id	sid	tid	token	lemma	pos
ecj-5615	1	1	hrev_master	hrev_master	NOUN
ecj-5615	2	1	[	[	X
ecj-5615	2	2	page	page	NOUN
ecj-5615	2	3	20	20	NUM
ecj-5615	2	4	]	]	PUNCT
ecj-5615	3	1	[	[	X
ecj-5615	3	2	emergency	emergency	NOUN
ecj-5615	3	3	care	care	NOUN
ecj-5615	3	4	journal	journal	PROPN
ecj-5615	3	5	2016	2016	NUM
ecj-5615	3	6	;	;	PUNCT
ecj-5615	3	7	12:5615	12:5615	NUM
ecj-5615	3	8	]	]	X
ecj-5615	3	9	defensive	defensive	ADJ
ecj-5615	3	10	medicine	medicine	NOUN
ecj-5615	3	11	in	in	ADP
ecj-5615	3	12	the	the	DET
ecj-5615	3	13	emergency	emergency	NOUN
ecj-5615	3	14	department	department	NOUN
ecj-5615	3	15	.	.	PUNCT
ecj-5615	4	1	the	the	DET
ecj-5615	4	2	clinicians	clinician	NOUN
ecj-5615	4	3	’	’	PART
ecj-5615	4	4	perspective	perspective	ADJ
ecj-5615	4	5	gianfranco	gianfranco	PROPN
ecj-5615	4	6	cervellin,1	cervellin,1	PROPN
ecj-5615	4	7	mario	mario	PROPN
ecj-5615	4	8	cavazza2	cavazza2	PROPN
ecj-5615	5	1	1emergency	1emergency	NUM
ecj-5615	5	2	department	department	NOUN
ecj-5615	5	3	,	,	PUNCT
ecj-5615	5	4	parma	parma	PROPN
ecj-5615	5	5	university	university	NOUN
ecj-5615	5	6	hospital	hospital	NOUN
ecj-5615	5	7	,	,	PUNCT
ecj-5615	5	8	parma	parma	PROPN
ecj-5615	5	9	;	;	PUNCT
ecj-5615	5	10	2emergency	2emergency	NUM
ecj-5615	5	11	department	department	NOUN
ecj-5615	5	12	,	,	PUNCT
ecj-5615	5	13	s.	s.	PROPN
ecj-5615	5	14	orsola	orsola	PROPN
ecj-5615	5	15	university	university	NOUN
ecj-5615	5	16	hospital	hospital	NOUN
ecj-5615	5	17	,	,	PUNCT
ecj-5615	5	18	bologna	bologna	PROPN
ecj-5615	5	19	,	,	PUNCT
ecj-5615	5	20	italy	italy	PROPN
ecj-5615	5	21	abstract	abstract	ADJ
ecj-5615	5	22	the	the	DET
ecj-5615	5	23	overuse	overuse	NOUN
ecj-5615	5	24	of	of	ADP
ecj-5615	5	25	medical	medical	ADJ
ecj-5615	5	26	services	service	NOUN
ecj-5615	5	27	is	be	AUX
ecj-5615	5	28	regarded	regard	VERB
ecj-5615	5	29	as	as	ADP
ecj-5615	5	30	a	a	DET
ecj-5615	5	31	growing	grow	VERB
ecj-5615	5	32	problem	problem	NOUN
ecj-5615	5	33	in	in	ADP
ecj-5615	5	34	western	western	ADJ
ecj-5615	5	35	countries	country	NOUN
ecj-5615	5	36	,	,	PUNCT
ecj-5615	5	37	accounting	account	VERB
ecj-5615	5	38	for	for	ADP
ecj-5615	5	39	up	up	ADP
ecj-5615	5	40	to	to	PART
ecj-5615	5	41	30	30	NUM
ecj-5615	5	42	%	%	NOUN
ecj-5615	5	43	of	of	ADP
ecj-5615	5	44	all	all	PRON
ecj-5615	5	45	delivered	deliver	VERB
ecj-5615	5	46	care	care	NOUN
ecj-5615	5	47	,	,	PUNCT
ecj-5615	5	48	and	and	CCONJ
ecj-5615	5	49	carrying	carry	VERB
ecj-5615	5	50	a	a	DET
ecj-5615	5	51	higher	high	ADJ
ecj-5615	5	52	risk	risk	NOUN
ecj-5615	5	53	of	of	ADP
ecj-5615	5	54	morbidity	morbidity	NOUN
ecj-5615	5	55	and	and	CCONJ
ecj-5615	5	56	mortality	mortality	NOUN
ecj-5615	5	57	.	.	PUNCT
ecj-5615	6	1	one	one	NUM
ecj-5615	6	2	of	of	ADP
ecj-5615	6	3	the	the	DET
ecj-5615	6	4	leading	lead	VERB
ecj-5615	6	5	drivers	driver	NOUN
ecj-5615	6	6	toward	toward	ADP
ecj-5615	6	7	medical	medical	ADJ
ecj-5615	6	8	overuse	overuse	NOUN
ecj-5615	6	9	is	be	AUX
ecj-5615	6	10	the	the	DET
ecj-5615	6	11	so	so	ADV
ecj-5615	6	12	-	-	PUNCT
ecj-5615	6	13	called	call	VERB
ecj-5615	6	14	defensive	defensive	ADJ
ecj-5615	6	15	medicine	medicine	NOUN
ecj-5615	6	16	,	,	PUNCT
ecj-5615	6	17	which	which	PRON
ecj-5615	6	18	is	be	AUX
ecj-5615	6	19	commonly	commonly	ADV
ecj-5615	6	20	defined	define	VERB
ecj-5615	6	21	as	as	ADP
ecj-5615	6	22	ordering	ordering	NOUN
ecj-5615	6	23	of	of	ADP
ecj-5615	6	24	tests	test	NOUN
ecj-5615	6	25	,	,	PUNCT
ecj-5615	6	26	procedures	procedure	NOUN
ecj-5615	6	27	,	,	PUNCT
ecj-5615	6	28	and	and	CCONJ
ecj-5615	6	29	visits	visit	NOUN
ecj-5615	6	30	,	,	PUNCT
ecj-5615	6	31	or	or	CCONJ
ecj-5615	6	32	,	,	PUNCT
ecj-5615	6	33	at	at	ADP
ecj-5615	6	34	variance	variance	NOUN
ecj-5615	6	35	,	,	PUNCT
ecj-5615	6	36	avoidance	avoidance	NOUN
ecj-5615	6	37	of	of	ADP
ecj-5615	6	38	high	high	ADJ
ecj-5615	6	39	-	-	PUNCT
ecj-5615	6	40	risk	risk	NOUN
ecj-5615	6	41	patients	patient	NOUN
ecj-5615	6	42	or	or	CCONJ
ecj-5615	6	43	procedures	procedure	NOUN
ecj-5615	6	44	,	,	PUNCT
ecj-5615	6	45	aimed	aim	VERB
ecj-5615	6	46	to	to	PART
ecj-5615	6	47	reduce	reduce	VERB
ecj-5615	6	48	exposure	exposure	NOUN
ecj-5615	6	49	to	to	ADP
ecj-5615	6	50	malpractice	malpractice	NOUN
ecj-5615	6	51	liability	liability	NOUN
ecj-5615	6	52	.	.	PUNCT
ecj-5615	7	1	defensive	defensive	ADJ
ecj-5615	7	2	medicine	medicine	NOUN
ecj-5615	7	3	may	may	AUX
ecj-5615	7	4	increase	increase	VERB
ecj-5615	7	5	the	the	DET
ecj-5615	7	6	amount	amount	NOUN
ecj-5615	7	7	of	of	ADP
ecj-5615	7	8	care	care	NOUN
ecj-5615	7	9	provided	provide	VERB
ecj-5615	7	10	to	to	ADP
ecj-5615	7	11	the	the	DET
ecj-5615	7	12	patients	patient	NOUN
ecj-5615	7	13	(	(	PUNCT
ecj-5615	7	14	i.e.	i.e.	X
ecj-5615	7	15	,	,	PUNCT
ecj-5615	7	16	additional	additional	ADJ
ecj-5615	7	17	tests	test	NOUN
ecj-5615	7	18	or	or	CCONJ
ecj-5615	7	19	therapies	therapy	NOUN
ecj-5615	7	20	)	)	PUNCT
ecj-5615	7	21	,	,	PUNCT
ecj-5615	7	22	change	change	VERB
ecj-5615	7	23	care	care	NOUN
ecj-5615	7	24	or	or	CCONJ
ecj-5615	7	25	setting	setting	NOUN
ecj-5615	7	26	of	of	ADP
ecj-5615	7	27	care	care	NOUN
ecj-5615	7	28	(	(	PUNCT
ecj-5615	7	29	i.e.	i.e.	X
ecj-5615	7	30	,	,	PUNCT
ecj-5615	7	31	patients	patient	NOUN
ecj-5615	7	32	referred	refer	VERB
ecj-5615	7	33	to	to	ADP
ecj-5615	7	34	another	another	DET
ecj-5615	7	35	specialist	specialist	NOUN
ecj-5615	7	36	or	or	CCONJ
ecj-5615	7	37	another	another	DET
ecj-5615	7	38	healthcare	healthcare	NOUN
ecj-5615	7	39	facility	facility	NOUN
ecj-5615	7	40	)	)	PUNCT
ecj-5615	7	41	,	,	PUNCT
ecj-5615	7	42	or	or	CCONJ
ecj-5615	7	43	impair	impair	VERB
ecj-5615	7	44	the	the	DET
ecj-5615	7	45	optimal	optimal	ADJ
ecj-5615	7	46	care	care	NOUN
ecj-5615	7	47	(	(	PUNCT
ecj-5615	7	48	i.e.	i.e.	X
ecj-5615	7	49	,	,	PUNCT
ecj-5615	7	50	refusing	refuse	VERB
ecj-5615	7	51	risky	risky	ADJ
ecj-5615	7	52	patients	patient	NOUN
ecj-5615	7	53	)	)	PUNCT
ecj-5615	7	54	.	.	PUNCT
ecj-5615	8	1	some	some	DET
ecj-5615	8	2	studies	study	NOUN
ecj-5615	8	3	seem	seem	VERB
ecj-5615	8	4	to	to	PART
ecj-5615	8	5	confirm	confirm	VERB
ecj-5615	8	6	a	a	DET
ecj-5615	8	7	large	large	ADJ
ecj-5615	8	8	utilization	utilization	NOUN
ecj-5615	8	9	of	of	ADP
ecj-5615	8	10	defensive	defensive	ADJ
ecj-5615	8	11	medicine	medicine	NOUN
ecj-5615	8	12	in	in	ADP
ecj-5615	8	13	the	the	DET
ecj-5615	8	14	emergency	emergency	NOUN
ecj-5615	8	15	departments	department	NOUN
ecj-5615	8	16	.	.	PUNCT
ecj-5615	9	1	this	this	DET
ecj-5615	9	2	article	article	NOUN
ecj-5615	9	3	tries	try	VERB
ecj-5615	9	4	to	to	PART
ecj-5615	9	5	analyze	analyze	VERB
ecj-5615	9	6	some	some	DET
ecj-5615	9	7	key	key	ADJ
ecj-5615	9	8	points	point	NOUN
ecj-5615	9	9	capable	capable	ADJ
ecj-5615	9	10	to	to	PART
ecj-5615	9	11	pave	pave	VERB
ecj-5615	9	12	the	the	DET
ecj-5615	9	13	way	way	NOUN
ecj-5615	9	14	to	to	ADP
ecj-5615	9	15	a	a	DET
ecj-5615	9	16	consistent	consistent	ADJ
ecj-5615	9	17	reduction	reduction	NOUN
ecj-5615	9	18	of	of	ADP
ecj-5615	9	19	defensive	defensive	ADJ
ecj-5615	9	20	medicine	medicine	NOUN
ecj-5615	9	21	,	,	PUNCT
ecj-5615	9	22	thus	thus	ADV
ecj-5615	9	23	defining	define	VERB
ecj-5615	9	24	a	a	DET
ecj-5615	9	25	hierarchical	hierarchical	ADJ
ecj-5615	9	26	list	list	NOUN
ecj-5615	9	27	of	of	ADP
ecj-5615	9	28	priorities	priority	NOUN
ecj-5615	9	29	,	,	PUNCT
ecj-5615	9	30	keeping	keep	VERB
ecj-5615	9	31	the	the	DET
ecj-5615	9	32	patient	patient	NOUN
ecj-5615	9	33	’s	’s	PART
ecj-5615	9	34	health	health	NOUN
ecj-5615	9	35	always	always	ADV
ecj-5615	9	36	at	at	ADP
ecj-5615	9	37	the	the	DET
ecj-5615	9	38	center	center	NOUN
ecj-5615	9	39	of	of	ADP
ecj-5615	9	40	the	the	DET
ecj-5615	9	41	matter	matter	NOUN
ecj-5615	9	42	.	.	PUNCT
ecj-5615	10	1	introduction	introduction	NOUN
ecj-5615	10	2	the	the	DET
ecj-5615	10	3	sunset	sunset	NOUN
ecj-5615	10	4	of	of	ADP
ecj-5615	10	5	the	the	DET
ecj-5615	10	6	medical	medical	ADJ
ecj-5615	10	7	paternalism	paternalism	NOUN
ecj-5615	10	8	,	,	PUNCT
ecj-5615	10	9	strictly	strictly	ADV
ecj-5615	10	10	linked	link	VERB
ecj-5615	10	11	with	with	ADP
ecj-5615	10	12	the	the	DET
ecj-5615	10	13	self	self	NOUN
ecj-5615	10	14	-	-	PUNCT
ecj-5615	10	15	referentiality	referentiality	NOUN
ecj-5615	10	16	of	of	ADP
ecj-5615	10	17	all	all	DET
ecj-5615	10	18	the	the	DET
ecj-5615	10	19	medical	medical	ADJ
ecj-5615	10	20	practice	practice	NOUN
ecj-5615	10	21	,	,	PUNCT
ecj-5615	10	22	has	have	AUX
ecj-5615	10	23	apparently	apparently	ADV
ecj-5615	10	24	paved	pave	VERB
ecj-5615	10	25	the	the	DET
ecj-5615	10	26	way	way	NOUN
ecj-5615	10	27	for	for	ADP
ecj-5615	10	28	the	the	DET
ecj-5615	10	29	emerging	emerge	VERB
ecj-5615	10	30	problem	problem	NOUN
ecj-5615	10	31	of	of	ADP
ecj-5615	10	32	the	the	DET
ecj-5615	10	33	so	so	ADV
ecj-5615	10	34	-	-	PUNCT
ecj-5615	10	35	called	call	VERB
ecj-5615	10	36	medical	medical	ADJ
ecj-5615	10	37	overuse	overuse	NOUN
ecj-5615	10	38	and	and	CCONJ
ecj-5615	10	39	defensive	defensive	ADJ
ecj-5615	10	40	medicine	medicine	NOUN
ecj-5615	10	41	.	.	PUNCT
ecj-5615	11	1	the	the	DET
ecj-5615	11	2	patients	patient	NOUN
ecj-5615	11	3	are	be	AUX
ecj-5615	11	4	indeed	indeed	ADV
ecj-5615	11	5	increasingly	increasingly	ADV
ecj-5615	11	6	informed	inform	VERB
ecj-5615	11	7	about	about	ADP
ecj-5615	11	8	medical	medical	ADJ
ecj-5615	11	9	issues	issue	NOUN
ecj-5615	11	10	,	,	PUNCT
ecj-5615	11	11	and	and	CCONJ
ecj-5615	11	12	less	less	ADV
ecj-5615	11	13	likely	likely	ADJ
ecj-5615	11	14	to	to	PART
ecj-5615	11	15	accept	accept	VERB
ecj-5615	11	16	at	at	ADP
ecj-5615	11	17	face	face	NOUN
ecj-5615	11	18	value	value	NOUN
ecj-5615	11	19	what	what	PRON
ecj-5615	11	20	is	be	AUX
ecj-5615	11	21	being	be	AUX
ecj-5615	11	22	recommended	recommend	VERB
ecj-5615	11	23	,	,	PUNCT
ecj-5615	11	24	thus	thus	ADV
ecj-5615	11	25	creating	create	VERB
ecj-5615	11	26	new	new	ADJ
ecj-5615	11	27	problems	problem	NOUN
ecj-5615	11	28	for	for	ADP
ecj-5615	11	29	the	the	DET
ecj-5615	11	30	doctors	doctor	NOUN
ecj-5615	11	31	,	,	PUNCT
ecj-5615	11	32	who	who	PRON
ecj-5615	11	33	are	be	AUX
ecj-5615	11	34	not	not	PART
ecj-5615	11	35	conventionally	conventionally	ADV
ecj-5615	11	36	used	use	VERB
ecj-5615	11	37	to	to	PART
ecj-5615	11	38	have	have	VERB
ecj-5615	11	39	their	their	PRON
ecj-5615	11	40	professional	professional	ADJ
ecj-5615	11	41	judgment	judgment	NOUN
ecj-5615	11	42	and	and	CCONJ
ecj-5615	11	43	integrity	integrity	NOUN
ecj-5615	11	44	challenged	challenge	VERB
ecj-5615	11	45	.	.	PUNCT
ecj-5615	12	1	it	it	PRON
ecj-5615	12	2	has	have	AUX
ecj-5615	12	3	been	be	AUX
ecj-5615	12	4	suggested	suggest	VERB
ecj-5615	12	5	that	that	SCONJ
ecj-5615	12	6	as	as	ADP
ecj-5615	12	7	a	a	DET
ecj-5615	12	8	group	group	NOUN
ecj-5615	12	9	,	,	PUNCT
ecj-5615	12	10	physicians	physician	NOUN
ecj-5615	12	11	are	be	AUX
ecj-5615	12	12	acutely	acutely	ADV
ecj-5615	12	13	sensitive	sensitive	ADJ
ecj-5615	12	14	to	to	ADP
ecj-5615	12	15	any	any	DET
ecj-5615	12	16	suggestions	suggestion	NOUN
ecj-5615	12	17	that	that	SCONJ
ecj-5615	12	18	they	they	PRON
ecj-5615	12	19	have	have	AUX
ecj-5615	12	20	failed	fail	VERB
ecj-5615	12	21	to	to	PART
ecj-5615	12	22	meet	meet	VERB
ecj-5615	12	23	the	the	DET
ecj-5615	12	24	standard	standard	NOUN
ecj-5615	12	25	of	of	ADP
ecj-5615	12	26	care	care	NOUN
ecj-5615	12	27	or	or	CCONJ
ecj-5615	12	28	are	be	AUX
ecj-5615	12	29	not	not	PART
ecj-5615	12	30	‘	'	PUNCT
ecj-5615	12	31	good	good	ADJ
ecj-5615	12	32	’	'	PUNCT
ecj-5615	12	33	doctors	doctor	NOUN
ecj-5615	12	34	…	…	PUNCT
ecj-5615	12	35	this	this	DET
ecj-5615	12	36	accusation	accusation	NOUN
ecj-5615	12	37	of	of	ADP
ecj-5615	12	38	failure	failure	NOUN
ecj-5615	12	39	represents	represent	VERB
ecj-5615	12	40	a	a	DET
ecj-5615	12	41	personal	personal	ADJ
ecj-5615	12	42	assault.1	assault.1	NOUN
ecj-5615	12	43	the	the	DET
ecj-5615	12	44	media	medium	NOUN
ecj-5615	12	45	play	play	VERB
ecj-5615	12	46	a	a	DET
ecj-5615	12	47	pivotal	pivotal	ADJ
ecj-5615	12	48	role	role	NOUN
ecj-5615	12	49	in	in	ADP
ecj-5615	12	50	this	this	DET
ecj-5615	12	51	vicious	vicious	ADJ
ecj-5615	12	52	circle	circle	NOUN
ecj-5615	12	53	,	,	PUNCT
ecj-5615	12	54	giving	give	VERB
ecj-5615	12	55	increasing	increase	VERB
ecj-5615	12	56	strength	strength	NOUN
ecj-5615	12	57	to	to	ADP
ecj-5615	12	58	sensationalism	sensationalism	NOUN
ecj-5615	12	59	and	and	CCONJ
ecj-5615	12	60	underlining	underline	VERB
ecj-5615	12	61	with	with	ADP
ecj-5615	12	62	special	special	ADJ
ecj-5615	12	63	emphasis	emphasis	NOUN
ecj-5615	12	64	the	the	DET
ecj-5615	12	65	news	news	NOUN
ecj-5615	12	66	about	about	ADP
ecj-5615	12	67	malpractice	malpractice	NOUN
ecj-5615	12	68	(	(	PUNCT
ecj-5615	12	69	although	although	SCONJ
ecj-5615	12	70	seldom	seldom	ADV
ecj-5615	12	71	confirmed	confirm	VERB
ecj-5615	12	72	)	)	PUNCT
ecj-5615	12	73	,	,	PUNCT
ecj-5615	12	74	or	or	CCONJ
ecj-5615	12	75	else	else	ADV
ecj-5615	12	76	disseminating	disseminate	VERB
ecj-5615	12	77	questionable	questionable	ADJ
ecj-5615	12	78	information	information	NOUN
ecj-5615	12	79	about	about	ADP
ecj-5615	12	80	new	new	ADJ
ecj-5615	12	81	and	and	CCONJ
ecj-5615	12	82	phenomenal	phenomenal	ADJ
ecj-5615	12	83	treatments	treatment	NOUN
ecj-5615	12	84	,	,	PUNCT
ecj-5615	12	85	which	which	PRON
ecj-5615	12	86	obviously	obviously	ADV
ecj-5615	12	87	rises	rise	VERB
ecj-5615	12	88	patients	patient	NOUN
ecj-5615	12	89	’	'	PUNCT
ecj-5615	12	90	expectations.2	expectations.2	VERB
ecj-5615	12	91	the	the	DET
ecj-5615	12	92	overuse	overuse	NOUN
ecj-5615	12	93	of	of	ADP
ecj-5615	12	94	medical	medical	ADJ
ecj-5615	12	95	services	service	NOUN
ecj-5615	12	96	,	,	PUNCT
ecj-5615	12	97	defined	define	VERB
ecj-5615	12	98	as	as	ADP
ecj-5615	12	99	care	care	NOUN
ecj-5615	12	100	in	in	ADP
ecj-5615	12	101	the	the	DET
ecj-5615	12	102	absence	absence	NOUN
ecj-5615	12	103	of	of	ADP
ecj-5615	12	104	a	a	DET
ecj-5615	12	105	clear	clear	ADJ
ecj-5615	12	106	medical	medical	ADJ
ecj-5615	12	107	basis	basis	NOUN
ecj-5615	12	108	for	for	ADP
ecj-5615	12	109	use	use	NOUN
ecj-5615	12	110	or	or	CCONJ
