Clinical Performance and Value (CPV) vignettes
CPVs are a validated online patient simulation tool owned by QURE Healthcare which have been widely used to measure clinical care [With between 61 and 74 evidence-based criteria evaluated for each CPV, participant responses were scored by two trained expert physicians, working independently, using pre-determined criteria (see Supplement 1) based on current standards of care to measure individual physician care. In cases of disagreement, a third physician would adjudicate for the final score. All three physicians were blinded to the study arm assignment of the participant. We generated a quality-of-care percentage score based upon the number of responses matching the evidence-based criteria (range from 0 to 100%). Higher percentage scores indicated greater adherence to the evidence base in clinical care provided.We note the DxTx score has proven helpful to understand the challenges clinicians face—DDI DxTx scores were 22.9% in our previous research indicating that both diagnosis and treatment of DDIs are significant clinical problems [