David Lee Simel, MD

Professor of Medicine
Vice-Chair for Veterans Affairs in the Department of Medicine
Campus mail Room C8010, Durham VA Med Ct., 508 Fulton St, Durham, NC 27705
Phone (919) 286-6941
Email address david.simel@duke.edu

Chief, Medical Service, Durham Veterans Affairs Medical Center

Appropriateness of diagnostic test use, including not just traditional laboratory and radiographic tests, but also the clinical examination. Editor of the "Rational Clinical Examination Series" published in the Journal of the American Medical Association.

Metaanalysis of diagnostic test studies

Education and Training

  • Fellowship in Hematology-Oncology, Medicine, Duke University, 1985 - 1986
  • Chief Medical Resident, Medicine, Duke University, 1984 - 1985
  • Medical Resident, Medicine, Duke University, 1981 - 1984
  • Fellowship in Hematology-Oncology, Medicine, Duke University, 1981 - 1981
  • M.S., Duke University, 1990
  • M.D., Duke University, 1980

Publications

Boggan, Joel C., Ryan D. Schulteis, Mark Donahue, and David L. Simel. “Guideline-based decision support has a small, non-sustained effect on transthoracic echocardiography ordering frequency.” Bmj Qual Saf 25, no. 1 (January 2016): 57–62. https://doi.org/10.1136/bmjqs-2015-004284.

PMID
26405095
Full Text

Fanaroff, Alexander C., Jennifer A. Rymer, Sarah A. Goldstein, David L. Simel, and L Kristin Newby. “Does This Patient With Chest Pain Have Acute Coronary Syndrome?: The Rational Clinical Examination Systematic Review.” Jama 314, no. 18 (November 10, 2015): 1955–65. https://doi.org/10.1001/jama.2015.12735.

PMID
26547467
Full Text

Ahovuo-Saloranta, Anneli, Ulla-Maija Rautakorpi, Oleg V. Borisenko, Helena Liira, John W. Williams, and Marjukka Mäkelä. “WITHDRAWN: Antibiotics for acute maxillary sinusitis in adults.” Cochrane Database Syst Rev, no. 10 (October 16, 2015): CD000243. https://doi.org/10.1002/14651858.CD000243.pub4.

PMID
26471061
Full Text

Simel, D. L. “Approach to the Patient: History and Physical Examination.” In Goldman-Cecil Medicine. Saunders, 2015.

Scholars@Duke

Boggan, Joel C., Ryan D. Schulteis, Mark Donahue, and David L. Simel. “INCORPORATION OF GUIDELINE DATA INTO ORDERING SYSTEMS REDUCES TRANSTHORACIC ECHOCARDIOGRAPHY ORDER FREQUENCY.” In Journal of General Internal Medicine, 30:S62–S62. SPRINGER, 2015.

Scholars@Duke

Boggan, Joel C., Ann Marie Navar-Boggan, Vaishali Patel, Ryan D. Schulteis, and David L. Simel. “Reductions in telemetry order duration do not reduce telemetry utilization.” J Hosp Med 9, no. 12 (December 2014): 795–96. https://doi.org/10.1002/jhm.2264.

PMID
25263661
Full Text

Wood, Evan, Thomas Kerr, Greg Rowell, Julio S. G. Montaner, Peter Phillips, P Todd Korthuis, and David L. Simel. “Does this adult patient have early HIV infection?: The Rational Clinical Examination systematic review.” Jama 312, no. 3 (July 16, 2014): 278–85. https://doi.org/10.1001/jama.2014.5954.

PMID
25027143
Full Text

Boggan, Joel, Ann Marie Navar-Boggan, Ryan D. Schulteis, and David Simel. “A REDUCTION IN TELEMETRY ORDER DURATION DOES NOT CHANGE TELEMETRY ORDERING FREQUENCY AND REDUCES UTILIZATION.” In Journal of General Internal Medicine, 29:S13–S13. SPRINGER, 2014.

Scholars@Duke

Hermans, Job, Jolanda J. Luime, Duncan E. Meuffels, Max Reijman, David L. Simel, and Sita M. A. Bierma-Zeinstra. “Does this patient with shoulder pain have rotator cuff disease?: The Rational Clinical Examination systematic review.” Jama 310, no. 8 (August 28, 2013): 837–47. https://doi.org/10.1001/jama.2013.276187.

PMID
23982370
Full Text

Myers, Kathryn A., Marko Mrkobrada, and David L. Simel. “Does this patient have obstructive sleep apnea?: The Rational Clinical Examination systematic review.” Jama 310, no. 7 (August 21, 2013): 731–41. https://doi.org/10.1001/jama.2013.276185.

PMID
23989984
Full Text

Pages