ecj-5615	12	111	when	when	SCONJ
ecj-5615	12	112	the	the	DET
ecj-5615	12	113	benefit	benefit	NOUN
ecj-5615	12	114	of	of	ADP
ecj-5615	12	115	therapy	therapy	NOUN
ecj-5615	12	116	does	do	AUX
ecj-5615	12	117	not	not	PART
ecj-5615	12	118	outweigh	outweigh	VERB
ecj-5615	12	119	risks,3	risks,3	NOUN
ecj-5615	12	120	is	be	AUX
ecj-5615	12	121	regarded	regard	VERB
ecj-5615	12	122	as	as	ADP
ecj-5615	12	123	a	a	DET
ecj-5615	12	124	growing	grow	VERB
ecj-5615	12	125	problem	problem	NOUN
ecj-5615	12	126	in	in	ADP
ecj-5615	12	127	western	western	ADJ
ecj-5615	12	128	countries	country	NOUN
ecj-5615	12	129	,	,	PUNCT
ecj-5615	12	130	accounting	account	VERB
ecj-5615	12	131	for	for	ADP
ecj-5615	12	132	up	up	ADP
ecj-5615	12	133	to	to	PART
ecj-5615	12	134	30	30	NUM
ecj-5615	12	135	%	%	NOUN
ecj-5615	12	136	of	of	ADP
ecj-5615	12	137	all	all	PRON
ecj-5615	12	138	delivered	deliver	VERB
ecj-5615	12	139	care.4	care.4	NOUN
ecj-5615	12	140	-	-	PUNCT
ecj-5615	12	141	6	6	NUM
ecj-5615	12	142	incidentally	incidentally	ADV
ecj-5615	12	143	,	,	PUNCT
ecj-5615	12	144	it	it	PRON
ecj-5615	12	145	is	be	AUX
ecj-5615	12	146	has	have	AUX
ecj-5615	12	147	also	also	ADV
ecj-5615	12	148	been	be	AUX
ecj-5615	12	149	acknowledged	acknowledge	VERB
ecj-5615	12	150	that	that	SCONJ
ecj-5615	12	151	medical	medical	ADJ
ecj-5615	12	152	overuse	overuse	NOUN
ecj-5615	12	153	carries	carry	VERB
ecj-5615	12	154	a	a	DET
ecj-5615	12	155	higher	high	ADJ
ecj-5615	12	156	risk	risk	NOUN
ecj-5615	12	157	of	of	ADP
ecj-5615	12	158	morbidity	morbidity	NOUN
ecj-5615	12	159	and	and	CCONJ
ecj-5615	12	160	mortality.7,8	mortality.7,8	NOUN
ecj-5615	12	161	the	the	DET
ecj-5615	12	162	prescription	prescription	NOUN
ecj-5615	12	163	of	of	ADP
ecj-5615	12	164	magnetic	magnetic	ADJ
ecj-5615	12	165	resonance	resonance	NOUN
ecj-5615	12	166	for	for	ADP
ecj-5615	12	167	simple	simple	ADJ
ecj-5615	12	168	low	low	ADJ
ecj-5615	12	169	back	back	NOUN
ecj-5615	12	170	pain	pain	NOUN
ecj-5615	12	171	is	be	AUX
ecj-5615	12	172	a	a	DET
ecj-5615	12	173	paradigmatic	paradigmatic	ADJ
ecj-5615	12	174	medical	medical	ADJ
ecj-5615	12	175	action	action	NOUN
ecj-5615	12	176	,	,	PUNCT
ecj-5615	12	177	which	which	PRON
ecj-5615	12	178	may	may	AUX
ecj-5615	12	179	be	be	AUX
ecj-5615	12	180	associated	associate	VERB
ecj-5615	12	181	with	with	ADP
ecj-5615	12	182	useless	useless	ADJ
ecj-5615	12	183	and	and	CCONJ
ecj-5615	12	184	potentially	potentially	ADV
ecj-5615	12	185	harmful	harmful	ADJ
ecj-5615	12	186	surgical	surgical	ADJ
ecj-5615	12	187	management	management	NOUN
ecj-5615	12	188	.	.	PUNCT
ecj-5615	13	1	one	one	NUM
ecj-5615	13	2	of	of	ADP
ecj-5615	13	3	the	the	DET
ecj-5615	13	4	best	good	ADJ
ecj-5615	13	5	recognized	recognize	VERB
ecj-5615	13	6	drivers	driver	NOUN
ecj-5615	13	7	toward	toward	ADP
ecj-5615	13	8	medical	medical	ADJ
ecj-5615	13	9	overuse	overuse	NOUN
ecj-5615	13	10	is	be	AUX
ecj-5615	13	11	the	the	DET
ecj-5615	13	12	so	so	ADV
ecj-5615	13	13	-	-	PUNCT
ecj-5615	13	14	called	call	VERB
ecj-5615	13	15	defensive	defensive	ADJ
ecj-5615	13	16	medicine,9	medicine,9	NOUN
ecj-5615	13	17	which	which	PRON
ecj-5615	13	18	is	be	AUX
ecj-5615	13	19	commonly	commonly	ADV
ecj-5615	13	20	defined	define	VERB
ecj-5615	13	21	as	as	ADP
ecj-5615	13	22	:	:	PUNCT
ecj-5615	13	23	i	i	NOUN
ecj-5615	13	24	)	)	PUNCT
ecj-5615	13	25	ordering	ordering	NOUN
ecj-5615	13	26	of	of	ADP
ecj-5615	13	27	tests	test	NOUN
ecj-5615	13	28	,	,	PUNCT
ecj-5615	13	29	procedures	procedure	NOUN
ecj-5615	13	30	,	,	PUNCT
ecj-5615	13	31	and	and	CCONJ
ecj-5615	13	32	visits	visit	NOUN
ecj-5615	13	33	,	,	PUNCT
ecj-5615	13	34	or	or	CCONJ
ecj-5615	13	35	,	,	PUNCT
ecj-5615	13	36	ii	ii	ADJ
ecj-5615	13	37	)	)	PUNCT
ecj-5615	13	38	avoidance	avoidance	NOUN
ecj-5615	13	39	of	of	ADP
ecj-5615	13	40	high	high	ADJ
ecj-5615	13	41	-	-	PUNCT
ecj-5615	13	42	risk	risk	NOUN
ecj-5615	13	43	patients	patient	NOUN
ecj-5615	13	44	or	or	CCONJ
ecj-5615	13	45	procedures	procedure	NOUN
ecj-5615	13	46	,	,	PUNCT
ecj-5615	13	47	primarily	primarily	ADV
ecj-5615	13	48	to	to	PART
ecj-5615	13	49	reduce	reduce	VERB
ecj-5615	13	50	exposure	exposure	NOUN
ecj-5615	13	51	to	to	ADP
ecj-5615	13	52	malpractice	malpractice	VERB
ecj-5615	13	53	liability.10	liability.10	PROPN
ecj-5615	13	54	the	the	DET
ecj-5615	13	55	former	former	ADJ
ecj-5615	13	56	is	be	AUX
ecj-5615	13	57	commonly	commonly	ADV
ecj-5615	13	58	known	know	VERB
ecj-5615	13	59	as	as	ADP
ecj-5615	13	60	assurance	assurance	NOUN
ecj-5615	13	61	behavior	behavior	NOUN
ecj-5615	13	62	,	,	PUNCT
ecj-5615	13	63	or	or	CCONJ
ecj-5615	13	64	positive	positive	ADJ
ecj-5615	13	65	defensive	defensive	ADJ
ecj-5615	13	66	medicine	medicine	NOUN
ecj-5615	13	67	,	,	PUNCT
ecj-5615	13	68	and	and	CCONJ
ecj-5615	13	69	is	be	AUX
ecj-5615	13	70	characterized	characterize	VERB
ecj-5615	13	71	by	by	ADP
ecj-5615	13	72	supplying	supply	VERB
ecj-5615	13	73	additional	additional	ADJ
ecj-5615	13	74	tests	test	NOUN
ecj-5615	13	75	and/or	and/or	CCONJ
ecj-5615	13	76	treatments	treatment	NOUN
ecj-5615	13	77	of	of	ADP
ecj-5615	13	78	marginal	marginal	ADJ
ecj-5615	13	79	or	or	CCONJ
ecj-5615	13	80	no	no	DET
ecj-5615	13	81	medical	medical	ADJ
ecj-5615	13	82	value	value	NOUN
ecj-5615	13	83	with	with	ADP
ecj-5615	13	84	the	the	DET
ecj-5615	13	85	main	main	ADJ
ecj-5615	13	86	target	target	NOUN
ecj-5615	13	87	of	of	ADP
ecj-5615	13	88	reducing	reduce	VERB
ecj-5615	13	89	adverse	adverse	ADJ
ecj-5615	13	90	outcomes	outcome	NOUN
ecj-5615	13	91	,	,	PUNCT
ecj-5615	13	92	discouraging	discourage	VERB
ecj-5615	13	93	patients	patient	NOUN
ecj-5615	13	94	from	from	ADP
ecj-5615	13	95	suing	sue	VERB
ecj-5615	13	96	the	the	DET
ecj-5615	13	97	doctors	doctor	NOUN
ecj-5615	13	98	,	,	PUNCT
ecj-5615	13	99	or	or	CCONJ
ecj-5615	13	100	convincing	convince	VERB
ecj-5615	13	101	the	the	DET
ecj-5615	13	102	lawyers	lawyer	NOUN
ecj-5615	13	103	that	that	SCONJ
ecj-5615	13	104	the	the	DET
ecj-5615	13	105	standard	standard	NOUN
ecj-5615	13	106	of	of	ADP
ecj-5615	13	107	care	care	NOUN
ecj-5615	13	108	was	be	AUX
ecj-5615	13	109	met	meet	VERB
ecj-5615	13	110	.	.	PUNCT
ecj-5615	14	1	the	the	DET
ecj-5615	14	2	latter	latter	ADJ
ecj-5615	14	3	,	,	PUNCT
ecj-5615	14	4	conversely	conversely	ADV
ecj-5615	14	5	,	,	PUNCT
ecj-5615	14	6	is	be	AUX
ecj-5615	14	7	widely	widely	ADV
ecj-5615	14	8	known	know	VERB
ecj-5615	14	9	as	as	ADP
ecj-5615	14	10	avoidance	avoidance	NOUN
ecj-5615	14	11	behavior	behavior	NOUN
ecj-5615	14	12	or	or	CCONJ
ecj-5615	14	13	negative	negative	ADJ
ecj-5615	14	14	defensive	defensive	ADJ
ecj-5615	14	15	medicine	medicine	NOUN
ecj-5615	14	16	,	,	PUNCT
ecj-5615	14	17	and	and	CCONJ
ecj-5615	14	18	reflects	reflect	VERB
ecj-5615	14	19	the	the	DET
ecj-5615	14	20	physicians	physician	NOUN
ecj-5615	14	21	’	'	PUNCT
ecj-5615	14	22	efforts	effort	NOUN
ecj-5615	14	23	to	to	PART
ecj-5615	14	24	refuse	refuse	VERB
ecj-5615	14	25	to	to	PART
ecj-5615	14	26	treat	treat	VERB
ecj-5615	14	27	particular	particular	ADJ
ecj-5615	14	28	(	(	PUNCT
ecj-5615	14	29	i.e.	i.e.	X
ecj-5615	14	30	,	,	PUNCT
ecj-5615	14	31	risky	risky	ADJ
ecj-5615	14	32	)	)	PUNCT
ecj-5615	14	33	patients	patient	NOUN
ecj-5615	14	34	,	,	PUNCT
ecj-5615	14	35	or	or	CCONJ
ecj-5615	14	36	to	to	PART
ecj-5615	14	37	refer	refer	VERB
ecj-5615	14	38	them	they	PRON
ecj-5615	14	39	to	to	ADP
ecj-5615	14	40	another	another	DET
ecj-5615	14	41	physician	physician	NOUN
ecj-5615	14	42	or	or	CCONJ
ecj-5615	14	43	health	health	NOUN
ecj-5615	14	44	facility	facility	NOUN
ecj-5615	14	45	to	to	PART
ecj-5615	14	46	escape	escape	VERB
ecj-5615	14	47	the	the	DET
ecj-5615	14	48	challenge	challenge	NOUN
ecj-5615	14	49	.	.	PUNCT
ecj-5615	15	1	as	as	SCONJ
ecj-5615	15	2	such	such	ADJ
ecj-5615	15	3	,	,	PUNCT
ecj-5615	15	4	defensive	defensive	ADJ
ecj-5615	15	5	medicine	medicine	NOUN
ecj-5615	15	6	may	may	AUX
ecj-5615	15	7	have	have	VERB
ecj-5615	15	8	different	different	ADJ
ecj-5615	15	9	consequences	consequence	NOUN
ecj-5615	15	10	:	:	PUNCT
ecj-5615	15	11	it	it	PRON
ecj-5615	15	12	may	may	AUX
ecj-5615	15	13	increase	increase	VERB
ecj-5615	15	14	the	the	DET
ecj-5615	15	15	amount	amount	NOUN
ecj-5615	15	16	of	of	ADP
ecj-5615	15	17	care	care	NOUN
ecj-5615	15	18	provided	provide	VERB
ecj-5615	15	19	to	to	ADP
ecj-5615	15	20	the	the	DET
ecj-5615	15	21	patients	patient	NOUN
ecj-5615	15	22	(	(	PUNCT
ecj-5615	15	23	i.e.	i.e.	X
ecj-5615	15	24	,	,	PUNCT
ecj-5615	15	25	additional	additional	ADJ
ecj-5615	15	26	tests	test	NOUN
ecj-5615	15	27	or	or	CCONJ
ecj-5615	15	28	therapies	therapy	NOUN
ecj-5615	15	29	)	)	PUNCT
ecj-5615	15	30	,	,	PUNCT
ecj-5615	15	31	change	change	VERB
ecj-5615	15	32	care	care	NOUN
ecj-5615	15	33	or	or	CCONJ
ecj-5615	15	34	setting	setting	NOUN
ecj-5615	15	35	of	of	ADP
ecj-5615	15	36	care	care	NOUN
ecj-5615	15	37	(	(	PUNCT
ecj-5615	15	38	i.e.	i.e.	X
ecj-5615	15	39	,	,	PUNCT
ecj-5615	15	40	patients	patient	NOUN
ecj-5615	15	41	referred	refer	VERB
ecj-5615	15	42	to	to	ADP
ecj-5615	15	43	another	another	DET
ecj-5615	15	44	specialist	specialist	NOUN
ecj-5615	15	45	or	or	CCONJ
ecj-5615	15	46	another	another	DET
ecj-5615	15	47	healthcare	healthcare	NOUN
ecj-5615	15	48	facility	facility	NOUN
ecj-5615	15	49	)	)	PUNCT
ecj-5615	15	50	,	,	PUNCT
ecj-5615	15	51	or	or	CCONJ
ecj-5615	15	52	,	,	PUNCT
ecj-5615	15	53	finally	finally	ADV
ecj-5615	15	54	,	,	PUNCT
ecj-5615	15	55	impair	impair	VERB
ecj-5615	15	56	the	the	DET
ecj-5615	15	57	optimal	optimal	ADJ
ecj-5615	15	58	care	care	NOUN
ecj-5615	15	59	(	(	PUNCT
ecj-5615	15	60	i.e.	i.e.	X
ecj-5615	15	61	,	,	PUNCT
ecj-5615	15	62	refusing	refuse	VERB
ecj-5615	15	63	risky	risky	ADJ
ecj-5615	15	64	patients	patient	NOUN
ecj-5615	15	65	)	)	PUNCT
ecj-5615	15	66	.	.	PUNCT
ecj-5615	16	1	defensive	defensive	ADJ
ecj-5615	16	2	medicine	medicine	NOUN
ecj-5615	16	3	has	have	AUX
ecj-5615	16	4	been	be	AUX
ecj-5615	16	5	studied	study	VERB
ecj-5615	16	6	in	in	ADP
ecj-5615	16	7	different	different	ADJ
ecj-5615	16	8	specialties	specialty	NOUN
ecj-5615	16	9	settings	setting	NOUN
ecj-5615	16	10	,	,	PUNCT
ecj-5615	16	11	with	with	ADP
ecj-5615	16	12	patchy	patchy	ADJ
ecj-5615	16	13	results.11	results.11	NOUN
ecj-5615	16	14	although	although	SCONJ
ecj-5615	16	15	widely	widely	ADV
ecj-5615	16	16	condemned	condemn	VERB
ecj-5615	16	17	,	,	PUNCT
ecj-5615	16	18	defensive	defensive	ADJ
ecj-5615	16	19	medicine	medicine	NOUN
ecj-5615	16	20	is	be	AUX
ecj-5615	16	21	inextricably	inextricably	ADV
ecj-5615	16	22	interwoven	interweave	VERB
ecj-5615	16	23	into	into	ADP
ecj-5615	16	24	daily	daily	ADJ
ecj-5615	16	25	medical	medical	ADJ
ecj-5615	16	26	practice	practice	NOUN
ecj-5615	16	27	,	,	PUNCT
ecj-5615	16	28	and	and	CCONJ
ecj-5615	16	29	it	it	PRON
ecj-5615	16	30	can	can	AUX
ecj-5615	16	31	often	often	ADV
ecj-5615	16	32	be	be	AUX
ecj-5615	16	33	unconscious	unconscious	ADJ
ecj-5615	16	34	and	and	CCONJ
ecj-5615	16	35	involuntary.12,13	involuntary.12,13	VERB
ecj-5615	16	36	many	many	ADJ
ecj-5615	16	37	factors	factor	NOUN
ecj-5615	16	38	may	may	AUX
ecj-5615	16	39	contribute	contribute	VERB
ecj-5615	16	40	to	to	ADP
ecj-5615	16	41	this	this	DET
ecj-5615	16	42	attitude	attitude	NOUN
ecj-5615	16	43	,	,	PUNCT
ecj-5615	16	44	including	include	VERB
ecj-5615	16	45	the	the	DET
ecj-5615	16	46	lack	lack	NOUN
ecj-5615	16	47	of	of	ADP
ecj-5615	16	48	information	information	NOUN
ecj-5615	16	49	about	about	ADP
ecj-5615	16	50	specific	specific	ADJ
ecj-5615	16	51	tests	test	NOUN
ecj-5615	16	52	and/or	and/or	CCONJ
ecj-5615	16	53	treatments	treatment	NOUN
ecj-5615	16	54	,	,	PUNCT
ecj-5615	16	55	lack	lack	NOUN
ecj-5615	16	56	of	of	ADP
ecj-5615	16	57	communication	communication	NOUN
ecj-5615	16	58	between	between	ADP
ecj-5615	16	59	different	different	ADJ
ecj-5615	16	60	specialists	specialist	NOUN
ecj-5615	16	61	,	,	PUNCT
ecj-5615	16	62	lack	lack	NOUN
ecj-5615	16	63	of	of	ADP
ecj-5615	16	64	knowledge	knowledge	NOUN
ecj-5615	16	65	of	of	ADP
ecj-5615	16	66	guidelines	guideline	NOUN
ecj-5615	16	67	and	and	CCONJ
ecj-5615	16	68	so	so	ADV
ecj-5615	16	69	on	on	ADV
ecj-5615	16	70	.	.	PUNCT
ecj-5615	17	1	the	the	DET
ecj-5615	17	2	physicians	physician	NOUN
ecj-5615	17	3	may	may	AUX
ecj-5615	17	4	hence	hence	ADV
ecj-5615	17	5	practice	practice	VERB
ecj-5615	17	6	defensive	defensive	ADJ
ecj-5615	17	7	medicine	medicine	NOUN
ecj-5615	17	8	without	without	ADP
ecj-5615	17	9	guilt	guilt	NOUN
ecj-5615	17	10	,	,	PUNCT
ecj-5615	17	11	being	be	AUX
ecj-5615	17	12	their	their	PRON
ecj-5615	17	13	action	action	NOUN
ecj-5615	17	14	neither	neither	CCONJ
ecj-5615	17	15	unacknowledged	unacknowledged	ADJ
ecj-5615	17	16	,	,	PUNCT
ecj-5615	17	17	nor	nor	CCONJ
ecj-5615	17	18	considered	consider	VERB
ecj-5615	17	19	unethical	unethical	ADJ
ecj-5615	17	20	.	.	PUNCT
ecj-5615	18	1	should	should	AUX
ecj-5615	18	2	then	then	ADV
ecj-5615	18	3	we	we	PRON
ecj-5615	18	4	consider	consider	VERB
ecj-5615	18	5	medical	medical	ADJ
ecj-5615	18	6	ignorance	ignorance	NOUN
ecj-5615	18	7	as	as	ADP
ecj-5615	18	8	an	an	DET
ecj-5615	18	9	innocent	innocent	ADJ
ecj-5615	18	10	and	and	CCONJ
ecj-5615	18	11	genuine	genuine	ADJ
ecj-5615	18	12	behavior	behavior	NOUN
ecj-5615	18	13	?	?	PUNCT
ecj-5615	19	1	who	who	PRON
ecj-5615	19	2	should	should	AUX
ecj-5615	19	3	establish	establish	VERB
ecj-5615	19	4	the	the	DET
ecj-5615	19	5	boundaries	boundary	NOUN
ecj-5615	19	6	between	between	ADP
ecj-5615	19	7	medical	medical	ADJ
ecj-5615	19	8	ignorance	ignorance	NOUN
ecj-5615	19	9	and	and	CCONJ
ecj-5615	19	10	adequate	adequate	ADJ
ecj-5615	19	11	or	or	CCONJ
ecj-5615	19	12	suitable	suitable	ADJ
ecj-5615	19	13	medical	medical	ADJ
ecj-5615	19	14	culture	culture	NOUN
ecj-5615	19	15	?	?	PUNCT
ecj-5615	20	1	according	accord	VERB
ecj-5615	20	2	to	to	ADP
ecj-5615	20	3	an	an	DET
ecj-5615	20	4	economic	economic	ADJ
ecj-5615	20	5	perspective	perspective	NOUN
ecj-5615	20	6	,	,	PUNCT
ecj-5615	20	7	defensive	defensive	ADJ
ecj-5615	20	8	medicine	medicine	NOUN
