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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


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

Does This Adult Patient Have Hypertension?: The Rational Clinical Examination Systematic Review.

Journal Article JAMA · July 27, 2021 IMPORTANCE: Office blood pressure (BP) measurements are not the most accurate method to diagnose hypertension. Home BP monitoring (HBPM) and 24-hour ambulatory BP monitoring (ABPM) are out-of-office alternatives, and ABPM is considered the reference standa ... Full text Link to item Cite

Multivariable risk scores for predicting short-term outcomes for emergency department patients with unexplained syncope: A systematic review.

Journal Article Acad Emerg Med · May 2021 OBJECTIVES: Emergency department (ED) patients with unexplained syncope are at risk of experiencing an adverse event within 30 days. Our objective was to systematically review the accuracy of multivariate risk stratification scores for identifying adult sy ... Full text Open Access 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.