Course Overview

Approximate learning hours: 8

Access to course: 60 days

Cost of course: $89.00

Topics covered:

  • Diagnostic Accuracy, Sensitivity & Specificity Explained
  • The Clinical Value of Sensitivity & Specificity and the Predicative Values
  • Overall Measures & The Likelihood Ratios
  • Clinical Reasoning with Diagnostic Accuracy
  • Advanced Reasoning, Probability Manipulation & use of sequential tests
    • Two assignments
    • One quiz
Scientific Papers: 6

This course is intended for all clinicians and students undergoing physiotherapy, medicine and other health related training.

It starts with an introduction to diagnostics as a separate science from therapeutics. Diagnostics has its own conceptual framework and statistical measures. Fortunately, these do not require more than simple mathematics, and the use of an electronic spreadsheet.

The origin of data from diagnostic accuracy studies is described and the international standard for reporting of results is introduced. This is the STARD 2015 document. The concepts of reference standard and index tests, the 2X2 contingency table are introduced. A simple electronic spreadsheet is provided, but the calculation of sensitivity, specificity and the predictive values from the 2X2 contingency table is presented graphically and is easily followed.

The clinical value of sensitivity, specificity and the predictive values is covered in detail, and the effect of prevalence on them explained. The positive and negative likelihood ratios are described, and you learn how to interpret these, calculate pre and post-test probabilities then use them correctly in a clinical setting.

Diagnosis is explained as a sequential, integrated process that involves pattern recognition, ruling in and ruling out possible diagnoses. Though the course starts with very simple concepts, by the end of the 5th lesson you will understand how sequential reasoning and use of multiple clinical tests is validated and used in routine clinical settings.

There are some practical assignments on real data and published papers to help cement in the course content and you can do the quizzes to test your understanding.

Course curriculum

  • 1

    Welcome to the course!

    • Welcome from Dr Mark Laslett

    • How to use this course

    • Copyright Warning Notice

    • About you

    • Course Manual

    • Scientific Papers

  • 3

    The Clinical Value of Sensitivity & Specificity and the Predicative Values

    • The Clinical Value of Sensitivity & Specificity and the Predicative Values

    • Clinical Value of Sensitivity, Specificity & the Predictive Values

    • Lesson 2 Slide Handout

  • 4

    Overall Measures & The Likelihood Ratios

    • Overall Measures & The Likelihood Ratios

    • Overall measures of Diagnostic Accuracy & the Likelihood Ratios

    • Lesson 3 Slide Handout

  • 5

    Let's test your learning

    • Assignment One: Use Real Database & Calculate Values. Then test yourself with a Quiz

    • Assignment One Video: The diagnostic accuracy study database

    • Assignment One. Excel Diagnostic Accuracy Calculator

    • Quiz. Check your Diagnostic accuracy calculations carefully before you start!

  • 6

    Clinical Reasoning with Diagnostic Accuracy

    • Clinical Reasoning with Diagnostic Accuracy

    • Clinical Reasoning including Diagnosis by Subtraction

    • Lesson 4 Slide Handout

  • 7

    Advanced Reasoning, Probability Manipulation & use of sequential tests

    • Advanced Reasoning, Probability Manipulation & use of sequential tests

    • Video Presentation

    • Lesson 5 Slide Handout

  • 8

    Lets test your learning

    • Assignment 2 Overview

    • Assignment

  • 9

    Exemplar completed STARD Score sheets post-Assignment 2

    • Exemplar completed STARD Score sheets

  • 10

    Course Evaluation

    • Evaluation

  • 11

    Completed assignments made available

    • Diagnostic Accuracy Calculator with Data Table integrated

    • Lagniappe! (Google it!) Completed Database Spreadsheet and Diagnostic Accuracy Calculator

    • Lagniappe! (Google it!) Sample completed STARD 2015 score sheets for selected published papers

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