ecj-5615	20	9	is	be	AUX
ecj-5615	20	10	widely	widely	ADV
ecj-5615	20	11	considered	consider	VERB
ecj-5615	20	12	as	as	ADP
ecj-5615	20	13	a	a	DET
ecj-5615	20	14	major	major	ADJ
ecj-5615	20	15	source	source	NOUN
ecj-5615	20	16	of	of	ADP
ecj-5615	20	17	wasteful	wasteful	ADJ
ecj-5615	20	18	medical	medical	ADJ
ecj-5615	20	19	spending	spending	NOUN
ecj-5615	20	20	in	in	ADP
ecj-5615	20	21	the	the	DET
ecj-5615	20	22	western	western	ADJ
ecj-5615	20	23	world	world	NOUN
ecj-5615	20	24	.	.	PUNCT
ecj-5615	21	1	solely	solely	ADV
ecj-5615	21	2	in	in	ADP
ecj-5615	21	3	the	the	DET
ecj-5615	21	4	united	united	PROPN
ecj-5615	21	5	states	states	PROPN
ecj-5615	21	6	,	,	PUNCT
ecj-5615	21	7	for	for	ADP
ecj-5615	21	8	example	example	NOUN
ecj-5615	21	9	,	,	PUNCT
ecj-5615	21	10	a	a	DET
ecj-5615	21	11	widely	widely	ADV
ecj-5615	21	12	cited	cite	VERB
ecj-5615	21	13	report	report	NOUN
ecj-5615	21	14	estimates	estimate	VERB
ecj-5615	21	15	that	that	SCONJ
ecj-5615	21	16	$	$	SYM
ecj-5615	21	17	210	210	NUM
ecj-5615	21	18	billions	billion	NOUN
ecj-5615	21	19	are	be	AUX
ecj-5615	21	20	spent	spend	VERB
ecj-5615	21	21	annually	annually	ADV
ecj-5615	21	22	on	on	ADP
ecj-5615	21	23	needless	needless	ADJ
ecj-5615	21	24	care	care	NOUN
ecj-5615	21	25	motivated	motivate	VERB
ecj-5615	21	26	by	by	ADP
ecj-5615	21	27	fear	fear	NOUN
ecj-5615	21	28	of	of	ADP
ecj-5615	21	29	malpractice	malpractice	NOUN
ecj-5615	21	30	litigation.14	litigation.14	PROPN
ecj-5615	21	31	opinion	opinion	NOUN
ecj-5615	21	32	report	report	VERB
ecj-5615	21	33	defensive	defensive	ADJ
ecj-5615	21	34	medicine	medicine	NOUN
ecj-5615	21	35	in	in	ADP
ecj-5615	21	36	emergency	emergency	NOUN
ecj-5615	21	37	settings	setting	NOUN
ecj-5615	21	38	as	as	SCONJ
ecj-5615	21	39	regards	regard	VERB
ecj-5615	21	40	the	the	DET
ecj-5615	21	41	practice	practice	NOUN
ecj-5615	21	42	of	of	ADP
ecj-5615	21	43	defensive	defensive	ADJ
ecj-5615	21	44	medicine	medicine	NOUN
ecj-5615	21	45	in	in	ADP
ecj-5615	21	46	the	the	DET
ecj-5615	21	47	emergency	emergency	NOUN
ecj-5615	21	48	department	department	NOUN
ecj-5615	21	49	(	(	PUNCT
ecj-5615	21	50	ed	ed	NOUN
ecj-5615	21	51	)	)	PUNCT
ecj-5615	21	52	,	,	PUNCT
ecj-5615	21	53	the	the	DET
ecj-5615	21	54	largest	large	ADJ
ecj-5615	21	55	study	study	NOUN
ecj-5615	21	56	ever	ever	ADV
ecj-5615	21	57	published	publish	VERB
ecj-5615	21	58	to	to	ADP
ecj-5615	21	59	date	date	NOUN
ecj-5615	21	60	is	be	AUX
ecj-5615	21	61	that	that	SCONJ
ecj-5615	21	62	published	publish	VERB
ecj-5615	21	63	by	by	ADP
ecj-5615	21	64	studdert	studdert	NOUN
ecj-5615	21	65	and	and	CCONJ
ecj-5615	21	66	coworkers	coworker	NOUN
ecj-5615	21	67	in	in	ADP
ecj-5615	21	68	2005.15	2005.15	NUM
ecj-5615	21	69	the	the	DET
ecj-5615	21	70	authors	author	NOUN
ecj-5615	21	71	observed	observe	VERB
ecj-5615	21	72	that	that	SCONJ
ecj-5615	21	73	a	a	DET
ecj-5615	21	74	group	group	NOUN
ecj-5615	21	75	of	of	ADP
ecj-5615	21	76	emergency	emergency	NOUN
ecj-5615	21	77	physicians	physician	NOUN
ecj-5615	21	78	(	(	PUNCT
ecj-5615	21	79	eps	eps	PROPN
ecj-5615	21	80	)	)	PUNCT
ecj-5615	21	81	reported	report	VERB
ecj-5615	21	82	that	that	SCONJ
ecj-5615	21	83	they	they	PRON
ecj-5615	21	84	often	often	ADV
ecj-5615	21	85	practice	practice	VERB
ecj-5615	21	86	defensive	defensive	ADJ
ecj-5615	21	87	medicine	medicine	NOUN
ecj-5615	21	88	,	,	PUNCT
ecj-5615	21	89	both	both	CCONJ
ecj-5615	21	90	with	with	ADP
ecj-5615	21	91	assurance	assurance	NOUN
ecj-5615	21	92	and	and	CCONJ
ecj-5615	21	93	with	with	ADP
ecj-5615	21	94	avoidance	avoidance	NOUN
ecj-5615	21	95	behaviors	behavior	NOUN
ecj-5615	21	96	.	.	PUNCT
ecj-5615	22	1	notably	notably	ADV
ecj-5615	22	2	,	,	PUNCT
ecj-5615	22	3	the	the	DET
ecj-5615	22	4	proportion	proportion	NOUN
ecj-5615	22	5	of	of	ADP
ecj-5615	22	6	doctors	doctor	NOUN
ecj-5615	22	7	ordering	order	VERB
ecj-5615	22	8	more	more	ADJ
ecj-5615	22	9	diagnostic	diagnostic	ADJ
ecj-5615	22	10	tests	test	NOUN
ecj-5615	22	11	than	than	SCONJ
ecj-5615	22	12	were	be	AUX
ecj-5615	22	13	medically	medically	ADV
ecj-5615	22	14	indicated	indicate	VERB
ecj-5615	22	15	was	be	AUX
ecj-5615	22	16	significantly	significantly	ADV
ecj-5615	22	17	higher	high	ADJ
ecj-5615	22	18	for	for	ADP
ecj-5615	22	19	eps	eps	PROPN
ecj-5615	22	20	than	than	ADP
ecj-5615	22	21	for	for	ADP
ecj-5615	22	22	other	other	ADJ
ecj-5615	22	23	specialists	specialist	NOUN
ecj-5615	22	24	(	(	PUNCT
ecj-5615	22	25	i.e.	i.e.	X
ecj-5615	22	26	,	,	PUNCT
ecj-5615	22	27	general	general	ADJ
ecj-5615	22	28	surgeons	surgeon	NOUN
ecj-5615	22	29	,	,	PUNCT
ecj-5615	22	30	orthopedic	orthopedic	ADJ
ecj-5615	22	31	surgeons	surgeon	NOUN
ecj-5615	22	32	,	,	PUNCT
ecj-5615	22	33	neurosurgeons	neurosurgeon	NOUN
ecj-5615	22	34	,	,	PUNCT
ecj-5615	22	35	obstetrician	obstetrician	ADJ
ecj-5615	22	36	/	/	SYM
ecj-5615	22	37	gynecologists	gynecologist	NOUN
ecj-5615	22	38	)	)	PUNCT
ecj-5615	22	39	.	.	PUNCT
ecj-5615	23	1	as	as	SCONJ
ecj-5615	23	2	specifically	specifically	ADV
ecj-5615	23	3	regards	regard	VERB
ecj-5615	23	4	assurance	assurance	NOUN
ecj-5615	23	5	behavior	behavior	NOUN
ecj-5615	23	6	,	,	PUNCT
ecj-5615	23	7	the	the	DET
ecj-5615	23	8	eps	eps	PROPN
ecj-5615	23	9	indicated	indicate	VERB
ecj-5615	23	10	that	that	SCONJ
ecj-5615	23	11	more	more	ADJ
ecj-5615	23	12	tests	test	NOUN
ecj-5615	23	13	than	than	SCONJ
ecj-5615	23	14	those	those	PRON
ecj-5615	23	15	medically	medically	ADV
ecj-5615	23	16	indicated	indicate	VERB
ecj-5615	23	17	were	be	AUX
ecj-5615	23	18	ordered	order	VERB
ecj-5615	23	19	in	in	ADP
ecj-5615	23	20	70	70	NUM
ecj-5615	23	21	%	%	NOUN
ecj-5615	23	22	of	of	ADP
ecj-5615	23	23	cases	case	NOUN
ecj-5615	23	24	,	,	PUNCT
ecj-5615	23	25	more	more	ADJ
ecj-5615	23	26	medications	medication	NOUN
ecj-5615	23	27	(	(	PUNCT
ecj-5615	23	28	e.g.	e.g.	ADV
ecj-5615	23	29	,	,	PUNCT
ecj-5615	23	30	antibiotics	antibiotic	NOUN
ecj-5615	23	31	)	)	PUNCT
ecj-5615	23	32	than	than	SCONJ
ecj-5615	23	33	those	those	PRON
ecj-5615	23	34	medically	medically	ADV
ecj-5615	23	35	indicated	indicate	VERB
ecj-5615	23	36	were	be	AUX
ecj-5615	23	37	prescribed	prescribe	VERB
ecj-5615	23	38	in	in	ADP
ecj-5615	23	39	30	30	NUM
ecj-5615	23	40	%	%	NOUN
ecj-5615	23	41	of	of	ADP
ecj-5615	23	42	cases	case	NOUN
ecj-5615	23	43	,	,	PUNCT
ecj-5615	23	44	patients	patient	NOUN
ecj-5615	23	45	were	be	AUX
ecj-5615	23	46	referred	refer	VERB
ecj-5615	23	47	to	to	ADP
ecj-5615	23	48	other	other	ADJ
ecj-5615	23	49	specialists	specialist	NOUN
ecj-5615	23	50	in	in	ADP
ecj-5615	23	51	unnecessary	unnecessary	ADJ
ecj-5615	23	52	circumstances	circumstance	NOUN
ecj-5615	23	53	in	in	ADP
ecj-5615	23	54	52	52	NUM
ecj-5615	23	55	%	%	NOUN
ecj-5615	23	56	of	of	ADP
ecj-5615	23	57	cases	case	NOUN
ecj-5615	23	58	,	,	PUNCT
ecj-5615	23	59	and	and	CCONJ
ecj-5615	23	60	invasive	invasive	ADJ
ecj-5615	23	61	procedures	procedure	NOUN
ecj-5615	23	62	(	(	PUNCT
ecj-5615	23	63	e.g.	e.g.	ADV
ecj-5615	23	64	,	,	PUNCT
ecj-5615	23	65	biopsies	biopsy	NOUN
ecj-5615	23	66	)	)	PUNCT
ecj-5615	23	67	to	to	PART
ecj-5615	23	68	confirm	confirm	VERB
ecj-5615	23	69	diagnoses	diagnosis	NOUN
ecj-5615	23	70	were	be	AUX
ecj-5615	23	71	suggested	suggest	VERB
ecj-5615	23	72	in	in	ADP
ecj-5615	23	73	19	19	NUM
ecj-5615	23	74	%	%	NOUN
ecj-5615	23	75	of	of	ADP
ecj-5615	23	76	cases	case	NOUN
ecj-5615	23	77	.	.	PUNCT
ecj-5615	24	1	as	as	SCONJ
ecj-5615	24	2	regards	regard	VERB
ecj-5615	24	3	avoidance	avoidance	NOUN
ecj-5615	24	4	behavior	behavior	NOUN
ecj-5615	24	5	,	,	PUNCT
ecj-5615	24	6	21	21	NUM
ecj-5615	24	7	%	%	NOUN
ecj-5615	24	8	of	of	ADP
ecj-5615	24	9	eps	eps	PROPN
ecj-5615	24	10	indicated	indicate	VERB
ecj-5615	24	11	that	that	SCONJ
ecj-5615	24	12	certain	certain	ADJ
ecj-5615	24	13	procedures	procedure	NOUN
ecj-5615	24	14	or	or	CCONJ
ecj-5615	24	15	interventions	intervention	NOUN
ecj-5615	24	16	were	be	AUX
ecj-5615	24	17	often	often	ADV
ecj-5615	24	18	avoided	avoid	VERB
ecj-5615	24	19	,	,	PUNCT
ecj-5615	24	20	whereas	whereas	SCONJ
ecj-5615	24	21	13	13	NUM
ecj-5615	24	22	%	%	NOUN
ecj-5615	24	23	of	of	ADP
ecj-5615	24	24	them	they	PRON
ecj-5615	24	25	also	also	ADV
ecj-5615	24	26	emergency	emergency	NOUN
ecj-5615	24	27	care	care	NOUN
ecj-5615	24	28	journal	journal	PROPN
ecj-5615	24	29	2016	2016	NUM
ecj-5615	24	30	;	;	PUNCT
ecj-5615	24	31	volume	volume	NOUN
ecj-5615	24	32	12:5615	12:5615	NUM
ecj-5615	24	33	correspondence	correspondence	NOUN
ecj-5615	24	34	:	:	PUNCT
ecj-5615	24	35	gianfranco	gianfranco	PROPN
ecj-5615	24	36	cervellin	cervellin	PROPN
ecj-5615	24	37	,	,	PUNCT
ecj-5615	24	38	emergency	emergency	NOUN
ecj-5615	24	39	department	department	PROPN
ecj-5615	24	40	,	,	PUNCT
ecj-5615	24	41	parma	parma	PROPN
ecj-5615	24	42	university	university	NOUN
ecj-5615	24	43	hospital	hospital	NOUN
ecj-5615	24	44	,	,	PUNCT
ecj-5615	24	45	via	via	ADP
ecj-5615	24	46	gramsci	gramsci	PROPN
ecj-5615	24	47	14	14	NUM
ecj-5615	24	48	,	,	PUNCT
ecj-5615	24	49	43126	43126	NUM
ecj-5615	24	50	parma	parma	PROPN
ecj-5615	24	51	,	,	PUNCT
ecj-5615	24	52	italy	italy	PROPN
ecj-5615	24	53	.	.	PUNCT
ecj-5615	25	1	tel	tel	ADP
ecj-5615	25	2	:	:	PUNCT
ecj-5615	25	3	+39.0521.703800	+39.0521.703800	ADJ
ecj-5615	25	4	.	.	PUNCT
ecj-5615	26	1	e	e	X
ecj-5615	26	2	-	-	NOUN
ecj-5615	26	3	mail	mail	NOUN
ecj-5615	26	4	:	:	PUNCT
ecj-5615	26	5	gcervellin@ao.pr.it	gcervellin@ao.pr.it	PROPN
ecj-5615	26	6	;	;	PUNCT
ecj-5615	26	7	gianfranco.cervellin@gmail.com	gianfranco.cervellin@gmail.com	X
ecj-5615	26	8	key	key	ADJ
ecj-5615	26	9	words	word	NOUN
ecj-5615	26	10	:	:	PUNCT
ecj-5615	26	11	defensive	defensive	ADJ
ecj-5615	26	12	medicine	medicine	NOUN
ecj-5615	26	13	;	;	PUNCT
ecj-5615	26	14	emergency	emergency	NOUN
ecj-5615	26	15	medicine	medicine	NOUN
ecj-5615	26	16	;	;	PUNCT
ecj-5615	26	17	emergency	emergency	NOUN
ecj-5615	26	18	department	department	NOUN
ecj-5615	26	19	;	;	PUNCT
ecj-5615	26	20	diagnostic	diagnostic	ADJ
ecj-5615	26	21	testing	testing	NOUN
ecj-5615	26	22	;	;	PUNCT
ecj-5615	26	23	overtreatment	overtreatment	NOUN
ecj-5615	26	24	.	.	PUNCT
ecj-5615	27	1	received	receive	VERB
ecj-5615	27	2	for	for	ADP
ecj-5615	27	3	publication	publication	NOUN
ecj-5615	27	4	:	:	PUNCT
ecj-5615	27	5	30	30	NUM
ecj-5615	27	6	october	october	NOUN
ecj-5615	27	7	2015	2015	NUM
ecj-5615	27	8	.	.	PUNCT
ecj-5615	28	1	accepted	accept	VERB
ecj-5615	28	2	for	for	ADP
ecj-5615	28	3	publication	publication	NOUN
ecj-5615	28	4	:	:	PUNCT
ecj-5615	28	5	31	31	NUM
ecj-5615	28	6	december	december	PROPN
ecj-5615	28	7	2015	2015	NUM
ecj-5615	28	8	this	this	DET
ecj-5615	28	9	work	work	NOUN
ecj-5615	28	10	is	be	AUX
ecj-5615	28	11	licensed	license	VERB
ecj-5615	28	12	under	under	ADP
ecj-5615	28	13	a	a	DET
ecj-5615	28	14	creative	creative	ADJ
ecj-5615	28	15	commons	common	NOUN
ecj-5615	28	16	attribution	attribution	NOUN
ecj-5615	28	17	4.0	4.0	NUM
ecj-5615	28	18	license	license	NOUN
ecj-5615	28	19	(	(	PUNCT
ecj-5615	28	20	by	by	ADP
ecj-5615	28	21	-	-	PUNCT
ecj-5615	28	22	nc	nc	PROPN
ecj-5615	28	23	4.0	4.0	NUM
ecj-5615	28	24	)	)	PUNCT
ecj-5615	28	25	.	.	PUNCT
ecj-5615	29	1	©	©	NOUN
ecj-5615	29	2	copyright	copyright	NOUN
ecj-5615	29	3	g.	g.	PROPN
ecj-5615	29	4	cervellin	cervellin	PROPN
ecj-5615	29	5	and	and	CCONJ
ecj-5615	29	6	m.	m.	NOUN
ecj-5615	29	7	cavazza	cavazza	PROPN
ecj-5615	29	8	,	,	PUNCT
ecj-5615	29	9	2016	2016	NUM
ecj-5615	29	10	licensee	licensee	NOUN
ecj-5615	29	11	pagepress	pagepress	NOUN
ecj-5615	29	12	,	,	PUNCT
ecj-5615	29	13	italy	italy	PROPN
ecj-5615	29	14	emergency	emergency	PROPN
ecj-5615	29	15	care	care	PROPN
ecj-5615	29	16	journal	journal	PROPN
ecj-5615	29	17	2016	2016	NUM
ecj-5615	29	18	;	;	PUNCT
ecj-5615	29	19	12:5615	12:5615	NUM
ecj-5615	29	20	doi:10.4081	doi:10.4081	NOUN
ecj-5615	29	21	/	/	SYM
ecj-5615	29	22	ecj.2016.5615	ecj.2016.5615	X
ecj-5615	29	23	non	non	X
ecj-5615	29	24	co	co	X
ecj-5615	29	25	mmerc	mmerc	PROPN
ecj-5615	29	26	ial	ial	PROPN
ecj-5615	29	27	us	us	PROPN
ecj-5615	30	1	e	e	NOUN
ecj-5615	30	2	o	o	X
ecj-5615	30	3	nly	nly	ADV
ecj-5615	30	4	[	[	X
ecj-5615	30	5	emergency	emergency	NOUN
ecj-5615	30	6	care	care	NOUN
ecj-5615	30	7	journal	journal	NOUN
ecj-5615	30	8	2016	2016	NUM
ecj-5615	30	9	;	;	PUNCT
ecj-5615	30	10	12:5615	12:5615	NUM
ecj-5615	30	11	]	]	X
ecj-5615	31	1	[	[	X
ecj-5615	31	2	page	page	NOUN
ecj-5615	31	3	21	21	NUM
ecj-5615	31	4	]	]	PUNCT
ecj-5615	31	5	avoided	avoid	VERB
ecj-5615	31	6	providing	provide	VERB
ecj-5615	31	7	care	care	NOUN
ecj-5615	31	8	to	to	ADP
ecj-5615	31	9	high	high	ADJ
ecj-5615	31	10	-	-	PUNCT
ecj-5615	31	11	risk	risk	NOUN
ecj-5615	31	12	patients	patient	NOUN
ecj-5615	31	13	.	.	PUNCT
ecj-5615	32	1	it	it	PRON
ecj-5615	32	2	is	be	AUX
ecj-5615	32	3	noteworthy	noteworthy	ADJ
ecj-5615	32	4	,	,	PUNCT
ecj-5615	32	5	however	however	ADV
ecj-5615	32	6	,	,	PUNCT
ecj-5615	32	7	that	that	SCONJ
ecj-5615	32	8	the	the	DET
ecj-5615	32	9	choice	choice	NOUN
ecj-5615	32	10	of	of	ADP
ecj-5615	32	11	patients	patient	NOUN
ecj-5615	32	12	(	(	PUNCT
ecj-5615	32	13	e.g.	e.g.	ADV
ecj-5615	32	14	,	,	PUNCT
ecj-5615	32	15	the	the	DET
ecj-5615	32	16	possibility	possibility	NOUN
ecj-5615	32	17	to	to	PART
ecj-5615	32	18	decline	decline	VERB
ecj-5615	32	19	care	care	VERB
ecj-5615	32	20	to	to	ADP
ecj-5615	32	21	some	some	PRON
ecj-5615	32	22	of	of	ADP
ecj-5615	32	23	them	they	PRON
ecj-5615	32	24	)	)	PUNCT
ecj-5615	32	25	is	be	AUX
ecj-5615	32	26	not	not	PART
ecj-5615	32	27	an	an	DET
ecj-5615	32	28	option	option	NOUN
ecj-5615	32	29	in	in	ADP
ecj-5615	32	30	most	most	ADJ
ecj-5615	32	31	countries	country	NOUN
ecj-5615	32	32	,	,	PUNCT
ecj-5615	32	33	since	since	SCONJ
ecj-5615	32	34	emergency	emergency	NOUN
ecj-5615	32	35	medicine	medicine	NOUN
ecj-5615	32	36	is	be	AUX
ecj-5615	32	37	inherently	inherently	ADV
ecj-5615	32	38	driven	drive	VERB
ecj-5615	32	39	by	by	ADP
ecj-5615	32	40	urgent	urgent	ADJ
ecj-5615	32	41	needs	need	NOUN
ecj-5615	32	42	and	and	CCONJ
ecj-5615	32	43	not	not	PART
ecj-5615	32	44	by	by	ADP
ecj-5615	32	45	other	other	ADJ
