We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Changes in the Diagnostic Process During 40 Years of Clinicopathologic Conferences

Alvan R. Feinstein, MD; Jennifer R. Niebyl, MD
Arch Intern Med. 1971;128(5):774-780. doi:10.1001/archinte.1971.00310230104010.
Text Size: A A A
Published online


The topics and diagnostic discussions have been analyzed for the clinicopathologic conferences of the Massachusetts General Hospital, which were published during 1922, 1942, and 1962. The general distribution of topics has remained similar through the years, and the diseases under survey have remained almost exclusively entities of morbid anatomy, with "answers" provided by morphologic evidence. The general accuracy of pre-mortem diagnosis has declined during the 40-year period, probably because increasingly difficult cases have been selected for the conferences, although a misplaced confidence in para-clinical tests may be a contributing factor. In the diagnosis of cardiovascular-respiratory problems, almost half of the errors were due to "inaccurate focus." Other types of diagnostic errors were due to omission, inappropriate exclusion, and extraneous addition.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.