between November 1, 2008 and June
30, 2012, and had the resident doctors (R), their senior supervisor (S) and their patients (P) fill
Abbreviations: TCM, Traditional Chinese Medicine; SLE, systemic lupus erythematosus; P, patient; R, resident doctor; S, senior supervisor;
EIP, effective items of P; EIR, effective items of R; AIP, P’s agreement of inquiry; AIR, R’s agreement of inquiry; ATR, R’s agreement of tongue
diagnosis; APR, R’s agreement of pulse diagnosis.
∗
Corresponding author at: School of Traditional Chinese Medicine, College of Medicine, Chang Gung University, No. 259, Wenhwa 1st Rd.,
Gueishan Township, Taoyuan 33378, Taiwan. Tel.: +886 3 3196200x2676; fax: +886 3 3294841.
E-mail addresses: magicbjp@gmail.com (C.-M. Chang), wenhsiang wu@mail.ypu.edu.tw (W.-H. Wu), itkuo@vghtpe.gov.tw (B.I.-T. Kuo),
joyamen@mail.cgu.edu.tw (T.-Y. Lee), bryanliu0421@gmail.com (C.-Y. Liu), tcmchh@mail.cgu.edu.tw (H.-H. Chang).
g
Graduate Institute of Clinical Medicine, and Graduate Institute of Traditional Chinese Medicine, College of Medicine, Chang Gung
University, No. 259, Wenhwa 1st Rd., Gueishan Township, Taoyuan 33378, Taiwan.
h
Department of Healthcare Management, Yuanpei University, No. 306, Yuanpei St., HsinChu 30015, Taiwan, Taiwan.
i
Institute of Clinical Medicine, National Yang-Ming University, No. 155, Sec. 2, Linong St., Taipei 11221, Taiwan.
j
Department of Chinese Medicine, Linsen Chinese Medicine Branch, Taipei City Hospital, No. 530, Linsen N. Rd., Taipei 10453, Taiwan.
k
Center for Traditional Chinese Medicine, Chang Gung Memorial Hospital, No. 123, Dinghu Rd., Gueishan Township, Taoyuan 33378, Taiwan.
http://dx.doi.org/10.1016/j.ctim.2014.02.006
0965-2299/© 2014 Elsevier Ltd. All rights reserved.