ecj-5615	32	46	considerations	consideration	NOUN
ecj-5615	32	47	.	.	PUNCT
ecj-5615	33	1	the	the	DET
ecj-5615	33	2	specific	specific	ADJ
ecj-5615	33	3	practices	practice	NOUN
ecj-5615	33	4	of	of	ADP
ecj-5615	33	5	defensive	defensive	ADJ
ecj-5615	33	6	medicine	medicine	NOUN
ecj-5615	33	7	mostly	mostly	ADV
ecj-5615	33	8	involved	involve	VERB
ecj-5615	33	9	frequent	frequent	ADJ
ecj-5615	33	10	orders	order	NOUN
ecj-5615	33	11	of	of	ADP
ecj-5615	33	12	computed	computed	ADJ
ecj-5615	33	13	tomography	tomography	NOUN
ecj-5615	33	14	(	(	PUNCT
ecj-5615	33	15	ct	ct	PROPN
ecj-5615	33	16	)	)	PUNCT
ecj-5615	33	17	,	,	PUNCT
ecj-5615	33	18	magnetic	magnetic	ADJ
ecj-5615	33	19	resonance	resonance	NOUN
ecj-5615	33	20	imaging	imaging	NOUN
ecj-5615	33	21	(	(	PUNCT
ecj-5615	33	22	mri	mri	NOUN
ecj-5615	33	23	)	)	PUNCT
ecj-5615	33	24	,	,	PUNCT
ecj-5615	33	25	or	or	CCONJ
ecj-5615	33	26	x	x	X
ecj-5615	33	27	-	-	NOUN
ecj-5615	33	28	ray	ray	NOUN
ecj-5615	33	29	without	without	ADP
ecj-5615	33	30	clear	clear	ADJ
ecj-5615	33	31	medical	medical	ADJ
ecj-5615	33	32	indications	indication	NOUN
ecj-5615	33	33	in	in	ADP
ecj-5615	33	34	63	63	NUM
ecj-5615	33	35	%	%	NOUN
ecj-5615	33	36	of	of	ADP
ecj-5615	33	37	cases	case	NOUN
ecj-5615	33	38	,	,	PUNCT
ecj-5615	33	39	admission	admission	NOUN
ecj-5615	33	40	of	of	ADP
ecj-5615	33	41	patients	patient	NOUN
ecj-5615	33	42	without	without	ADP
ecj-5615	33	43	clear	clear	ADJ
ecj-5615	33	44	indication	indication	NOUN
ecj-5615	33	45	in	in	ADP
ecj-5615	33	46	14	14	NUM
ecj-5615	33	47	%	%	NOUN
ecj-5615	33	48	of	of	ADP
ecj-5615	33	49	cases	case	NOUN
ecj-5615	33	50	,	,	PUNCT
ecj-5615	33	51	performance	performance	NOUN
ecj-5615	33	52	of	of	ADP
ecj-5615	33	53	cardiac	cardiac	ADJ
ecj-5615	33	54	workup	workup	NOUN
ecj-5615	33	55	in	in	ADP
ecj-5615	33	56	12	12	NUM
ecj-5615	33	57	%	%	NOUN
ecj-5615	33	58	of	of	ADP
ecj-5615	33	59	cases	case	NOUN
ecj-5615	33	60	,	,	PUNCT
ecj-5615	33	61	and	and	CCONJ
ecj-5615	33	62	patients	patient	NOUN
ecj-5615	33	63	referral	referral	VERB
ecj-5615	33	64	to	to	ADP
ecj-5615	33	65	another	another	DET
ecj-5615	33	66	physician	physician	NOUN
ecj-5615	33	67	in	in	ADP
ecj-5615	33	68	5	5	NUM
ecj-5615	33	69	%	%	NOUN
ecj-5615	33	70	of	of	ADP
ecj-5615	33	71	cases	case	NOUN
ecj-5615	33	72	.	.	PUNCT
ecj-5615	34	1	once	once	ADV
ecj-5615	34	2	more	more	ADJ
ecj-5615	34	3	,	,	PUNCT
ecj-5615	34	4	this	this	DET
ecj-5615	34	5	last	last	ADJ
ecj-5615	34	6	issue	issue	NOUN
ecj-5615	34	7	needs	need	VERB
ecj-5615	34	8	additional	additional	ADJ
ecj-5615	34	9	comments	comment	NOUN
ecj-5615	34	10	,	,	PUNCT
ecj-5615	34	11	since	since	SCONJ
ecj-5615	34	12	referring	refer	VERB
ecj-5615	34	13	the	the	DET
ecj-5615	34	14	patient	patient	NOUN
ecj-5615	34	15	to	to	ADP
ecj-5615	34	16	another	another	DET
ecj-5615	34	17	physician	physician	NOUN
ecj-5615	34	18	may	may	AUX
ecj-5615	34	19	be	be	AUX
ecj-5615	34	20	simply	simply	ADV
ecj-5615	34	21	interpreted	interpret	VERB
ecj-5615	34	22	as	as	ADP
ecj-5615	34	23	the	the	DET
ecj-5615	34	24	action	action	NOUN
ecj-5615	34	25	of	of	ADP
ecj-5615	34	26	discharging	discharge	VERB
ecj-5615	34	27	responsibilities	responsibility	NOUN
ecj-5615	34	28	,	,	PUNCT
ecj-5615	34	29	but	but	CCONJ
ecj-5615	34	30	also	also	ADV
ecj-5615	34	31	as	as	ADP
ecj-5615	34	32	lengthening	lengthen	VERB
ecj-5615	34	33	the	the	DET
ecj-5615	34	34	work	work	NOUN
ecj-5615	34	35	-	-	PUNCT
ecj-5615	34	36	up	up	NOUN
ecj-5615	34	37	so	so	ADV
ecj-5615	34	38	leading	lead	VERB
ecj-5615	34	39	to	to	ADP
ecj-5615	34	40	the	the	DET
ecj-5615	34	41	change	change	NOUN
ecj-5615	34	42	of	of	ADP
ecj-5615	34	43	work	work	NOUN
ecj-5615	34	44	-	-	PUNCT
ecj-5615	34	45	shift	shift	NOUN
ecj-5615	34	46	.	.	PUNCT
ecj-5615	35	1	in	in	ADP
ecj-5615	35	2	the	the	DET
ecj-5615	35	3	same	same	ADJ
ecj-5615	35	4	study	study	NOUN
ecj-5615	35	5	,	,	PUNCT
ecj-5615	35	6	objective	objective	ADJ
ecj-5615	35	7	measures	measure	NOUN
ecj-5615	35	8	of	of	ADP
ecj-5615	35	9	physicians	physician	NOUN
ecj-5615	35	10	’	'	PUNCT
ecj-5615	35	11	liability	liability	NOUN
ecj-5615	35	12	experience	experience	NOUN
ecj-5615	35	13	and	and	CCONJ
ecj-5615	35	14	exposure	exposure	NOUN
ecj-5615	35	15	were	be	AUX
ecj-5615	35	16	not	not	PART
ecj-5615	35	17	associated	associate	VERB
ecj-5615	35	18	with	with	ADP
ecj-5615	35	19	individual	individual	ADJ
ecj-5615	35	20	propensity	propensity	NOUN
ecj-5615	35	21	to	to	PART
ecj-5615	35	22	practice	practice	VERB
ecj-5615	35	23	defensively.15	defensively.15	NOUN
ecj-5615	35	24	this	this	DET
ecj-5615	35	25	finding	finding	NOUN
ecj-5615	35	26	is	be	AUX
ecj-5615	35	27	quite	quite	ADV
ecj-5615	35	28	surprising	surprising	ADJ
ecj-5615	35	29	,	,	PUNCT
ecj-5615	35	30	suggesting	suggest	VERB
ecj-5615	35	31	that	that	SCONJ
ecj-5615	35	32	personal	personal	ADJ
ecj-5615	35	33	anxiety	anxiety	NOUN
ecj-5615	35	34	may	may	AUX
ecj-5615	35	35	overshadow	overshadow	VERB
ecj-5615	35	36	actual	actual	ADJ
ecj-5615	35	37	experience	experience	NOUN
ecj-5615	35	38	,	,	PUNCT
ecj-5615	35	39	as	as	SCONJ
ecj-5615	35	40	proposed	propose	VERB
ecj-5615	35	41	by	by	ADP
ecj-5615	35	42	glassmanand	glassmanand	NOUN
ecj-5615	35	43	colleagues	colleague	NOUN
ecj-5615	35	44	.	.	PUNCT
ecj-5615	36	1	by	by	ADP
ecj-5615	36	2	the	the	DET
ecj-5615	36	3	notion	notion	NOUN
ecj-5615	36	4	that	that	SCONJ
ecj-5615	36	5	the	the	DET
ecj-5615	36	6	signal	signal	NOUN
ecj-5615	36	7	to	to	PART
ecj-5615	36	8	practice	practice	VERB
ecj-5615	36	9	defensively	defensively	ADV
ecj-5615	36	10	may	may	AUX
ecj-5615	36	11	have	have	AUX
ecj-5615	36	12	been	be	AUX
ecj-5615	36	13	broadcast	broadcast	VERB
ecj-5615	36	14	so	so	ADV
ecj-5615	36	15	widely	widely	ADV
ecj-5615	36	16	that	that	SCONJ
ecj-5615	36	17	individual	individual	ADJ
ecj-5615	36	18	experience	experience	NOUN
ecj-5615	36	19	is	be	AUX
ecj-5615	36	20	overshadowed	overshadow	VERB
ecj-5615	36	21	by	by	ADP
ecj-5615	36	22	collective	collective	ADJ
ecj-5615	36	23	anxiety.16	anxiety.16	PROPN
ecj-5615	36	24	moreover	moreover	ADV
ecj-5615	36	25	,	,	PUNCT
ecj-5615	36	26	eps	eps	X
ecj-5615	36	27	feel	feel	VERB
ecj-5615	36	28	compelled	compel	VERB
ecj-5615	36	29	to	to	PART
ecj-5615	36	30	practice	practice	VERB
ecj-5615	36	31	maximally	maximally	ADV
ecj-5615	36	32	intensive	intensive	ADJ
ecj-5615	36	33	medicine	medicine	NOUN
ecj-5615	36	34	according	accord	VERB
ecj-5615	36	35	to	to	ADP
ecj-5615	36	36	what	what	PRON
ecj-5615	36	37	they	they	PRON
ecj-5615	36	38	believe	believe	VERB
ecj-5615	36	39	their	their	PRON
ecj-5615	36	40	peers	peer	NOUN
ecj-5615	36	41	are	be	AUX
ecj-5615	36	42	doing	do	VERB
ecj-5615	36	43	since	since	SCONJ
ecj-5615	36	44	malpractice	malpractice	NOUN
ecj-5615	36	45	is	be	AUX
ecj-5615	36	46	usually	usually	ADV
ecj-5615	36	47	defined	define	VERB
ecj-5615	36	48	as	as	ADP
ecj-5615	36	49	a	a	DET
ecj-5615	36	50	deviation	deviation	NOUN
ecj-5615	36	51	from	from	ADP
ecj-5615	36	52	the	the	DET
ecj-5615	36	53	standard	standard	NOUN
ecj-5615	36	54	of	of	ADP
ecj-5615	36	55	customary	customary	ADJ
ecj-5615	36	56	practice	practice	NOUN
ecj-5615	36	57	.	.	PUNCT
ecj-5615	37	1	eps	ep	NOUN
ecj-5615	37	2	typically	typically	ADV
ecj-5615	37	3	practice	practice	NOUN
ecj-5615	37	4	in	in	ADP
ecj-5615	37	5	an	an	DET
ecj-5615	37	6	informationpoor	informationpoor	NOUN
ecj-5615	37	7	,	,	PUNCT
ecj-5615	37	8	high	high	ADJ
ecj-5615	37	9	-	-	PUNCT
ecj-5615	37	10	risk	risk	NOUN
ecj-5615	37	11	,	,	PUNCT
ecj-5615	37	12	technology	technology	NOUN
ecj-5615	37	13	-	-	PUNCT
ecj-5615	37	14	rich	rich	ADJ
ecj-5615	37	15	environment	environment	NOUN
ecj-5615	37	16	,	,	PUNCT
ecj-5615	37	17	a	a	DET
ecj-5615	37	18	setting	setting	NOUN
ecj-5615	37	19	that	that	PRON
ecj-5615	37	20	may	may	AUX
ecj-5615	37	21	predispose	predispose	VERB
ecj-5615	37	22	itself	itself	PRON
ecj-5615	37	23	to	to	ADP
ecj-5615	37	24	defensive	defensive	ADJ
ecj-5615	37	25	practice	practice	NOUN
ecj-5615	37	26	and	and	CCONJ
ecj-5615	37	27	magnify	magnify	VERB
ecj-5615	37	28	expenditures	expenditure	NOUN
ecj-5615	37	29	.	.	PUNCT
ecj-5615	38	1	the	the	DET
ecj-5615	38	2	ep	ep	PROPN
ecj-5615	38	3	’s	’s	PART
ecj-5615	38	4	decision	decision	NOUN
ecj-5615	38	5	to	to	PART
ecj-5615	38	6	admit	admit	VERB
ecj-5615	38	7	a	a	DET
ecj-5615	38	8	patient	patient	NOUN
ecj-5615	38	9	to	to	ADP
ecj-5615	38	10	the	the	DET
ecj-5615	38	11	hospital	hospital	NOUN
ecj-5615	38	12	is	be	AUX
ecj-5615	38	13	associated	associate	VERB
ecj-5615	38	14	with	with	ADP
ecj-5615	38	15	inpatient	inpatient	NOUN
ecj-5615	38	16	costs	cost	NOUN
ecj-5615	38	17	that	that	PRON
ecj-5615	38	18	may	may	AUX
ecj-5615	38	19	be	be	AUX
ecj-5615	38	20	10	10	NUM
ecj-5615	38	21	times	time	NOUN
ecj-5615	38	22	higher	high	ADJ
ecj-5615	38	23	than	than	ADP
ecj-5615	38	24	the	the	DET
ecj-5615	38	25	ed	ed	PROPN
ecj-5615	38	26	visit	visit	NOUN
ecj-5615	38	27	itself.17	itself.17	PROPN
ecj-5615	39	1	it	it	PRON
ecj-5615	39	2	is	be	AUX
ecj-5615	39	3	now	now	ADV
ecj-5615	39	4	almost	almost	ADV
ecj-5615	39	5	clear	clear	ADJ
ecj-5615	39	6	that	that	SCONJ
ecj-5615	39	7	eps	ep	NOUN
ecj-5615	39	8	tend	tend	VERB
ecj-5615	39	9	to	to	PART
ecj-5615	39	10	practice	practice	VERB
ecj-5615	39	11	defensive	defensive	ADJ
ecj-5615	39	12	medicine	medicine	NOUN
ecj-5615	39	13	in	in	ADP
ecj-5615	39	14	several	several	ADJ
ecj-5615	39	15	aspects	aspect	NOUN
ecj-5615	39	16	of	of	ADP
ecj-5615	39	17	their	their	PRON
ecj-5615	39	18	daily	daily	ADJ
ecj-5615	39	19	work	work	NOUN
ecj-5615	39	20	.	.	PUNCT
ecj-5615	40	1	to	to	PART
ecj-5615	40	2	put	put	VERB
ecj-5615	40	3	it	it	PRON
ecj-5615	40	4	simple	simple	ADJ
ecj-5615	40	5	,	,	PUNCT
ecj-5615	40	6	some	some	PRON
ecj-5615	40	7	of	of	ADP
ecj-5615	40	8	us	we	PRON
ecj-5615	40	9	know	know	VERB
ecj-5615	40	10	it	it	PRON
ecj-5615	40	11	,	,	PUNCT
ecj-5615	40	12	acknowledge	acknowledge	VERB
ecj-5615	40	13	it	it	PRON
ecj-5615	40	14	,	,	PUNCT
ecj-5615	40	15	and	and	CCONJ
ecj-5615	40	16	accept	accept	VERB
ecj-5615	40	17	it	it	PRON
ecj-5615	40	18	,	,	PUNCT
ecj-5615	40	19	whereas	whereas	SCONJ
ecj-5615	40	20	others	other	NOUN
ecj-5615	40	21	do	do	VERB
ecj-5615	40	22	not	not	PART
ecj-5615	40	23	.	.	PUNCT
ecj-5615	41	1	the	the	DET
ecj-5615	41	2	ed	ed	NOUN
ecj-5615	41	3	,	,	PUNCT
ecj-5615	41	4	as	as	SCONJ
ecj-5615	41	5	previously	previously	ADV
ecj-5615	41	6	mentioned	mention	VERB
ecj-5615	41	7	,	,	PUNCT
ecj-5615	41	8	is	be	AUX
ecj-5615	41	9	a	a	DET
ecj-5615	41	10	clinical	clinical	ADJ
ecj-5615	41	11	setting	setting	NOUN
ecj-5615	41	12	characterized	characterize	VERB
ecj-5615	41	13	by	by	ADP
ecj-5615	41	14	a	a	DET
ecj-5615	41	15	high	high	ADJ
ecj-5615	41	16	technology	technology	NOUN
ecj-5615	41	17	environment	environment	NOUN
ecj-5615	41	18	,	,	PUNCT
ecj-5615	41	19	and	and	CCONJ
ecj-5615	41	20	technology	technology	NOUN
ecj-5615	41	21	itself	itself	PRON
ecj-5615	41	22	plays	play	VERB
ecj-5615	41	23	a	a	DET
ecj-5615	41	24	key	key	ADJ
ecj-5615	41	25	role	role	NOUN
ecj-5615	41	26	in	in	ADP
ecj-5615	41	27	defensive	defensive	ADJ
ecj-5615	41	28	medicine	medicine	NOUN
ecj-5615	41	29	,	,	PUNCT
ecj-5615	41	30	and	and	CCONJ
ecj-5615	41	31	in	in	ADP
ecj-5615	41	32	malpractice	malpractice	NOUN
ecj-5615	41	33	liability	liability	NOUN
ecj-5615	41	34	in	in	ADP
ecj-5615	41	35	general.18	general.18	PROPN
ecj-5615	41	36	the	the	DET
ecj-5615	41	37	eps	eps	PROPN
ecj-5615	41	38	often	often	ADV
ecj-5615	41	39	usee	usee	VERB
ecj-5615	41	40	technology	technology	NOUN
ecj-5615	41	41	to	to	PART
ecj-5615	41	42	pacify	pacify	VERB
ecj-5615	41	43	demanding	demand	VERB
ecj-5615	41	44	patients	patient	NOUN
ecj-5615	41	45	,	,	PUNCT
ecj-5615	41	46	bolster	bolster	VERB
ecj-5615	41	47	their	their	PRON
ecj-5615	41	48	own	own	ADJ
ecj-5615	41	49	self	self	NOUN
ecj-5615	41	50	-	-	PUNCT
ecj-5615	41	51	confidence	confidence	NOUN
ecj-5615	41	52	,	,	PUNCT
ecj-5615	41	53	or	or	CCONJ
ecj-5615	41	54	create	create	VERB
ecj-5615	41	55	a	a	DET
ecj-5615	41	56	trail	trail	NOUN
ecj-5615	41	57	of	of	ADP
ecj-5615	41	58	evidence	evidence	NOUN
ecj-5615	41	59	that	that	SCONJ
ecj-5615	41	60	they	they	PRON
ecj-5615	41	61	had	have	AUX
ecj-5615	41	62	confirmed	confirm	VERB
ecj-5615	41	63	or	or	CCONJ
ecj-5615	41	64	excluded	exclude	VERB
ecj-5615	41	65	particular	particular	ADJ
ecj-5615	41	66	disease	disease	NOUN
ecj-5615	41	67	entities	entity	NOUN
ecj-5615	41	68	.	.	PUNCT
ecj-5615	42	1	the	the	DET
ecj-5615	42	2	defensive	defensive	ADJ
ecj-5615	42	3	use	use	NOUN
ecj-5615	42	4	of	of	ADP
ecj-5615	42	5	technology	technology	NOUN
ecj-5615	42	6	,	,	PUNCT
ecj-5615	42	7	however	however	ADV
ecj-5615	42	8	,	,	PUNCT
ecj-5615	42	9	is	be	AUX
ecj-5615	42	10	self	self	NOUN
ecj-5615	42	11	-	-	PUNCT
ecj-5615	42	12	reinforcing	reinforce	VERB
ecj-5615	42	13	.	.	PUNCT
ecj-5615	43	1	the	the	DET
ecj-5615	43	2	larger	large	ADJ
ecj-5615	43	3	is	be	AUX
ecj-5615	43	4	the	the	DET
ecj-5615	43	5	number	number	NOUN
ecj-5615	43	6	of	of	ADP
ecj-5615	43	7	diagnostic	diagnostic	ADJ
ecj-5615	43	8	procedures	procedure	NOUN
ecj-5615	43	9	with	with	ADP
ecj-5615	43	10	low	low	ADJ
ecj-5615	43	11	predictive	predictive	ADJ
ecj-5615	43	12	values	value	NOUN
ecj-5615	43	13	or	or	CCONJ
ecj-5615	43	14	aggressive	aggressive	ADJ
ecj-5615	43	15	treatments	treatment	NOUN
ecj-5615	43	16	for	for	ADP
ecj-5615	43	17	low	low	ADJ
ecj-5615	43	18	-	-	PUNCT
ecj-5615	43	19	risk	risk	NOUN
ecj-5615	43	20	conditions	condition	NOUN
ecj-5615	43	21	,	,	PUNCT
ecj-5615	43	22	the	the	DET
ecj-5615	43	23	more	more	ADV
ecj-5615	43	24	likely	likely	ADJ
ecj-5615	43	25	is	be	AUX
ecj-5615	43	26	that	that	SCONJ
ecj-5615	43	27	such	such	ADJ
ecj-5615	43	28	practices	practice	NOUN
ecj-5615	43	29	become	become	VERB
ecj-5615	43	30	the	the	DET
ecj-5615	43	31	legal	legal	ADJ
ecj-5615	43	32	standard	standard	NOUN
ecj-5615	43	33	of	of	ADP
ecj-5615	43	34	care	care	NOUN
ecj-5615	43	35	.	.	PUNCT
ecj-5615	44	1	this	this	PRON
ecj-5615	44	2	represents	represent	VERB
ecj-5615	44	3	the	the	DET
