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Diagnosis Error, Part 1: The Basics (1 credit, Monograph)

Hours: 1.00

Best suited for: Physicians of all specialties, residents, and clinicians engaged in diagnosis

This module will define diagnostic error, overdiagnosis and underdiagnosis; describe cognitive and systems-related causes of diagnostic error; present evidence for physician overconfidence as a factor in diagnostic error; and present an overview of strategies to counter it. This is the first module in a 6 part series by Mark Graber on diagnostic error in medicine, each designed to stand alone, but participants are encouraged to complete the series.

Original Release Date: April 23, 2015
Review Date:
Expiration Date: April 23, 2018

Learning Objectives: Upon completion, participants should be able to

1)    Define diagnostic error, overdiagnosis and underdiagnosis. 
2)    Estimate the prevalence of diagnostic error in general and in your own practice. 
3)    Differentiate the systems‐related and cognitive causes of diagnostic error.
4)    Explain the role of overconfidence and several strategies to counter it to reduce diagnostic

Learning Assessment: There will be a post test for this activity with a minimum performance requirement of 5 out of 6 correct answers.

Estimated time to complete activity: 1 hour

Method and Medium: To obtain CME credit, view the entire online presentation, complete the evaluation and post test and print your certificate online.

CME Credit: 1.0

MOC Approved: Through the American Board of Medical Specialties ("ABMS") and Association of American Colleges' ("AAMC") joint initiative to create a wide array of Maintenance of Certification ("MOC") Activities, Diagnosis Error, Part 1: The Basics has met the MOC requirements as a Part II activity by the following ABMS Member Boards:

  • American Board of Allergy and Immunology
  • American Board of Colon and Rectal Surgery
  • American Board of Family Medicine
  • American Board of Ophthalmology
  • American Board of Physical Medicine and Rehabilitation
  • American Board of Plastic Surgery
  • American Board of Psychiatry and Neurology
  • American Board of Radiology
  • American Board of Thoracic Surgery
  • American Board of Urology

Residents will earn a certificate of completion. Physicians will earn CME credit. 

CME Information - Read

State Requirements:
Based on information from state licensing authorities published by the AMA, this program meets specific CME requirements for the following states:
Florida -  This activity includes content in Preventing Medical Errors
Connecticut - This activity includes content in Risk Management
Massachusetts - This activity includes content in Risk Management
Pennsylvania - This activity includes content in Risk Management / Patient Safety
Texas - This activity includes content in Ethics and/or Professional Responsibility

Disclosure Policy - Read

About the Author: Mark L. Graber, MD, FACP - Read Bio

Disclosure Statement: The author discloses he is an unpaid officer of the Society to Improve Diagnosis In Medicine, has received research grants from the AHRQ and NPSF, and payment from the Australian Clinical Excellence Commission and Best Doctors for developing education curricula. The editors and planning committee members for this activity have no relevant financial relationships to disclose.

Managing Editor: Dawer Azizi, MHA, CPHRM, LAMMICO Director of Risk Management

Editor: Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Risk Management Education Specialist

Electronic Hardware and Software Requirements Read

Web Master Contact Information: For assistance, contact Shea Ivey at 866/398-1038 or help@medicalinteractive.com

Disclaimer: This activity is presented as risk management education. It is not legal advice, nor does it establish medical standards of care. Standards of care vary depending on the unique presentation of each patient. The information contained herein is not a substitute for the reasonable discretion of skilled and informed clinicians at the point of care.

Copyright Information: Copyright © 2015

Bibliography: To view and download a Bibliography for this presentation, please select the References button below.

Planning Group
Content Advisors/Planning Committee Members - Read


Member and Subscriber Access
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This course is offered through Experix, a wholly owned subsidiary of Physicians Insurance, and is based on more than 30 years' experience in providing continuing medical education. This course is complimentary for Physicians Insurance members.

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