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David Lee Simel

Professor Emeritus of Medicine
Medicine, General Internal Medicine
Room C8010, Durham VA Med Ct., 508 Fulton St, Durham, NC 27705

Overview


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

Current Appointments & Affiliations


Professor Emeritus of Medicine · 2023 - Present Medicine, General Internal Medicine, Medicine
Vice-Chair for Veterans Affairs in the Department of Medicine · 2007 - Present Medicine, Clinical Science Departments

Recent Publications


Audit-and-Feedback Utilizing Resident Consensus Standards Reduced Daily Labs.

Journal Article J Grad Med Educ · June 2025 Background The Choosing Wisely campaign recommends that clinicians avoid repetitive laboratory testing in hospitalized patients who have clinical and laboratory stability; however, it is unclear how physicians define laboratory stability, or how they adher ... Full text Open Access Link to item Cite

History and Physical Examination

Chapter · January 1, 2023 The clinical examination provides data that are part of a scientific inquiry and is also an important social ritual that establishes and maintains a relationship between the physician and patient. As part of a scientific inquiry, the physician should focus ... Full text Cite

Does This Patient With Acute Infectious Conjunctivitis Have a Bacterial Infection?: The Rational Clinical Examination Systematic Review.

Journal Article JAMA · June 14, 2022 IMPORTANCE: Acute infectious conjunctivitis is characterized by ocular redness and discharge, and is a common clinical entity. Evidence-based tools to aid the clinical diagnosis of viral vs bacterial conjunctivitis are lacking and may contribute to overpre ... Full text Link to item Cite
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Recent Grants


Clinical Practice Guidelines On Chronic Pain: Headache

ResearchCo-Principal Investigator · Awarded by National Institutes of Health · 1994 - 1998

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Education, Training & Certifications


Duke University · 1990 M.S.
Duke University · 1980 M.D.