ecj-5615	44	4	classical	classical	ADJ
ecj-5615	44	5	dog	dog	NOUN
ecj-5615	44	6	chasing	chase	VERB
ecj-5615	44	7	its	its	PRON
ecj-5615	44	8	own	own	ADJ
ecj-5615	44	9	tail	tail	NOUN
ecj-5615	44	10	figure	figure	NOUN
ecj-5615	44	11	.	.	PUNCT
ecj-5615	45	1	trauma	trauma	NOUN
ecj-5615	45	2	evaluation	evaluation	NOUN
ecj-5615	45	3	is	be	AUX
ecj-5615	45	4	one	one	NUM
ecj-5615	45	5	of	of	ADP
ecj-5615	45	6	the	the	DET
ecj-5615	45	7	fields	field	NOUN
ecj-5615	45	8	of	of	ADP
ecj-5615	45	9	emergency	emergency	NOUN
ecj-5615	45	10	medicine	medicine	NOUN
ecj-5615	45	11	in	in	ADP
ecj-5615	45	12	which	which	PRON
ecj-5615	45	13	defensive	defensive	ADJ
ecj-5615	45	14	medicine	medicine	NOUN
ecj-5615	45	15	is	be	AUX
ecj-5615	45	16	most	most	ADV
ecj-5615	45	17	practiced	practice	VERB
ecj-5615	45	18	.	.	PUNCT
ecj-5615	46	1	some	some	DET
ecj-5615	46	2	evidence	evidence	NOUN
ecj-5615	46	3	exist	exist	VERB
ecj-5615	46	4	,	,	PUNCT
ecj-5615	46	5	however	however	ADV
ecj-5615	46	6	,	,	PUNCT
ecj-5615	46	7	that	that	SCONJ
ecj-5615	46	8	the	the	DET
ecj-5615	46	9	enormous	enormous	ADJ
ecj-5615	46	10	increase	increase	NOUN
ecj-5615	46	11	in	in	ADP
ecj-5615	46	12	the	the	DET
ecj-5615	46	13	use	use	NOUN
ecj-5615	46	14	of	of	ADP
ecj-5615	46	15	ct	ct	PRON
ecj-5615	46	16	does	do	AUX
ecj-5615	46	17	not	not	PART
ecj-5615	46	18	reflect	reflect	VERB
ecj-5615	46	19	a	a	DET
ecj-5615	46	20	similar	similar	ADJ
ecj-5615	46	21	increase	increase	NOUN
ecj-5615	46	22	in	in	ADP
ecj-5615	46	23	efficient	efficient	ADJ
ecj-5615	46	24	diagnosis,19	diagnosis,19	NOUN
ecj-5615	46	25	whilst	whilst	SCONJ
ecj-5615	46	26	it	it	PRON
ecj-5615	46	27	exposes	expose	VERB
ecj-5615	46	28	the	the	DET
ecj-5615	46	29	patients	patient	NOUN
ecj-5615	46	30	to	to	ADP
ecj-5615	46	31	potentially	potentially	ADV
ecj-5615	46	32	unnecessary	unnecessary	ADJ
ecj-5615	46	33	amounts	amount	NOUN
ecj-5615	46	34	of	of	ADP
ecj-5615	46	35	harmful	harmful	ADJ
ecj-5615	46	36	radiation	radiation	NOUN
ecj-5615	46	37	.	.	PUNCT
ecj-5615	47	1	however	however	ADV
ecj-5615	47	2	,	,	PUNCT
ecj-5615	47	3	out	out	ADP
ecj-5615	47	4	of	of	ADP
ecj-5615	47	5	the	the	DET
ecj-5615	47	6	416	416	NUM
ecj-5615	47	7	ct	ct	NOUN
ecj-5615	47	8	studies	study	NOUN
ecj-5615	47	9	ordered	order	VERB
ecj-5615	47	10	for	for	ADP
ecj-5615	47	11	defensive	defensive	ADJ
ecj-5615	47	12	purposes	purpose	NOUN
ecj-5615	47	13	,	,	PUNCT
ecj-5615	47	14	51	51	NUM
ecj-5615	47	15	(	(	PUNCT
ecj-5615	47	16	12	12	NUM
ecj-5615	47	17	%	%	NOUN
ecj-5615	47	18	)	)	PUNCT
ecj-5615	47	19	had	have	VERB
ecj-5615	47	20	significant	significant	ADJ
ecj-5615	47	21	findings	finding	NOUN
ecj-5615	47	22	,	,	PUNCT
ecj-5615	47	23	leading	lead	VERB
ecj-5615	47	24	in	in	ADP
ecj-5615	47	25	change	change	NOUN
ecj-5615	47	26	of	of	ADP
ecj-5615	47	27	care	care	NOUN
ecj-5615	47	28	in	in	ADP
ecj-5615	47	29	9	9	NUM
ecj-5615	47	30	(	(	PUNCT
ecj-5615	47	31	2.2	2.2	NUM
ecj-5615	47	32	%	%	NOUN
ecj-5615	47	33	)	)	PUNCT
ecj-5615	47	34	.	.	PUNCT
ecj-5615	48	1	as	as	SCONJ
ecj-5615	48	2	such	such	ADJ
ecj-5615	48	3	,	,	PUNCT
ecj-5615	48	4	9	9	NUM
ecj-5615	48	5	out	out	ADP
ecj-5615	48	6	of	of	ADP
ecj-5615	48	7	416	416	NUM
ecj-5615	48	8	patients	patient	NOUN
ecj-5615	48	9	should	should	AUX
ecj-5615	48	10	be	be	AUX
ecj-5615	48	11	seen	see	VERB
ecj-5615	48	12	as	as	ADP
ecj-5615	48	13	potential	potential	ADJ
ecj-5615	48	14	lawsuits.19	lawsuits.19	NOUN
ecj-5615	48	15	an	an	DET
ecj-5615	48	16	additional	additional	ADJ
ecj-5615	48	17	field	field	NOUN
ecj-5615	48	18	of	of	ADP
ecj-5615	48	19	particular	particular	ADJ
ecj-5615	48	20	interest	interest	NOUN
ecj-5615	48	21	in	in	ADP
ecj-5615	48	22	emergency	emergency	NOUN
ecj-5615	48	23	(	(	PUNCT
ecj-5615	48	24	defensive	defensive	ADJ
ecj-5615	48	25	)	)	PUNCT
ecj-5615	48	26	medicine	medicine	NOUN
ecj-5615	48	27	is	be	AUX
ecj-5615	48	28	the	the	DET
ecj-5615	48	29	evaluation	evaluation	NOUN
ecj-5615	48	30	of	of	ADP
ecj-5615	48	31	chest	chest	NOUN
ecj-5615	48	32	pain	pain	NOUN
ecj-5615	48	33	patients	patient	NOUN
ecj-5615	48	34	.	.	PUNCT
ecj-5615	49	1	due	due	ADP
ecj-5615	49	2	to	to	ADP
ecj-5615	49	3	the	the	DET
ecj-5615	49	4	fear	fear	NOUN
ecj-5615	49	5	of	of	ADP
ecj-5615	49	6	discharge	discharge	NOUN
ecj-5615	49	7	patients	patient	NOUN
ecj-5615	49	8	at	at	ADP
ecj-5615	49	9	high	high	ADJ
ecj-5615	49	10	risk	risk	NOUN
ecj-5615	49	11	even	even	ADV
ecj-5615	49	12	after	after	ADP
ecj-5615	49	13	exclusion	exclusion	NOUN
ecj-5615	49	14	of	of	ADP
ecj-5615	49	15	a	a	DET
ecj-5615	49	16	myocardial	myocardial	ADJ
ecj-5615	49	17	infarction	infarction	NOUN
ecj-5615	49	18	(	(	PUNCT
ecj-5615	49	19	mi	mi	NOUN
ecj-5615	49	20	)	)	PUNCT
ecj-5615	49	21	,	,	PUNCT
ecj-5615	49	22	an	an	DET
ecj-5615	49	23	extensive	extensive	ADJ
ecj-5615	49	24	work	work	NOUN
ecj-5615	49	25	-	-	PUNCT
ecj-5615	49	26	up	up	NOUN
ecj-5615	49	27	is	be	AUX
ecj-5615	49	28	quite	quite	ADV
ecj-5615	49	29	often	often	ADV
ecj-5615	49	30	performed	perform	VERB
ecj-5615	49	31	,	,	PUNCT
ecj-5615	49	32	including	include	VERB
ecj-5615	49	33	provocative	provocative	ADJ
ecj-5615	49	34	tests	test	NOUN
ecj-5615	49	35	during	during	ADP
ecj-5615	49	36	the	the	DET
ecj-5615	49	37	observation	observation	NOUN
ecj-5615	49	38	period	period	NOUN
ecj-5615	49	39	.	.	PUNCT
ecj-5615	50	1	nevertheless	nevertheless	ADV
ecj-5615	50	2	,	,	PUNCT
ecj-5615	50	3	a	a	DET
ecj-5615	50	4	large	large	ADJ
ecj-5615	50	5	study	study	NOUN
ecj-5615	50	6	including	include	VERB
ecj-5615	50	7	421,774	421,774	NUM
ecj-5615	50	8	patients	patient	NOUN
ecj-5615	50	9	failed	fail	VERB
ecj-5615	50	10	to	to	PART
ecj-5615	50	11	show	show	VERB
ecj-5615	50	12	any	any	DET
ecj-5615	50	13	benefit	benefit	NOUN
ecj-5615	50	14	from	from	ADP
ecj-5615	50	15	such	such	DET
ecj-5615	50	16	an	an	DET
ecj-5615	50	17	aggressive	aggressive	ADJ
ecj-5615	50	18	strategy	strategy	NOUN
ecj-5615	50	19	in	in	ADP
ecj-5615	50	20	those	those	DET
ecj-5615	50	21	patients	patient	NOUN
ecj-5615	50	22	,	,	PUNCT
ecj-5615	50	23	concluding	conclude	VERB
ecj-5615	50	24	that	that	SCONJ
ecj-5615	50	25	this	this	DET
ecj-5615	50	26	population	population	NOUN
ecj-5615	50	27	does	do	AUX
ecj-5615	50	28	not	not	PART
ecj-5615	50	29	appear	appear	VERB
ecj-5615	50	30	to	to	PART
ecj-5615	50	31	be	be	AUX
ecj-5615	50	32	affected	affect	VERB
ecj-5615	50	33	by	by	ADP
ecj-5615	50	34	the	the	DET
ecj-5615	50	35	initial	initial	ADJ
ecj-5615	50	36	testing	testing	NOUN
ecj-5615	50	37	strategy	strategy	NOUN
ecj-5615	50	38	.	.	PUNCT
ecj-5615	51	1	deferral	deferral	ADV
ecj-5615	51	2	of	of	ADP
ecj-5615	51	3	early	early	ADJ
ecj-5615	51	4	noninvasive	noninvasive	ADJ
ecj-5615	51	5	testing	testing	NOUN
ecj-5615	51	6	appears	appear	VERB
ecj-5615	51	7	thus	thus	ADV
ecj-5615	51	8	to	to	PART
ecj-5615	51	9	be	be	AUX
ecj-5615	51	10	reasonable.20	reasonable.20	PROPN
ecj-5615	51	11	setting	set	VERB
ecj-5615	51	12	an	an	DET
ecj-5615	51	13	agenda	agenda	NOUN
ecj-5615	51	14	for	for	ADP
ecj-5615	51	15	reducing	reduce	VERB
ecj-5615	51	16	defensive	defensive	ADJ
ecj-5615	51	17	(	(	PUNCT
ecj-5615	51	18	emergency	emergency	NOUN
ecj-5615	51	19	)	)	PUNCT
ecj-5615	51	20	medicine	medicine	NOUN
ecj-5615	51	21	?	?	PUNCT
ecj-5615	52	1	since	since	SCONJ
ecj-5615	52	2	defensive	defensive	ADJ
ecj-5615	52	3	medicine	medicine	NOUN
ecj-5615	52	4	violates	violate	VERB
ecj-5615	52	5	the	the	DET
ecj-5615	52	6	hippocratic	hippocratic	ADJ
ecj-5615	52	7	oath	oath	NOUN
ecj-5615	52	8	and	and	CCONJ
ecj-5615	52	9	represents	represent	VERB
ecj-5615	52	10	a	a	DET
ecj-5615	52	11	serious	serious	ADJ
ecj-5615	52	12	challenge	challenge	NOUN
ecj-5615	52	13	to	to	ADP
ecj-5615	52	14	the	the	DET
ecj-5615	52	15	physician	physician	NOUN
ecj-5615	52	16	-	-	PUNCT
ecj-5615	52	17	patient	patient	NOUN
ecj-5615	52	18	relationship	relationship	NOUN
ecj-5615	52	19	,	,	PUNCT
ecj-5615	52	20	an	an	DET
ecj-5615	52	21	agenda	agenda	NOUN
ecj-5615	52	22	for	for	ADP
ecj-5615	52	23	reducing	reduce	VERB
ecj-5615	52	24	its	its	PRON
ecj-5615	52	25	use	use	NOUN
ecj-5615	52	26	is	be	AUX
ecj-5615	52	27	urgently	urgently	ADV
ecj-5615	52	28	needed	need	VERB
ecj-5615	52	29	.	.	PUNCT
ecj-5615	53	1	the	the	DET
ecj-5615	53	2	office	office	NOUN
ecj-5615	53	3	of	of	ADP
ecj-5615	53	4	technology	technology	NOUN
ecj-5615	53	5	assessmenty	assessmenty	NOUN
ecj-5615	53	6	definition	definition	NOUN
ecj-5615	53	7	of	of	ADP
ecj-5615	53	8	defensive	defensive	ADJ
ecj-5615	53	9	medicine21	medicine21	NOUN
ecj-5615	53	10	(	(	PUNCT
ecj-5615	53	11	see	see	VERB
ecj-5615	53	12	previous	previous	ADJ
ecj-5615	53	13	part	part	NOUN
ecj-5615	53	14	of	of	ADP
ecj-5615	53	15	this	this	DET
ecj-5615	53	16	article	article	NOUN
ecj-5615	53	17	)	)	PUNCT
ecj-5615	53	18	means	mean	VERB
ecj-5615	53	19	that	that	SCONJ
ecj-5615	53	20	defensive	defensive	ADJ
ecj-5615	53	21	medicine	medicine	NOUN
ecj-5615	53	22	should	should	AUX
ecj-5615	53	23	be	be	AUX
ecj-5615	53	24	regarded	regard	VERB
ecj-5615	53	25	a	a	DET
ecj-5615	53	26	negative	negative	ADJ
ecj-5615	53	27	shift	shift	NOUN
ecj-5615	53	28	from	from	ADP
ecj-5615	53	29	the	the	DET
ecj-5615	53	30	ideal	ideal	ADJ
ecj-5615	53	31	medical	medical	ADJ
ecj-5615	53	32	practice	practice	NOUN
ecj-5615	53	33	.	.	PUNCT
ecj-5615	54	1	now	now	ADV
ecj-5615	54	2	,	,	PUNCT
ecj-5615	54	3	the	the	DET
ecj-5615	54	4	question	question	NOUN
ecj-5615	54	5	is	be	AUX
ecj-5615	54	6	:	:	PUNCT
ecj-5615	54	7	who	who	PRON
ecj-5615	54	8	defines	define	VERB
ecj-5615	54	9	ideal	ideal	ADJ
ecj-5615	54	10	medical	medical	ADJ
ecj-5615	54	11	practice	practice	NOUN
ecj-5615	54	12	,	,	PUNCT
ecj-5615	54	13	or	or	CCONJ
ecj-5615	54	14	standard	standard	NOUN
ecj-5615	54	15	of	of	ADP
ecj-5615	54	16	care	care	NOUN
ecj-5615	54	17	?	?	PUNCT
ecj-5615	55	1	physicians	physician	NOUN
ecj-5615	55	2	,	,	PUNCT
ecj-5615	55	3	patients	patient	NOUN
ecj-5615	55	4	,	,	PUNCT
ecj-5615	55	5	hospital	hospital	NOUN
ecj-5615	55	6	managers	manager	NOUN
ecj-5615	55	7	,	,	PUNCT
ecj-5615	55	8	or	or	CCONJ
ecj-5615	55	9	lawyers	lawyer	NOUN
ecj-5615	55	10	?	?	PUNCT
ecj-5615	56	1	rather	rather	ADV
ecj-5615	56	2	reasonably	reasonably	ADV
ecj-5615	56	3	,	,	PUNCT
ecj-5615	56	4	we	we	PRON
ecj-5615	56	5	think	think	VERB
ecj-5615	56	6	that	that	SCONJ
ecj-5615	56	7	standard	standard	NOUN
ecj-5615	56	8	of	of	ADP
ecj-5615	56	9	care	care	NOUN
ecj-5615	56	10	can	can	AUX
ecj-5615	56	11	be	be	AUX
ecj-5615	56	12	seen	see	VERB
ecj-5615	56	13	as	as	ADP
ecj-5615	56	14	a	a	DET
ecj-5615	56	15	mix	mix	NOUN
ecj-5615	56	16	of	of	ADP
ecj-5615	56	17	two	two	NUM
ecj-5615	56	18	components	component	NOUN
ecj-5615	56	19	,	,	PUNCT
ecj-5615	56	20	i.e.	i.e.	X
ecj-5615	56	21	,	,	PUNCT
ecj-5615	56	22	i	i	NOUN
ecj-5615	56	23	)	)	PUNCT
ecj-5615	56	24	what	what	PRON
ecj-5615	56	25	is	be	AUX
ecj-5615	56	26	medically	medically	ADV
ecj-5615	56	27	justified	justify	VERB
ecj-5615	56	28	in	in	ADP
ecj-5615	56	29	defined	define	VERB
ecj-5615	56	30	clinical	clinical	ADJ
ecj-5615	56	31	situations	situation	NOUN
ecj-5615	56	32	,	,	PUNCT
ecj-5615	56	33	and	and	CCONJ
ecj-5615	56	34	,	,	PUNCT
ecj-5615	56	35	ii	ii	PROPN
ecj-5615	56	36	)	)	PUNCT
ecj-5615	56	37	what	what	PRON
ecj-5615	56	38	is	be	AUX
ecj-5615	56	39	legally	legally	ADV
ecj-5615	56	40	required	require	VERB
ecj-5615	56	41	,	,	PUNCT
ecj-5615	56	42	that	that	PRON
ecj-5615	56	43	reflects	reflect	VERB
ecj-5615	56	44	community	community	NOUN
ecj-5615	56	45	/	/	SYM
ecj-5615	56	46	customers	customer	NOUN
ecj-5615	56	47	’	'	PUNCT
ecj-5615	56	48	expectations.22	expectations.22	NOUN
ecj-5615	56	49	there	there	PRON
ecj-5615	56	50	is	be	VERB
ecj-5615	56	51	a	a	DET
ecj-5615	56	52	widespread	widespread	ADJ
ecj-5615	56	53	perception	perception	NOUN
ecj-5615	56	54	that	that	SCONJ
ecj-5615	56	55	courts	court	NOUN
ecj-5615	56	56	tend	tend	VERB
ecj-5615	56	57	to	to	PART
ecj-5615	56	58	rely	rely	VERB
ecj-5615	56	59	more	more	ADV
ecj-5615	56	60	on	on	ADP
ecj-5615	56	61	data	datum	NOUN
ecj-5615	56	62	provided	provide	VERB
ecj-5615	56	63	by	by	ADP
ecj-5615	56	64	instrumental	instrumental	ADJ
ecj-5615	56	65	or	or	CCONJ
ecj-5615	56	66	laboratory	laboratory	NOUN
ecj-5615	56	67	tests	test	NOUN
ecj-5615	56	68	than	than	ADP
ecj-5615	56	69	on	on	ADP
ecj-5615	56	70	claims	claim	NOUN
ecj-5615	56	71	of	of	ADP
ecj-5615	56	72	experience	experience	NOUN
ecj-5615	56	73	or	or	CCONJ
ecj-5615	56	74	medical	medical	ADJ
ecj-5615	56	75	judgment.23	judgment.23	PROPN
ecj-5615	56	76	it	it	PRON
ecj-5615	56	77	is	be	AUX
ecj-5615	56	78	also	also	ADV
ecj-5615	56	79	commonplace	commonplace	ADJ
ecj-5615	56	80	to	to	PART
ecj-5615	56	81	think	think	VERB
ecj-5615	56	82	that	that	SCONJ
ecj-5615	56	83	defensive	defensive	ADJ
ecj-5615	56	84	medicine	medicine	NOUN
ecj-5615	56	85	is	be	AUX
ecj-5615	56	86	mainly	mainly	ADV
ecj-5615	56	87	driven	drive	VERB
ecj-5615	56	88	by	by	ADP
ecj-5615	56	89	fear	fear	NOUN
ecj-5615	56	90	of	of	ADP
ecj-5615	56	91	lawsuits	lawsuit	NOUN
ecj-5615	56	92	.	.	PUNCT
ecj-5615	57	1	there	there	PRON
ecj-5615	57	2	are	be	VERB
ecj-5615	57	3	few	few	ADJ
ecj-5615	57	4	data	datum	NOUN
ecj-5615	57	5	,	,	PUNCT
ecj-5615	57	6	however	however	ADV
ecj-5615	57	7	,	,	PUNCT
ecj-5615	57	8	to	to	PART
ecj-5615	57	9	confirm	confirm	VERB
ecj-5615	57	10	this	this	DET
ecj-5615	57	11	perception	perception	NOUN
ecj-5615	57	12	,	,	PUNCT
ecj-5615	57	13	and	and	CCONJ
ecj-5615	57	14	the	the	DET
ecj-5615	57	15	limited	limited	ADJ
ecj-5615	57	16	weight	weight	NOUN
ecj-5615	57	17	of	of	ADP
ecj-5615	57	18	evidence	evidence	NOUN
ecj-5615	57	19	suggests	suggest	VERB
ecj-5615	57	20	that	that	SCONJ
ecj-5615	57	21	the	the	DET
ecj-5615	57	22	effect	effect	NOUN
ecj-5615	57	23	is	be	AUX
ecj-5615	57	24	limited.24	limited.24	VERB
ecj-5615	57	25	a	a	DET
ecj-5615	57	26	recent	recent	ADJ
ecj-5615	57	27	and	and	CCONJ
ecj-5615	57	28	large	large	ADJ
ecj-5615	57	29	study	study	NOUN
ecj-5615	57	30	evaluating	evaluate	VERB
ecj-5615	57	31	the	the	DET
ecj-5615	57	32	effects	effect	NOUN
