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Previous studies have documented the underdiagnosis of coronary heart disease CHD in women, but less is known about which alternate diagnoses take precedence and whether additional patient factors modify possible gender bias. To measure gender variation in clinical decision making, including 1 the number, types, and certainty levels of diagnoses considered and 2 how diagnoses vary according to patient characteristics, when patients have identical symptoms of CHD. This was a factorial experiment presenting videotaped CHD symptoms, systematically altering patient gender, age, socioeconomic status SES and race, and physician gender and level of experience. The primary end point was physicians' most certain diagnosis.

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