ecj-5615	57	33	of	of	ADP
ecj-5615	57	34	new	new	ADJ
ecj-5615	57	35	laws	law	NOUN
ecj-5615	57	36	on	on	ADP
ecj-5615	57	37	malpractice	malpractice	NOUN
ecj-5615	57	38	in	in	ADP
ecj-5615	57	39	three	three	NUM
ecj-5615	57	40	us	us	PROPN
ecj-5615	57	41	states	state	NOUN
ecj-5615	57	42	(	(	PUNCT
ecj-5615	57	43	i.e.	i.e.	X
ecj-5615	57	44	,	,	PUNCT
ecj-5615	57	45	texas	texas	PROPN
ecj-5615	57	46	,	,	PUNCT
ecj-5615	57	47	georgia	georgia	PROPN
ecj-5615	57	48	,	,	PUNCT
ecj-5615	57	49	and	and	CCONJ
ecj-5615	57	50	south	south	PROPN
ecj-5615	57	51	carolina	carolina	PROPN
ecj-5615	57	52	)	)	PUNCT
ecj-5615	57	53	,	,	PUNCT
ecj-5615	57	54	failed	fail	VERB
ecj-5615	57	55	to	to	PART
ecj-5615	57	56	demonstrate	demonstrate	VERB
ecj-5615	57	57	any	any	DET
ecj-5615	57	58	significant	significant	ADJ
ecj-5615	57	59	effect	effect	NOUN
ecj-5615	57	60	on	on	ADP
ecj-5615	57	61	defensive	defensive	ADJ
ecj-5615	57	62	medicine	medicine	NOUN
ecj-5615	57	63	practice	practice	NOUN
ecj-5615	57	64	.	.	PUNCT
ecj-5615	58	1	more	more	ADV
ecj-5615	58	2	specifically	specifically	ADV
ecj-5615	58	3	,	,	PUNCT
ecj-5615	58	4	the	the	DET
ecj-5615	58	5	study	study	NOUN
ecj-5615	58	6	showed	show	VERB
ecj-5615	58	7	that	that	SCONJ
ecj-5615	58	8	a	a	DET
ecj-5615	58	9	new	new	ADJ
ecj-5615	58	10	legislation	legislation	NOUN
ecj-5615	58	11	substantially	substantially	ADV
ecj-5615	58	12	changing	change	VERB
ecj-5615	58	13	the	the	DET
ecj-5615	58	14	malpractice	malpractice	NOUN
ecj-5615	58	15	standard	standard	NOUN
ecj-5615	58	16	for	for	ADP
ecj-5615	58	17	eps	eps	PROPN
ecj-5615	58	18	had	have	VERB
ecj-5615	58	19	little	little	ADJ
ecj-5615	58	20	,	,	PUNCT
ecj-5615	58	21	if	if	SCONJ
ecj-5615	58	22	any	any	PRON
ecj-5615	58	23	,	,	PUNCT
ecj-5615	58	24	effect	effect	NOUN
ecj-5615	58	25	on	on	ADP
ecj-5615	58	26	the	the	DET
ecj-5615	58	27	intensity	intensity	NOUN
ecj-5615	58	28	of	of	ADP
ecj-5615	58	29	practice	practice	NOUN
ecj-5615	58	30	,	,	PUNCT
ecj-5615	58	31	as	as	SCONJ
ecj-5615	58	32	measured	measure	VERB
ecj-5615	58	33	by	by	ADP
ecj-5615	58	34	imaging	imaging	NOUN
ecj-5615	58	35	rates	rate	NOUN
ecj-5615	58	36	,	,	PUNCT
ecj-5615	58	37	average	average	ADJ
ecj-5615	58	38	charges	charge	NOUN
ecj-5615	58	39	,	,	PUNCT
ecj-5615	58	40	or	or	CCONJ
ecj-5615	58	41	hospital	hospital	NOUN
ecj-5615	58	42	admission	admission	NOUN
ecj-5615	58	43	rates.25	rates.25	NOUN
ecj-5615	58	44	these	these	DET
ecj-5615	58	45	findings	finding	NOUN
ecj-5615	58	46	seems	seem	VERB
ecj-5615	58	47	to	to	PART
ecj-5615	58	48	mine	mine	VERB
ecj-5615	58	49	the	the	DET
ecj-5615	58	50	concept	concept	NOUN
ecj-5615	58	51	,	,	PUNCT
ecj-5615	58	52	otherwise	otherwise	ADV
ecj-5615	58	53	widely	widely	ADV
ecj-5615	58	54	accepted	accept	VERB
ecj-5615	58	55	,	,	PUNCT
ecj-5615	58	56	that	that	SCONJ
ecj-5615	58	57	the	the	DET
ecj-5615	58	58	fear	fear	NOUN
ecj-5615	58	59	of	of	ADP
ecj-5615	58	60	being	be	AUX
ecj-5615	58	61	involved	involve	VERB
ecj-5615	58	62	in	in	ADP
ecj-5615	58	63	medico	medico	ADJ
ecj-5615	58	64	-	-	ADJ
ecj-5615	58	65	legal	legal	ADJ
ecj-5615	58	66	litigation	litigation	NOUN
ecj-5615	58	67	is	be	AUX
ecj-5615	58	68	the	the	DET
ecj-5615	58	69	main	main	ADJ
ecj-5615	58	70	driver	driver	NOUN
ecj-5615	58	71	of	of	ADP
ecj-5615	58	72	defensive	defensive	ADJ
ecj-5615	58	73	medicine	medicine	NOUN
ecj-5615	58	74	.	.	PUNCT
ecj-5615	59	1	evidence	evidence	NOUN
ecj-5615	59	2	seems	seem	VERB
ecj-5615	59	3	to	to	PART
ecj-5615	59	4	suggest	suggest	VERB
ecj-5615	59	5	that	that	SCONJ
ecj-5615	59	6	the	the	DET
ecj-5615	59	7	clinical	clinical	ADJ
ecj-5615	59	8	history	history	NOUN
ecj-5615	59	9	typically	typically	ADV
ecj-5615	59	10	accounts	account	VERB
ecj-5615	59	11	for	for	ADP
ecj-5615	59	12	75	75	NUM
ecj-5615	59	13	%	%	NOUN
ecj-5615	59	14	or	or	CCONJ
ecj-5615	59	15	more	more	ADJ
ecj-5615	59	16	of	of	ADP
ecj-5615	59	17	the	the	DET
ecj-5615	59	18	diagnostic	diagnostic	ADJ
ecj-5615	59	19	yield	yield	NOUN
ecj-5615	59	20	when	when	SCONJ
ecj-5615	59	21	evaluating	evaluate	VERB
ecj-5615	59	22	common	common	ADJ
ecj-5615	59	23	symptoms	symptom	NOUN
ecj-5615	59	24	,	,	PUNCT
ecj-5615	59	25	the	the	DET
ecj-5615	59	26	physical	physical	ADJ
ecj-5615	59	27	examination	examination	NOUN
ecj-5615	59	28	10	10	NUM
ecj-5615	59	29	to	to	PART
ecj-5615	59	30	15	15	NUM
ecj-5615	59	31	%	%	NOUN
ecj-5615	59	32	,	,	PUNCT
ecj-5615	59	33	and	and	CCONJ
ecj-5615	59	34	testing	testing	NOUN
ecj-5615	59	35	generally	generally	ADV
ecj-5615	59	36	less	less	ADJ
ecj-5615	59	37	than	than	ADP
ecj-5615	59	38	10%.26	10%.26	NUM
ecj-5615	59	39	as	as	ADP
ecj-5615	59	40	such	such	ADJ
ecj-5615	59	41	,	,	PUNCT
ecj-5615	59	42	clinical	clinical	ADJ
ecj-5615	59	43	gestalt	gestalt	NOUN
ecj-5615	59	44	and	and	CCONJ
ecj-5615	59	45	clinical	clinical	ADJ
ecj-5615	59	46	judgement	judgement	NOUN
ecj-5615	59	47	still	still	ADV
ecj-5615	59	48	retain	retain	VERB
ecj-5615	59	49	a	a	DET
ecj-5615	59	50	pivotal	pivotal	ADJ
ecj-5615	59	51	role	role	NOUN
ecj-5615	59	52	in	in	ADP
ecj-5615	59	53	each	each	DET
ecj-5615	59	54	clinical	clinical	ADJ
ecj-5615	59	55	decision	decision	NOUN
ecj-5615	59	56	,	,	PUNCT
ecj-5615	59	57	albeit	albeit	SCONJ
ecj-5615	59	58	corroborate	corroborate	VERB
ecj-5615	59	59	by	by	ADP
ecj-5615	59	60	bayesian	bayesian	NOUN
ecj-5615	59	61	principles	principle	NOUN
ecj-5615	59	62	,	,	PUNCT
ecj-5615	59	63	with	with	ADP
ecj-5615	59	64	different	different	ADJ
ecj-5615	59	65	weight	weight	NOUN
ecj-5615	59	66	in	in	ADP
ecj-5615	59	67	different	different	ADJ
ecj-5615	59	68	clinical	clinical	ADJ
ecj-5615	59	69	situations.27	situations.27	PROPN
ecj-5615	59	70	venous	venous	ADJ
ecj-5615	59	71	thromboembolism28	thromboembolism28	PROPN
ecj-5615	59	72	and	and	CCONJ
ecj-5615	59	73	acute	acute	ADJ
ecj-5615	59	74	myocardial	myocardial	ADJ
ecj-5615	59	75	infarction29	infarction29	NOUN
ecj-5615	59	76	are	be	AUX
ecj-5615	59	77	two	two	NUM
ecj-5615	59	78	valuable	valuable	ADJ
ecj-5615	59	79	examples	example	NOUN
ecj-5615	59	80	of	of	ADP
ecj-5615	59	81	severe	severe	ADJ
ecj-5615	59	82	disorders	disorder	NOUN
ecj-5615	59	83	,	,	PUNCT
ecj-5615	59	84	highly	highly	ADV
ecj-5615	59	85	prevalent	prevalent	ADJ
ecj-5615	59	86	in	in	ADP
ecj-5615	59	87	the	the	DET
ecj-5615	59	88	setting	setting	NOUN
ecj-5615	59	89	of	of	ADP
ecj-5615	59	90	emergency	emergency	NOUN
ecj-5615	59	91	medicine	medicine	NOUN
ecj-5615	59	92	,	,	PUNCT
ecj-5615	59	93	whose	whose	DET
ecj-5615	59	94	diagnosis	diagnosis	NOUN
ecj-5615	59	95	and	and	CCONJ
ecj-5615	59	96	management	management	NOUN
ecj-5615	59	97	has	have	AUX
ecj-5615	59	98	taken	take	VERB
ecj-5615	59	99	great	great	ADJ
ecj-5615	59	100	advantage	advantage	NOUN
ecj-5615	59	101	from	from	ADP
ecj-5615	59	102	the	the	DET
ecj-5615	59	103	introduction	introduction	NOUN
ecj-5615	59	104	of	of	ADP
ecj-5615	59	105	diagnostic	diagnostic	ADJ
ecj-5615	59	106	tests	test	NOUN
ecj-5615	59	107	,	,	PUNCT
ecj-5615	59	108	algorithms	algorithm	NOUN
ecj-5615	59	109	and	and	CCONJ
ecj-5615	59	110	guidelines	guideline	NOUN
ecj-5615	59	111	,	,	PUNCT
ecj-5615	59	112	which	which	PRON
ecj-5615	59	113	should	should	AUX
ecj-5615	59	114	work	work	VERB
ecj-5615	59	115	side	side	NOUN
ecj-5615	59	116	-	-	PUNCT
ecj-5615	59	117	by	by	ADP
ecj-5615	59	118	-	-	PUNCT
ecj-5615	59	119	side	side	NOUN
ecj-5615	59	120	with	with	ADP
ecj-5615	59	121	clinical	clinical	ADJ
ecj-5615	59	122	gestalt	gestalt	NOUN
ecj-5615	59	123	and	and	CCONJ
ecj-5615	59	124	clinical	clinical	ADJ
ecj-5615	59	125	judgement	judgement	NOUN
ecj-5615	59	126	.	.	PUNCT
ecj-5615	60	1	conclusions	conclusion	NOUN
ecj-5615	60	2	in	in	ADP
ecj-5615	60	3	order	order	NOUN
ecj-5615	60	4	to	to	PART
ecj-5615	60	5	optimize	optimize	VERB
ecj-5615	60	6	our	our	PRON
ecj-5615	60	7	practice	practice	NOUN
ecj-5615	60	8	,	,	PUNCT
ecj-5615	60	9	thus	thus	ADV
ecj-5615	60	10	paving	pave	VERB
ecj-5615	60	11	the	the	DET
ecj-5615	60	12	way	way	NOUN
ecj-5615	60	13	to	to	ADP
ecj-5615	60	14	a	a	DET
ecj-5615	60	15	consistent	consistent	ADJ
ecj-5615	60	16	reduction	reduction	NOUN
ecj-5615	60	17	of	of	ADP
ecj-5615	60	18	defensive	defensive	ADJ
ecj-5615	60	19	medicine	medicine	NOUN
ecj-5615	60	20	,	,	PUNCT
ecj-5615	60	21	we	we	PRON
ecj-5615	60	22	should	should	AUX
ecj-5615	60	23	define	define	VERB
ecj-5615	60	24	a	a	DET
ecj-5615	60	25	hierarchical	hierarchical	ADJ
ecj-5615	60	26	list	list	NOUN
ecj-5615	60	27	of	of	ADP
ecj-5615	60	28	priorities	priority	NOUN
ecj-5615	60	29	,	,	PUNCT
ecj-5615	60	30	in	in	ADP
ecj-5615	60	31	which	which	PRON
ecj-5615	60	32	the	the	DET
ecj-5615	60	33	patient	patient	NOUN
ecj-5615	60	34	’s	’s	PART
ecj-5615	60	35	health	health	NOUN
ecj-5615	60	36	is	be	AUX
ecj-5615	60	37	,	,	PUNCT
ecj-5615	60	38	and	and	CCONJ
ecj-5615	60	39	will	will	AUX
ecj-5615	60	40	always	always	ADV
ecj-5615	60	41	be	be	AUX
ecj-5615	60	42	,	,	PUNCT
ecj-5615	60	43	at	at	ADP
ecj-5615	60	44	the	the	DET
ecj-5615	60	45	center	center	NOUN
ecj-5615	60	46	.	.	PUNCT
ecj-5615	61	1	we	we	PRON
ecj-5615	61	2	are	be	AUX
ecj-5615	61	3	physicians	physician	NOUN
ecj-5615	61	4	before	before	ADV
ecj-5615	61	5	all	all	ADV
ecj-5615	61	6	,	,	PUNCT
ecj-5615	61	7	and	and	CCONJ
ecj-5615	61	8	we	we	PRON
ecj-5615	61	9	should	should	AUX
ecj-5615	61	10	not	not	PART
ecj-5615	61	11	forget	forget	VERB
ecj-5615	61	12	that	that	SCONJ
ecj-5615	61	13	although	although	SCONJ
ecj-5615	61	14	clinical	clinical	ADJ
ecj-5615	61	15	instinct	instinct	NOUN
ecj-5615	61	16	and	and	CCONJ
ecj-5615	61	17	experience	experience	NOUN
ecj-5615	61	18	play	play	VERB
ecj-5615	61	19	a	a	DET
ecj-5615	61	20	pivotal	pivotal	ADJ
ecj-5615	61	21	role	role	NOUN
ecj-5615	61	22	in	in	ADP
ecj-5615	61	23	the	the	DET
ecj-5615	61	24	formulation	formulation	NOUN
ecj-5615	61	25	of	of	ADP
ecj-5615	61	26	initial	initial	ADJ
ecj-5615	61	27	impressions	impression	NOUN
ecj-5615	61	28	and	and	CCONJ
ecj-5615	61	29	management	management	NOUN
ecj-5615	61	30	,	,	PUNCT
ecj-5615	61	31	the	the	DET
ecj-5615	61	32	precious	precious	ADJ
ecj-5615	61	33	contribution	contribution	NOUN
ecj-5615	61	34	of	of	ADP
ecj-5615	61	35	evidence	evidence	NOUN
ecj-5615	61	36	-	-	PUNCT
ecj-5615	61	37	based	base	VERB
ecj-5615	61	38	medicine	medicine	NOUN
ecj-5615	61	39	should	should	AUX
ecj-5615	61	40	not	not	PART
ecj-5615	61	41	be	be	AUX
ecj-5615	61	42	awkwardly	awkwardly	ADV
ecj-5615	61	43	overlooked	overlook	VERB
ecj-5615	61	44	.	.	PUNCT
ecj-5615	62	1	the	the	DET
ecj-5615	62	2	clinical	clinical	ADJ
ecj-5615	62	3	reasoning	reasoning	NOUN
ecj-5615	62	4	should	should	AUX
ecj-5615	62	5	hence	hence	ADV
ecj-5615	62	6	be	be	AUX
ecj-5615	62	7	regarded	regard	VERB
ecj-5615	62	8	as	as	ADP
ecj-5615	62	9	a	a	DET
ecj-5615	62	10	virtuous	virtuous	ADJ
ecj-5615	62	11	circle	circle	NOUN
ecj-5615	62	12	,	,	PUNCT
ecj-5615	62	13	whereby	whereby	SCONJ
ecj-5615	62	14	the	the	DET
ecj-5615	62	15	gestalt	gestalt	NOUN
ecj-5615	62	16	leads	lead	VERB
ecj-5615	62	17	to	to	ADP
ecj-5615	62	18	the	the	DET
ecj-5615	62	19	use	use	NOUN
ecj-5615	62	20	of	of	ADP
ecj-5615	62	21	available	available	ADJ
ecj-5615	62	22	scientific	scientific	ADJ
ecj-5615	62	23	tools	tool	NOUN
ecj-5615	62	24	,	,	PUNCT
ecj-5615	62	25	which	which	PRON
ecj-5615	62	26	in	in	ADP
ecj-5615	62	27	turn	turn	NOUN
ecj-5615	62	28	may	may	AUX
ecj-5615	62	29	reinforce	reinforce	VERB
ecj-5615	62	30	(	(	PUNCT
ecj-5615	62	31	or	or	CCONJ
ecj-5615	62	32	even	even	ADV
ecj-5615	62	33	weaken	weaken	VERB
ecj-5615	62	34	)	)	PUNCT
ecj-5615	62	35	the	the	DET
ecj-5615	62	36	initial	initial	ADJ
ecj-5615	62	37	gestalt	gestalt	NOUN
ecj-5615	62	38	perception	perception	NOUN
ecj-5615	62	39	.	.	PUNCT
ecj-5615	63	1	this	this	PRON
ecj-5615	63	2	has	have	AUX
ecj-5615	63	3	been	be	AUX
ecj-5615	63	4	strongly	strongly	ADV
ecj-5615	63	5	reaffirmed	reaffirm	VERB
ecj-5615	63	6	by	by	ADP
ecj-5615	63	7	the	the	DET
ecj-5615	63	8	us	us	PROPN
ecj-5615	63	9	institute	institute	PROPN
ecj-5615	63	10	of	of	ADP
ecj-5615	63	11	medicine	medicine	NOUN
ecj-5615	63	12	,	,	PUNCT
ecj-5615	63	13	by	by	ADP
ecj-5615	63	14	listing	list	VERB
ecj-5615	63	15	a	a	DET
ecj-5615	63	16	set	set	NOUN
ecj-5615	63	17	of	of	ADP
ecj-5615	63	18	core	core	NOUN
ecj-5615	63	19	competencies	competency	NOUN
ecj-5615	63	20	for	for	ADP
ecj-5615	63	21	health	health	NOUN
ecj-5615	63	22	professions	profession	NOUN
ecj-5615	63	23	education	education	NOUN
ecj-5615	63	24	,	,	PUNCT
ecj-5615	63	25	which	which	PRON
ecj-5615	63	26	include	include	VERB
ecj-5615	63	27	interdisciplinary	interdisciplinary	ADJ
ecj-5615	63	28	teams	team	NOUN
ecj-5615	63	29	,	,	PUNCT
ecj-5615	63	30	evidence	evidence	NOUN
ecj-5615	63	31	-	-	PUNCT
ecj-5615	63	32	based	base	VERB
ecj-5615	63	33	practice	practice	NOUN
ecj-5615	63	34	,	,	PUNCT
ecj-5615	63	35	quality	quality	NOUN
ecj-5615	63	36	improvement	improvement	NOUN
ecj-5615	63	37	and	and	CCONJ
ecj-5615	63	38	informatics	informatic	NOUN
ecj-5615	63	39	along	along	ADP
ecj-5615	63	40	with	with	ADP
ecj-5615	63	41	patient	patient	ADJ
ecj-5615	63	42	centered	center	VERB
ecj-5615	63	43	care.30	care.30	NOUN
ecj-5615	63	44	this	this	DET
ecj-5615	63	45	kind	kind	NOUN
ecj-5615	63	46	of	of	ADP
ecj-5615	63	47	educational	educational	ADJ
ecj-5615	63	48	policy	policy	NOUN
ecj-5615	63	49	should	should	AUX
ecj-5615	63	50	,	,	PUNCT
ecj-5615	63	51	of	of	ADP
ecj-5615	63	52	course	course	NOUN
ecj-5615	63	53	,	,	PUNCT
ecj-5615	63	54	start	start	VERB
ecj-5615	63	55	from	from	ADP
ecj-5615	63	56	the	the	DET
ecj-5615	63	57	university	university	NOUN
ecj-5615	63	58	,	,	PUNCT
ecj-5615	63	59	since	since	SCONJ
ecj-5615	63	60	a	a	DET
ecj-5615	63	61	large	large	ADJ
ecj-5615	63	62	portion	portion	NOUN
ecj-5615	63	63	of	of	ADP
ecj-5615	63	64	medical	medical	ADJ
ecj-5615	63	65	students	student	NOUN
ecj-5615	63	66	and	and	CCONJ
ecj-5615	63	67	residents	resident	NOUN
ecj-5615	63	68	frequently	frequently	ADV
ecj-5615	63	69	encounter	encounter	VERB
ecj-5615	63	70	defensive	defensive	ADJ
ecj-5615	63	71	medicine	medicine	NOUN
ecj-5615	63	72	practices	practice	NOUN
ecj-5615	63	73	and	and	CCONJ
ecj-5615	63	74	are	be	AUX
ecj-5615	63	75	often	often	ADV
ecj-5615	63	76	being	be	AUX
ecj-5615	63	77	taught	teach	VERB
ecj-5615	63	78	to	to	PART
ecj-5615	63	79	consider	consider	VERB
ecj-5615	63	80	malpractice	malpractice	NOUN
ecj-5615	63	81	liability	liability	NOUN
ecj-5615	63	82	during	during	ADP
ecj-5615	63	83	clinical	clinical	ADJ
ecj-5615	63	84	decision	decision	NOUN
ecj-5615	63	85	making.31	making.31	NOUN
ecj-5615	63	86	along	along	ADP
ecj-5615	63	87	with	with	ADP
ecj-5615	63	88	revision	revision	NOUN
ecj-5615	63	89	of	of	ADP
ecj-5615	63	90	current	current	ADJ
ecj-5615	63	91	legislation	legislation	NOUN
ecj-5615	63	92	,	,	PUNCT
ecj-5615	63	93	getting	get	VERB
ecj-5615	63	94	back	back	ADV
ecj-5615	63	95	to	to	ADP
ecj-5615	63	96	basics	basic	NOUN
ecj-5615	63	97	may	may	AUX
ecj-5615	63	98	be	be	AUX
ecj-5615	63	99	the	the	DET
ecj-5615	63	100	best	good	ADJ
ecj-5615	63	101	way	way	NOUN
ecj-5615	63	102	to	to	PART
ecj-5615	63	103	fight	fight	VERB
ecj-5615	63	104	against	against	ADP
ecj-5615	63	105	defensive	defensive	ADJ
ecj-5615	63	106	medicine	medicine	NOUN
ecj-5615	63	107	.	.	PUNCT
ecj-5615	64	1	opinion	opinion	NOUN
ecj-5615	64	2	report	report	VERB
ecj-5615	64	3	non	non	PROPN
ecj-5615	64	4	co	co	PROPN
ecj-5615	64	5	mmerc	mmerc	PROPN
ecj-5615	64	6	ial	ial	PROPN
ecj-5615	64	7	us	us	PROPN
ecj-5615	65	1	e	e	NOUN
ecj-5615	65	2	o	o	NOUN
ecj-5615	65	3	nly	nly	ADV
ecj-5615	65	4	[	[	X
ecj-5615	65	5	page	page	NOUN
ecj-5615	65	6	22	22	NUM
ecj-5615	65	7	]	]	PUNCT
ecj-5615	66	1	[	[	X
ecj-5615	66	2	emergency	emergency	NOUN
ecj-5615	66	3	care	care	NOUN
ecj-5615	66	4	journal	journal	PROPN
ecj-5615	66	5	2016	2016	NUM
ecj-5615	66	6	;	;	PUNCT
ecj-5615	66	7	12:5615	12:5615	NUM
ecj-5615	66	8	]	]	PUNCT
ecj-5615	66	9	references	reference	NOUN
ecj-5615	66	10	1	1	NUM
ecj-5615	66	11	.	.	PUNCT
ecj-5615	66	12	charles	charles	PROPN
ecj-5615	66	13	sc	sc	PROPN
ecj-5615	66	14	.	.	PUNCT
ecj-5615	67	1	coping	cope	VERB
ecj-5615	67	2	with	with	ADP
ecj-5615	67	3	a	a	DET
ecj-5615	67	4	medical	medical	ADJ
ecj-5615	67	5	malpractice	malpractice	NOUN
ecj-5615	67	6	suit	suit	NOUN
ecj-5615	67	7	.	.	PUNCT
ecj-5615	68	1	western	western	ADJ
ecj-5615	68	2	j	j	PROPN
ecj-5615	68	3	med	med	ADJ
ecj-5615	68	4	2001;174:55	2001;174:55	NUM
ecj-5615	68	5	-	-	SYM
ecj-5615	68	6	8	8	NUM
ecj-5615	68	7	.	.	NOUN
ecj-5615	68	8	2	2	NUM
ecj-5615	68	9	.	.	X
ecj-5615	68	10	toraldo	toraldo	PROPN
ecj-5615	68	11	dm	dm	PROPN
ecj-5615	68	12	,	,	PUNCT
ecj-5615	68	13	vergari	vergari	PROPN
ecj-5615	68	14	u	u	PROPN
ecj-5615	68	15	,	,	PUNCT
ecj-5615	68	16	toraldo	toraldo	PROPN
ecj-5615	68	17	m.	m.	NOUN
ecj-5615	68	18	medical	medical	ADJ
ecj-5615	68	19	malpractice	malpractice	NOUN
ecj-5615	68	20	,	,	PUNCT
ecj-5615	68	21	defensive	defensive	ADJ
ecj-5615	68	22	medicine	medicine	NOUN
ecj-5615	68	23	and	and	CCONJ
ecj-5615	68	24	role	role	NOUN
ecj-5615	68	25	of	of	ADP
ecj-5615	68	26	the	the	DET
ecj-5615	68	27	“	"	PUNCT
ecj-5615	68	28	media	medium	NOUN
ecj-5615	68	29	”	"	PUNCT
ecj-5615	68	30	in	in	ADP
ecj-5615	68	31	italy	italy	PROPN
ecj-5615	68	32	.	.	PUNCT
ecj-5615	69	1	multidiscip	multidiscip	PROPN
ecj-5615	69	2	respir	respir	VERB
ecj-5615	69	3	m	m	NOUN
ecj-5615	69	4	2015;10:12	2015;10:12	NUM
ecj-5615	69	5	.	.	PUNCT
ecj-5615	70	1	3	3	X
ecj-5615	70	2	.	.	X
ecj-5615	70	3	morgan	morgan	PROPN
ecj-5615	70	4	dj	dj	PROPN
ecj-5615	70	5	,	,	PUNCT
ecj-5615	70	6	brownlee	brownlee	PROPN
ecj-5615	70	7	s	s	PROPN
ecj-5615	70	8	,	,	PUNCT
ecj-5615	70	9	leppin	leppin	PROPN
ecj-5615	70	10	al	al	PROPN
ecj-5615	70	11	,	,	PUNCT
ecj-5615	70	12	et	et	PROPN
ecj-5615	70	13	al	al	PROPN
ecj-5615	70	14	.	.	PUNCT
ecj-5615	71	1	setting	set	VERB
ecj-5615	71	2	a	a	DET
ecj-5615	71	3	research	research	NOUN
ecj-5615	71	4	agenda	agenda	NOUN
ecj-5615	71	5	for	for	ADP
ecj-5615	71	6	medical	medical	ADJ
ecj-5615	71	7	overuse	overuse	NOUN
ecj-5615	71	8	.	.	PUNCT
ecj-5615	72	1	brit	brit	PROPN
ecj-5615	72	2	med	med	PROPN
ecj-5615	72	3	j	j	PROPN
ecj-5615	72	4	2015;351:4534	2015;351:4534	NUM
ecj-5615	72	5	.	.	PROPN
ecj-5615	73	1	4	4	NUM
ecj-5615	73	2	.	.	X
ecj-5615	73	3	chassin	chassin	PROPN
ecj-5615	73	4	mr	mr	PROPN
ecj-5615	73	5	.	.	PROPN
ecj-5615	73	6	is	be	AUX
ecj-5615	73	7	health	health	NOUN
ecj-5615	73	8	care	care	NOUN
ecj-5615	73	9	ready	ready	ADJ
ecj-5615	73	10	for	for	ADP
ecj-5615	73	11	six	six	NUM
ecj-5615	73	12	sigma	sigma	PROPN
ecj-5615	73	13	quality	quality	NOUN
ecj-5615	73	14	?	?	PUNCT
ecj-5615	74	1	milbank	milbank	PROPN
ecj-5615	74	2	q	q	PROPN
ecj-5615	75	1	1998;76:565	1998;76:565	PROPN
ecj-5615	75	2	-	-	PUNCT
ecj-5615	75	3	91	91	NUM
ecj-5615	75	4	.	.	PUNCT
ecj-5615	76	1	5	5	X
ecj-5615	76	2	.	.	X
ecj-5615	76	3	berwick	berwick	PROPN
ecj-5615	76	4	dm	dm	PROPN
ecj-5615	76	5	,	,	PUNCT
ecj-5615	76	6	hackbarth	hackbarth	NOUN
ecj-5615	76	7	ad	ad	NOUN
ecj-5615	76	8	.	.	PUNCT
ecj-5615	77	1	eliminating	eliminate	VERB
ecj-5615	77	2	waste	waste	NOUN
ecj-5615	77	3	in	in	ADP
ecj-5615	77	4	us	us	PROPN
ecj-5615	77	5	health	health	NOUN
ecj-5615	77	6	care	care	NOUN
ecj-5615	77	7	.	.	PUNCT
ecj-5615	78	1	j	j	PROPN
ecj-5615	78	2	am	be	AUX
ecj-5615	78	3	med	med	ADJ
ecj-5615	78	4	assoc	assoc	PROPN
ecj-5615	78	5	2012;307:1513	2012;307:1513	NUM
ecj-5615	78	6	-	-	SYM
ecj-5615	78	7	6	6	NUM
ecj-5615	78	8	.	.	NOUN
ecj-5615	78	9	6	6	NUM
ecj-5615	78	10	.	.	X
ecj-5615	78	11	sirovich	sirovich	ADV
ecj-5615	78	12	be	be	VERB
ecj-5615	78	13	,	,	PUNCT
ecj-5615	78	14	woloshin	woloshin	PROPN
ecj-5615	78	15	s	s	PROPN
ecj-5615	78	16	,	,	PUNCT
ecj-5615	78	17	schwartz	schwartz	PROPN
ecj-5615	78	18	lm	lm	PROPN
ecj-5615	78	19	.	.	PUNCT
ecj-5615	79	1	too	too	ADV
ecj-5615	79	2	little	little	ADJ
ecj-5615	79	3	?	?	PUNCT
ecj-5615	80	1	too	too	ADV
ecj-5615	80	2	much	much	ADJ
ecj-5615	80	3	?	?	PUNCT
ecj-5615	81	1	primary	primary	ADJ
ecj-5615	81	2	care	care	NOUN
ecj-5615	81	3	physicians	physician	NOUN
ecj-5615	81	4	’	'	PUNCT
ecj-5615	81	5	views	view	NOUN
ecj-5615	81	6	on	on	ADP
ecj-5615	81	7	us	us	PROPN
ecj-5615	81	8	health	health	NOUN
ecj-5615	81	9	care	care	NOUN
ecj-5615	81	10	:	:	PUNCT
ecj-5615	81	11	a	a	DET
ecj-5615	81	12	brief	brief	ADJ
ecj-5615	81	13	report	report	NOUN
ecj-5615	81	14	.	.	PUNCT
ecj-5615	82	1	arch	arch	ADJ
ecj-5615	82	2	intern	intern	PROPN
ecj-5615	82	3	med	me	VERB
ecj-5615	82	4	2011;171:1582	2011;171:1582	NUM
ecj-5615	82	5	-	-	SYM
ecj-5615	82	6	5	5	NUM
ecj-5615	82	7	.	.	NOUN
ecj-5615	82	8	7	7	NUM
ecj-5615	82	9	.	.	NUM
ecj-5615	82	10	welch	welch	PROPN
ecj-5615	82	11	hg	hg	PROPN
ecj-5615	82	12	,	,	PUNCT
ecj-5615	82	13	sharp	sharp	PROPN
ecj-5615	82	14	sm	sm	PROPN
ecj-5615	82	15	,	,	PUNCT
ecj-5615	82	16	gottlieb	gottlieb	PROPN
ecj-5615	82	17	dj	dj	PROPN
ecj-5615	82	18	,	,	PUNCT
ecj-5615	82	19	et	et	PROPN
ecj-5615	82	20	al	al	PROPN
ecj-5615	82	21	.	.	PUNCT
ecj-5615	83	1	geographic	geographic	ADJ
ecj-5615	83	2	variation	variation	NOUN
ecj-5615	83	3	in	in	ADP
ecj-5615	83	4	diagnosis	diagnosis	NOUN
ecj-5615	83	5	frequency	frequency	NOUN
ecj-5615	83	6	and	and	CCONJ
ecj-5615	83	7	risk	risk	NOUN
ecj-5615	83	8	of	of	ADP
ecj-5615	83	9	death	death	NOUN
ecj-5615	83	10	among	among	ADP
ecj-5615	83	11	medicare	medicare	PROPN
ecj-5615	83	12	beneficiaries	beneficiary	NOUN
ecj-5615	83	13	.	.	PUNCT
ecj-5615	84	1	j	j	PROPN
ecj-5615	84	2	am	be	AUX
ecj-5615	84	3	med	med	ADJ
ecj-5615	84	4	assoc	assoc	PROPN
ecj-5615	84	5	2011;305	2011;305	NUM
ecj-5615	84	6	:	:	PUNCT
ecj-5615	84	7	1113	1113	NUM
ecj-5615	84	8	-	-	SYM
ecj-5615	84	9	8	8	NUM
ecj-5615	84	10	.	.	NOUN
ecj-5615	84	11	8	8	NUM
ecj-5615	84	12	.	.	PUNCT
ecj-5615	84	13	song	song	PROPN
ecj-5615	84	14	y	y	PROPN
ecj-5615	84	15	,	,	PUNCT
ecj-5615	84	16	skinner	skinner	PROPN
ecj-5615	84	17	j	j	PROPN
ecj-5615	84	18	,	,	PUNCT
ecj-5615	84	19	bynum	bynum	PROPN
ecj-5615	84	20	j	j	PROPN
ecj-5615	84	21	,	,	PUNCT
ecj-5615	84	22	et	et	PROPN
ecj-5615	84	23	al	al	PROPN
ecj-5615	84	24	.	.	PUNCT
ecj-5615	85	1	regional	regional	ADJ
ecj-5615	85	2	variations	variation	NOUN
ecj-5615	85	3	in	in	ADP
ecj-5615	85	4	diagnostic	diagnostic	ADJ
ecj-5615	85	5	practices	practice	NOUN
ecj-5615	85	6	.	.	PUNCT
ecj-5615	86	1	new	new	ADJ
ecj-5615	86	2	engl	engl	PROPN
ecj-5615	86	3	j	j	PROPN
ecj-5615	86	4	med	me	VERB
ecj-5615	86	5	2010;363:45	2010;363:45	NOUN
ecj-5615	86	6	-	-	SYM
ecj-5615	86	7	53	53	NUM
ecj-5615	86	8	.	.	NOUN
ecj-5615	87	1	9	9	NUM
ecj-5615	87	2	.	.	X
ecj-5615	87	3	perryundem	perryundem	PROPN
ecj-5615	87	4	research	research	NOUN
ecj-5615	87	5	/	/	SYM
ecj-5615	87	6	communication	communication	NOUN
ecj-5615	87	7	.	.	PUNCT
ecj-5615	88	1	unnecessary	unnecessary	ADJ
ecj-5615	88	2	tests	test	NOUN
ecj-5615	88	3	and	and	CCONJ
ecj-5615	88	4	procedures	procedure	NOUN
ecj-5615	88	5	in	in	ADP
ecj-5615	88	6	the	the	DET
ecj-5615	88	7	health	health	NOUN
ecj-5615	88	8	care	care	NOUN
ecj-5615	88	9	system	system	NOUN
ecj-5615	88	10	.	.	PUNCT
ecj-5615	89	1	2014	2014	NUM
ecj-5615	89	2	.	.	PUNCT
ecj-5615	90	1	available	available	ADJ
ecj-5615	90	2	from	from	ADP
ecj-5615	90	3	:	:	PUNCT
ecj-5615	90	4	w	w	PROPN
ecj-5615	90	5	w	w	PROPN
ecj-5615	90	6	w	w	PROPN
ecj-5615	90	7	.	.	PUNCT
ecj-5615	91	1	c	c	NOUN
ecj-5615	92	1	h	h	NOUN
ecj-5615	93	1	o	o	NOUN
ecj-5615	93	2	o	o	X
ecj-5615	93	3	s	s	VERB
ecj-5615	93	4	i	i	PRON
ecj-5615	93	5	n	n	CCONJ
ecj-5615	93	6	g	g	NOUN
ecj-5615	93	7	w	w	VERB
ecj-5615	94	1	i	i	NOUN
ecj-5615	94	2	s	s	PROPN
ecj-5615	94	3	e	e	NOUN
ecj-5615	94	4	l	l	NOUN
ecj-5615	94	5	y	y	PROPN
ecj-5615	94	6	.	.	PUNCT
ecj-5615	95	1	o	o	NOUN
ecj-5615	95	2	r	r	NOUN
ecj-5615	95	3	g	g	PROPN
ecj-5615	95	4	/	/	SYM
ecj-5615	95	5	w	w	PROPN
ecj-5615	95	6	p	p	NOUN
ecj-5615	95	7	content	content	NOUN
ecj-5615	95	8	/	/	SYM
ecj-5615	95	9	uploads/2015/04	uploads/2015/04	ADJ
ecj-5615	95	10	/	/	SYM
ecj-5615	95	11	final	final	ADJ
ecj-5615	95	12	-	-	PUNCT
ecj-5615	95	13	choosingwisely	choosingwisely	ADV
ecj-5615	95	14	-	-	PUNCT
ecj-5615	95	15	survey	survey	NOUN
ecj-5615	95	16	-	-	PUNCT
ecj-5615	95	17	report.pdf	report.pdf	NOUN
ecj-5615	95	18	10	10	NUM
ecj-5615	95	19	.	.	PUNCT
ecj-5615	96	1	us	us	PROPN
ecj-5615	96	2	congress	congress	PROPN
ecj-5615	96	3	office	office	PROPN
ecj-5615	96	4	of	of	ADP
ecj-5615	96	5	technology	technology	NOUN
ecj-5615	96	6	assessment	assessment	NOUN
ecj-5615	96	7	.	.	PUNCT
ecj-5615	97	1	defensive	defensive	ADJ
ecj-5615	97	2	medicine	medicine	NOUN
ecj-5615	97	3	and	and	CCONJ
ecj-5615	97	4	medical	medical	ADJ
ecj-5615	97	5	malpractice	malpractice	NOUN
ecj-5615	97	6	.	.	PUNCT
ecj-5615	98	1	publication	publication	NOUN
ecj-5615	98	2	ota	ota	PROPN
ecj-5615	98	3	-	-	PUNCT
ecj-5615	98	4	h602	h602	PROPN
ecj-5615	98	5	.	.	PUNCT
ecj-5615	99	1	washington	washington	PROPN
ecj-5615	99	2	,	,	PUNCT
ecj-5615	99	3	dc	dc	PROPN
ecj-5615	99	4	:	:	PUNCT
ecj-5615	99	5	us	us	PROPN
ecj-5615	99	6	government	government	NOUN
ecj-5615	99	7	printing	printing	NOUN
ecj-5615	99	8	office	office	NOUN
ecj-5615	99	9	;	;	PUNCT
ecj-5615	99	10	1994	1994	NUM
ecj-5615	99	11	.	.	PUNCT
ecj-5615	100	1	11	11	NUM
ecj-5615	100	2	.	.	PUNCT
ecj-5615	101	1	catino	catino	NOUN
ecj-5615	101	2	m.	m.	NOUN
ecj-5615	101	3	why	why	SCONJ
ecj-5615	101	4	do	do	AUX
ecj-5615	101	5	doctors	doctor	NOUN
ecj-5615	101	6	practice	practice	VERB
ecj-5615	101	7	defensive	defensive	ADJ
ecj-5615	101	8	medicine	medicine	NOUN
ecj-5615	101	9	?	?	PUNCT
ecj-5615	102	1	the	the	DET
ecj-5615	102	2	side	side	NOUN
ecj-5615	102	3	effects	effect	NOUN
ecj-5615	102	4	of	of	ADP
ecj-5615	102	5	medical	medical	ADJ
ecj-5615	102	6	litigation	litigation	NOUN
ecj-5615	102	7	.	.	PUNCT
ecj-5615	103	1	safety	safety	NOUN
ecj-5615	103	2	sci	sci	PROPN
ecj-5615	103	3	monit	monit	PROPN
ecj-5615	103	4	2011;15:1	2011;15:1	PROPN
ecj-5615	103	5	-	-	SYM
ecj-5615	103	6	12	12	NUM
ecj-5615	103	7	.	.	PUNCT
ecj-5615	103	8	12	12	NUM
ecj-5615	103	9	.	.	PUNCT
ecj-5615	104	1	asher	asher	PROPN
ecj-5615	104	2	e	e	PROPN
ecj-5615	104	3	,	,	PUNCT
ecj-5615	104	4	parag	parag	PROPN
ecj-5615	104	5	y	y	PROPN
ecj-5615	104	6	,	,	PUNCT
ecj-5615	104	7	zeller	zeller	PROPN
ecj-5615	104	8	l	l	PROPN
ecj-5615	104	9	,	,	PUNCT
ecj-5615	104	10	et	et	PROPN
ecj-5615	104	11	al	al	PROPN
ecj-5615	104	12	.	.	PUNCT
ecj-5615	104	13	unconscious	unconscious	ADJ
ecj-5615	104	14	defensive	defensive	ADJ
ecj-5615	104	15	medicine	medicine	NOUN
ecj-5615	104	16	:	:	PUNCT
ecj-5615	104	17	the	the	DET
ecj-5615	104	18	case	case	NOUN
ecj-5615	104	19	of	of	ADP
ecj-5615	104	20	erythrocyte	erythrocyte	PROPN
ecj-5615	104	21	sedimentation	sedimentation	NOUN
ecj-5615	104	22	rate	rate	NOUN
ecj-5615	104	23	.	.	PUNCT
ecj-5615	105	1	eur	eur	PROPN
ecj-5615	105	2	j	j	PROPN
ecj-5615	105	3	intern	intern	NOUN
ecj-5615	105	4	med	me	VERB
ecj-5615	105	5	2007;18:35	2007;18:35	PROPN
ecj-5615	105	6	-	-	SYM
ecj-5615	105	7	8	8	NUM
ecj-5615	105	8	.	.	NOUN
ecj-5615	105	9	13	13	NUM
ecj-5615	105	10	.	.	X
ecj-5615	106	1	summerton	summerton	PROPN
ecj-5615	106	2	n.	n.	PROPN
ecj-5615	106	3	positive	positive	ADJ
ecj-5615	106	4	and	and	CCONJ
ecj-5615	106	5	negative	negative	ADJ
ecj-5615	106	6	factors	factor	NOUN
ecj-5615	106	7	in	in	ADP
ecj-5615	106	8	defensive	defensive	ADJ
ecj-5615	106	9	medicine	medicine	NOUN
ecj-5615	106	10	:	:	PUNCT
ecj-5615	106	11	a	a	DET
ecj-5615	106	12	questionnaire	questionnaire	NOUN
ecj-5615	106	13	study	study	NOUN
ecj-5615	106	14	of	of	ADP
ecj-5615	106	15	general	general	ADJ
ecj-5615	106	16	practitioners	practitioner	NOUN
ecj-5615	106	17	.	.	PUNCT
ecj-5615	107	1	brit	brit	PROPN
ecj-5615	107	2	med	med	PROPN
ecj-5615	107	3	j	j	PROPN
ecj-5615	107	4	1995;310:27	1995;310:27	NUM
ecj-5615	107	5	-	-	SYM
ecj-5615	107	6	9	9	NUM
ecj-5615	107	7	.	.	NOUN
ecj-5615	107	8	14	14	NUM
ecj-5615	107	9	.	.	PUNCT
ecj-5615	108	1	pricewaterhousecoopers	pricewaterhousecooper	NOUN
ecj-5615	108	2	.	.	PUNCT
ecj-5615	109	1	the	the	DET
ecj-5615	109	2	price	price	NOUN
ecj-5615	109	3	of	of	ADP
ecj-5615	109	4	excess	excess	NOUN
ecj-5615	109	5	:	:	PUNCT
ecj-5615	109	6	identifying	identify	VERB
ecj-5615	109	7	waste	waste	NOUN
ecj-5615	109	8	in	in	ADP
ecj-5615	109	9	healthcare	healthcare	NOUN
ecj-5615	109	10	spending	spending	NOUN
ecj-5615	109	11	.	.	PUNCT
ecj-5615	110	1	arlington	arlington	PROPN
ecj-5615	110	2	,	,	PUNCT
ecj-5615	110	3	va	va	PROPN
ecj-5615	110	4	:	:	PUNCT
ecj-5615	110	5	pricewaterhouse	pricewaterhouse	NOUN
ecj-5615	110	6	coopers	cooper	NOUN
ecj-5615	110	7	’	’	PART
ecj-5615	110	8	health	health	PROPN
ecj-5615	110	9	research	research	PROPN
ecj-5615	110	10	institute	institute	PROPN
ecj-5615	110	11	;	;	PUNCT
ecj-5615	110	12	2010	2010	NUM
ecj-5615	110	13	.	.	PUNCT
ecj-5615	111	1	15	15	NUM
ecj-5615	111	2	.	.	X
ecj-5615	112	1	studdert	studdert	PROPN
ecj-5615	112	2	d	d	PROPN
ecj-5615	112	3	,	,	PUNCT
ecj-5615	112	4	mello	mello	PROPN
ecj-5615	112	5	m	m	PROPN
ecj-5615	112	6	,	,	PUNCT
ecj-5615	112	7	sage	sage	NOUN
ecj-5615	112	8	w	w	PROPN
ecj-5615	112	9	,	,	PUNCT
ecj-5615	112	10	et	et	PROPN
ecj-5615	112	11	al	al	PROPN
ecj-5615	112	12	.	.	PUNCT
ecj-5615	113	1	defensive	defensive	ADJ
ecj-5615	113	2	medicine	medicine	NOUN
ecj-5615	113	3	among	among	ADP
ecj-5615	113	4	high	high	ADJ
ecj-5615	113	5	-	-	PUNCT
ecj-5615	113	6	risk	risk	NOUN
ecj-5615	113	7	specialist	specialist	NOUN
ecj-5615	113	8	physicians	physician	NOUN
ecj-5615	113	9	in	in	ADP
ecj-5615	113	10	a	a	DET
ecj-5615	113	11	volatile	volatile	ADJ
ecj-5615	113	12	malpractice	malpractice	NOUN
ecj-5615	113	13	environment	environment	NOUN
ecj-5615	113	14	.	.	PUNCT
ecj-5615	114	1	j	j	PROPN
ecj-5615	114	2	am	be	AUX
ecj-5615	114	3	med	med	ADJ
ecj-5615	114	4	assoc	assoc	NOUN
ecj-5615	114	5	2005;293	2005;293	NUM
ecj-5615	114	6	:	:	PUNCT
ecj-5615	114	7	2609	2609	NUM
ecj-5615	114	8	-	-	SYM
ecj-5615	114	9	17	17	NUM
ecj-5615	114	10	.	.	PUNCT
ecj-5615	115	1	16	16	NUM
ecj-5615	115	2	.	.	PUNCT
ecj-5615	116	1	glassman	glassman	PROPN
ecj-5615	116	2	pa	pa	PROPN
ecj-5615	116	3	,	,	PUNCT
ecj-5615	116	4	rolph	rolph	PROPN
ecj-5615	116	5	je	je	PROPN
ecj-5615	116	6	,	,	PUNCT
ecj-5615	116	7	petersen	petersen	PROPN
ecj-5615	116	8	lp	lp	PROPN
ecj-5615	116	9	,	,	PUNCT
ecj-5615	116	10	et	et	PROPN
ecj-5615	116	11	al	al	PROPN
ecj-5615	116	12	.	.	PUNCT
ecj-5615	116	13	physicians	physicians	PROPN
ecj-5615	116	14	’	'	PUNCT
ecj-5615	116	15	personal	personal	ADJ
ecj-5615	116	16	malpractice	malpractice	NOUN
ecj-5615	116	17	experiences	experience	NOUN
ecj-5615	116	18	are	be	AUX
ecj-5615	116	19	not	not	PART
ecj-5615	116	20	related	relate	VERB
ecj-5615	116	21	to	to	ADP
ecj-5615	116	22	defensive	defensive	ADJ
ecj-5615	116	23	clinical	clinical	ADJ
ecj-5615	116	24	practices	practice	NOUN
ecj-5615	116	25	.	.	PUNCT
ecj-5615	117	1	j	j	PROPN
ecj-5615	117	2	health	health	PROPN
ecj-5615	117	3	polit	polit	PROPN
ecj-5615	117	4	polic	polic	NOUN
ecj-5615	117	5	1996;21:21941	1996;21:21941	PROPN
ecj-5615	117	6	.	.	PUNCT
ecj-5615	117	7	17	17	NUM
ecj-5615	117	8	.	.	PUNCT
ecj-5615	118	1	gonzalez	gonzalez	PROPN
ecj-5615	118	2	morganti	morganti	PROPN
ecj-5615	119	1	k	k	PROPN
ecj-5615	119	2	,	,	PUNCT
ecj-5615	119	3	bauhoff	bauhoff	PROPN
ecj-5615	119	4	s	s	PROPN
ecj-5615	119	5	,	,	PUNCT
ecj-5615	119	6	blanchard	blanchard	PROPN
ecj-5615	119	7	jc	jc	PROPN
ecj-5615	119	8	,	,	PUNCT
ecj-5615	119	9	et	et	PROPN
ecj-5615	119	10	al	al	PROPN
ecj-5615	119	11	.	.	PUNCT
ecj-5615	120	1	the	the	DET
ecj-5615	120	2	evolving	evolve	VERB
ecj-5615	120	3	role	role	NOUN
ecj-5615	120	4	of	of	ADP
ecj-5615	120	5	emergency	emergency	NOUN
ecj-5615	120	6	departments	department	NOUN
ecj-5615	120	7	in	in	ADP
ecj-5615	120	8	the	the	DET
ecj-5615	120	9	united	united	PROPN
ecj-5615	120	10	states	states	PROPN
ecj-5615	120	11	.	.	PUNCT
ecj-5615	121	1	santa	santa	PROPN
ecj-5615	121	2	monica	monica	PROPN
ecj-5615	121	3	,	,	PUNCT
ecj-5615	121	4	ca	ca	NOUN
ecj-5615	121	5	:	:	PUNCT
ecj-5615	121	6	rand	rand	NOUN
ecj-5615	121	7	;	;	PUNCT
ecj-5615	121	8	2013	2013	NUM
ecj-5615	121	9	.	.	PUNCT
ecj-5615	122	1	18	18	NUM
ecj-5615	122	2	.	.	PUNCT
ecj-5615	123	1	sage	sage	NOUN
ecj-5615	123	2	wm	wm	PROPN
ecj-5615	123	3	.	.	PUNCT
ecj-5615	124	1	understanding	understand	VERB
ecj-5615	124	2	the	the	DET
ecj-5615	124	3	first	first	ADJ
ecj-5615	124	4	malpractice	malpractice	NOUN
ecj-5615	124	5	crisis	crisis	NOUN
ecj-5615	124	6	of	of	ADP
ecj-5615	124	7	the	the	DET
ecj-5615	124	8	21st	21st	ADJ
ecj-5615	124	9	century	century	NOUN
ecj-5615	124	10	.	.	PUNCT
ecj-5615	125	1	in	in	ADP
ecj-5615	125	2	:	:	PUNCT
ecj-5615	125	3	gosfield	gosfield	PROPN
ecj-5615	125	4	ag	ag	PROPN
ecj-5615	125	5	,	,	PUNCT
ecj-5615	125	6	ed	ed	NOUN
ecj-5615	125	7	.	.	PUNCT
ecj-5615	125	8	health	health	PROPN
ecj-5615	125	9	law	law	PROPN
ecj-5615	125	10	handbook	handbook	NOUN
ecj-5615	125	11	.	.	PUNCT
ecj-5615	126	1	st	st	PROPN
ecj-5615	126	2	paul	paul	PROPN
ecj-5615	126	3	,	,	PUNCT
ecj-5615	126	4	minn	minn	PROPN
ecj-5615	126	5	:	:	PUNCT
ecj-5615	126	6	west	west	PROPN
ecj-5615	126	7	group	group	PROPN
ecj-5615	126	8	;	;	PUNCT
ecj-5615	126	9	2003	2003	NUM
ecj-5615	126	10	.	.	PUNCT
ecj-5615	127	1	pp	pp	ADP
ecj-5615	127	2	1	1	NUM
ecj-5615	127	3	-	-	SYM
ecj-5615	127	4	32	32	NUM
ecj-5615	127	5	.	.	PUNCT
ecj-5615	128	1	19	19	NUM
ecj-5615	128	2	.	.	PUNCT
ecj-5615	129	1	jennwood	jennwood	PROPN
ecj-5615	129	2	c	c	X
ecj-5615	129	3	,	,	PUNCT
ecj-5615	129	4	majercik	majercik	PROPN
ecj-5615	129	5	s	s	PROPN
ecj-5615	129	6	,	,	PUNCT
ecj-5615	129	7	bledsoe	bledsoe	PROPN
ecj-5615	129	8	j	j	PROPN
ecj-5615	129	9	,	,	PUNCT
ecj-5615	129	10	et	et	PROPN
ecj-5615	129	11	al	al	PROPN
ecj-5615	129	12	.	.	PUNCT
ecj-5615	130	1	the	the	DET
ecj-5615	130	2	prevalence	prevalence	NOUN
ecj-5615	130	3	and	and	CCONJ
ecj-5615	130	4	impact	impact	NOUN
ecj-5615	130	5	of	of	ADP
ecj-5615	130	6	defensive	defensive	ADJ
ecj-5615	130	7	medicine	medicine	NOUN
ecj-5615	130	8	in	in	ADP
ecj-5615	130	9	the	the	DET
ecj-5615	130	10	radiographic	radiographic	ADJ
ecj-5615	130	11	workup	workup	NOUN
ecj-5615	130	12	of	of	ADP
ecj-5615	130	13	the	the	DET
ecj-5615	130	14	trauma	trauma	NOUN
ecj-5615	130	15	patient	patient	NOUN
ecj-5615	130	16	:	:	PUNCT
ecj-5615	130	17	a	a	DET
ecj-5615	130	18	pilot	pilot	NOUN
ecj-5615	130	19	study	study	NOUN
ecj-5615	130	20	.	.	PUNCT
ecj-5615	131	1	am	be	AUX
ecj-5615	131	2	j	j	PROPN
ecj-5615	131	3	surg	surg	PROPN
ecj-5615	131	4	2015;210:462	2015;210:462	NUM
ecj-5615	131	5	-	-	SYM
ecj-5615	131	6	7	7	NUM
ecj-5615	131	7	.	.	NOUN
ecj-5615	131	8	20	20	NUM
ecj-5615	131	9	.	.	PUNCT
ecj-5615	132	1	foy	foy	PROPN
ecj-5615	132	2	aj	aj	PROPN
ecj-5615	132	3	,	,	PUNCT
ecj-5615	132	4	liu	liu	PROPN
ecj-5615	132	5	g	g	PROPN
ecj-5615	132	6	,	,	PUNCT
ecj-5615	132	7	davidson	davidson	PROPN
ecj-5615	132	8	wr	wr	PROPN
ecj-5615	132	9	jr	jr	PROPN
ecj-5615	132	10	,	,	PUNCT
ecj-5615	132	11	et	et	PROPN
ecj-5615	132	12	al	al	PROPN
ecj-5615	132	13	.	.	PROPN
ecj-5615	132	14	comparative	comparative	ADJ
ecj-5615	132	15	effectiveness	effectiveness	NOUN
ecj-5615	132	16	of	of	ADP
ecj-5615	132	17	diagnostic	diagnostic	ADJ
ecj-5615	132	18	testing	testing	NOUN
ecj-5615	132	19	strategies	strategy	NOUN
ecj-5615	132	20	in	in	ADP
ecj-5615	132	21	emergency	emergency	NOUN
ecj-5615	132	22	department	department	NOUN
ecj-5615	132	23	patients	patient	NOUN
ecj-5615	132	24	with	with	ADP
ecj-5615	132	25	chest	chest	NOUN
ecj-5615	132	26	pain	pain	NOUN
ecj-5615	132	27	an	an	DET
ecj-5615	132	28	analysis	analysis	NOUN
ecj-5615	132	29	of	of	ADP
ecj-5615	132	30	downstream	downstream	ADJ
ecj-5615	132	31	testing	testing	NOUN
ecj-5615	132	32	,	,	PUNCT
ecj-5615	132	33	interventions	intervention	NOUN
ecj-5615	132	34	,	,	PUNCT
ecj-5615	132	35	and	and	CCONJ
ecj-5615	132	36	outcomes	outcome	NOUN
ecj-5615	132	37	.	.	PUNCT
ecj-5615	133	1	j	j	PROPN
ecj-5615	133	2	am	be	AUX
ecj-5615	133	3	med	med	ADJ
ecj-5615	133	4	assoc	assoc	NOUN
ecj-5615	133	5	2015;175:42836	2015;175:42836	NUM
ecj-5615	133	6	.	.	PUNCT
ecj-5615	134	1	21	21	NUM
ecj-5615	134	2	.	.	PUNCT
ecj-5615	135	1	us	us	PROPN
ecj-5615	135	2	congress	congress	PROPN
ecj-5615	135	3	office	office	PROPN
ecj-5615	135	4	of	of	ADP
ecj-5615	135	5	technology	technology	NOUN
ecj-5615	135	6	assessment	assessment	NOUN
ecj-5615	135	7	.	.	PUNCT
ecj-5615	136	1	defensive	defensive	ADJ
ecj-5615	136	2	medicine	medicine	NOUN
ecj-5615	136	3	and	and	CCONJ
ecj-5615	136	4	medical	medical	ADJ
ecj-5615	136	5	malpractice	malpractice	NOUN
ecj-5615	136	6	.	.	PUNCT
ecj-5615	137	1	washington	washington	PROPN
ecj-5615	137	2	,	,	PUNCT
ecj-5615	137	3	dc	dc	PROPN
ecj-5615	137	4	:	:	PUNCT
ecj-5615	137	5	us	us	PROPN
ecj-5615	137	6	government	government	NOUN
ecj-5615	137	7	printing	printing	NOUN
ecj-5615	137	8	office	office	NOUN
ecj-5615	137	9	;	;	PUNCT
ecj-5615	137	10	1994	1994	NUM
ecj-5615	137	11	.	.	PUNCT
ecj-5615	138	1	22	22	NUM
ecj-5615	138	2	.	.	PUNCT
ecj-5615	139	1	la	la	PROPN
ecj-5615	139	2	puma	puma	PROPN
ecj-5615	139	3	j	j	PROPN
ecj-5615	139	4	,	,	PUNCT
ecj-5615	139	5	schiedermayer	schiedermayer	PROPN
ecj-5615	139	6	dl	dl	PROPN
ecj-5615	139	7	,	,	PUNCT
ecj-5615	139	8	toulin	toulin	PROPN
ecj-5615	139	9	s	s	PROPN
ecj-5615	139	10	,	,	PUNCT
ecj-5615	139	11	et	et	PROPN
ecj-5615	139	12	al	al	PROPN
ecj-5615	139	13	.	.	PUNCT
ecj-5615	140	1	the	the	DET
ecj-5615	140	2	standard	standard	NOUN
ecj-5615	140	3	of	of	ADP
ecj-5615	140	4	care	care	NOUN
ecj-5615	140	5	:	:	PUNCT
ecj-5615	140	6	a	a	DET
ecj-5615	140	7	case	case	NOUN
ecj-5615	140	8	report	report	NOUN
ecj-5615	140	9	and	and	CCONJ
ecj-5615	140	10	ethical	ethical	ADJ
ecj-5615	140	11	analysis	analysis	NOUN
ecj-5615	140	12	.	.	PUNCT
ecj-5615	141	1	ann	ann	PROPN
ecj-5615	141	2	intern	intern	PROPN
ecj-5615	141	3	med	me	VERB
ecj-5615	141	4	1988;108	1988;108	NUM
ecj-5615	141	5	:	:	PUNCT
ecj-5615	141	6	121	121	NUM
ecj-5615	141	7	-	-	SYM
ecj-5615	141	8	4	4	NUM
ecj-5615	141	9	.	.	NOUN
ecj-5615	141	10	23	23	NUM
ecj-5615	141	11	.	.	PUNCT
ecj-5615	142	1	chen	chen	PROPN
ecj-5615	142	2	xy	xy	PROPN
ecj-5615	142	3	.	.	PUNCT
ecj-5615	143	1	defensive	defensive	ADJ
ecj-5615	143	2	medicine	medicine	NOUN
ecj-5615	143	3	or	or	CCONJ
ecj-5615	143	4	economically	economically	ADV
ecj-5615	143	5	motivated	motivated	ADJ
ecj-5615	143	6	corruption	corruption	NOUN
ecj-5615	143	7	?	?	PUNCT
ecj-5615	144	1	a	a	DET
ecj-5615	144	2	confucian	confucian	ADJ
ecj-5615	144	3	reflection	reflection	NOUN
ecj-5615	144	4	on	on	ADP
ecj-5615	144	5	physician	physician	NOUN
ecj-5615	144	6	care	care	NOUN
ecj-5615	144	7	in	in	ADP
ecj-5615	144	8	china	china	PROPN
ecj-5615	144	9	today	today	NOUN
ecj-5615	144	10	.	.	PUNCT
ecj-5615	145	1	j	j	PROPN
ecj-5615	145	2	med	med	PROPN
ecj-5615	145	3	philos	philos	PROPN
ecj-5615	145	4	2007,32:635	2007,32:635	PROPN
ecj-5615	145	5	-	-	SYM
ecj-5615	145	6	48	48	NUM
ecj-5615	145	7	.	.	PUNCT
ecj-5615	146	1	24	24	NUM
ecj-5615	146	2	.	.	PUNCT
ecj-5615	147	1	emanuel	emanuel	PROPN
ecj-5615	147	2	e	e	PROPN
ecj-5615	147	3	,	,	PUNCT
ecj-5615	147	4	tanden	tanden	PROPN
ecj-5615	147	5	n	n	PROPN
ecj-5615	147	6	,	,	PUNCT
ecj-5615	147	7	altman	altman	PROPN
ecj-5615	147	8	s	s	PROPN
ecj-5615	147	9	,	,	PUNCT
ecj-5615	147	10	et	et	PROPN
ecj-5615	147	11	al	al	PROPN
ecj-5615	147	12	.	.	PUNCT
ecj-5615	148	1	a	a	DET
ecj-5615	148	2	systemic	systemic	ADJ
ecj-5615	148	3	approach	approach	NOUN
ecj-5615	148	4	to	to	ADP
ecj-5615	148	5	containing	contain	VERB
ecj-5615	148	6	health	health	NOUN
ecj-5615	148	7	care	care	NOUN
ecj-5615	148	8	spending	spending	NOUN
ecj-5615	148	9	.	.	PUNCT
ecj-5615	149	1	new	new	ADJ
ecj-5615	149	2	engl	engl	PROPN
ecj-5615	149	3	j	j	PROPN
ecj-5615	149	4	med	med	PROPN
ecj-5615	149	5	2012;367	2012;367	NUM
ecj-5615	149	6	:	:	PUNCT
ecj-5615	149	7	949	949	NUM
ecj-5615	149	8	-	-	SYM
ecj-5615	149	9	54	54	NUM
ecj-5615	149	10	.	.	PUNCT
ecj-5615	150	1	25	25	NUM
ecj-5615	150	2	.	.	PUNCT
ecj-5615	150	3	waxman	waxman	PROPN
ecj-5615	150	4	da	da	PROPN
ecj-5615	150	5	,	,	PUNCT
ecj-5615	150	6	greenberg	greenberg	PROPN
ecj-5615	150	7	md	md	PROPN
ecj-5615	150	8	,	,	PUNCT
ecj-5615	150	9	ridgely	ridgely	ADV
ecj-5615	150	10	ms	ms	PROPN
ecj-5615	150	11	,	,	PUNCT
ecj-5615	150	12	et	et	PROPN
ecj-5615	150	13	al	al	PROPN
ecj-5615	150	14	.	.	PUNCT
ecj-5615	151	1	the	the	DET
ecj-5615	151	2	effect	effect	NOUN
ecj-5615	151	3	of	of	ADP
ecj-5615	151	4	malpractice	malpractice	NOUN
ecj-5615	151	5	reform	reform	NOUN
ecj-5615	151	6	on	on	ADP
ecj-5615	151	7	emergency	emergency	NOUN
ecj-5615	151	8	department	department	NOUN
ecj-5615	151	9	care	care	NOUN
ecj-5615	151	10	.	.	PUNCT
ecj-5615	152	1	new	new	ADJ
ecj-5615	152	2	engl	engl	PROPN
ecj-5615	152	3	j	j	PROPN
ecj-5615	152	4	med	med	PROPN
ecj-5615	152	5	2014;371:1518	2014;371:1518	PROPN
ecj-5615	152	6	-	-	SYM
ecj-5615	152	7	25	25	NUM
ecj-5615	152	8	.	.	NOUN
ecj-5615	152	9	26	26	NUM
ecj-5615	152	10	.	.	PUNCT
ecj-5615	153	1	kroenke	kroenke	PROPN
ecj-5615	153	2	k.	k.	PROPN
ecj-5615	153	3	diagnostic	diagnostic	PROPN
ecj-5615	153	4	testing	testing	NOUN
ecj-5615	153	5	and	and	CCONJ
ecj-5615	153	6	the	the	DET
ecj-5615	153	7	illusory	illusory	ADJ
ecj-5615	153	8	reassurance	reassurance	NOUN
ecj-5615	153	9	of	of	ADP
ecj-5615	153	10	normal	normal	ADJ
ecj-5615	153	11	results	result	NOUN
ecj-5615	153	12	:	:	PUNCT
ecj-5615	153	13	comment	comment	NOUN
ecj-5615	153	14	on	on	ADP
ecj-5615	153	15	“	"	PUNCT
ecj-5615	153	16	reassurance	reassurance	NOUN
ecj-5615	153	17	after	after	ADP
ecj-5615	153	18	diagnostic	diagnostic	ADJ
ecj-5615	153	19	testing	testing	NOUN
ecj-5615	153	20	with	with	ADP
ecj-5615	153	21	a	a	DET
ecj-5615	153	22	low	low	ADJ
ecj-5615	153	23	pretest	pret	ADJ
ecj-5615	153	24	probability	probability	NOUN
ecj-5615	153	25	of	of	ADP
ecj-5615	153	26	serious	serious	ADJ
ecj-5615	153	27	disease	disease	NOUN
ecj-5615	153	28	.	.	PUNCT
ecj-5615	153	29	”	"	PUNCT
ecj-5615	154	1	j	j	PROPN
ecj-5615	154	2	am	be	AUX
ecj-5615	154	3	med	med	ADJ
ecj-5615	154	4	assoc	assoc	PROPN
ecj-5615	154	5	2013	2013	NUM
ecj-5615	154	6	;	;	PUNCT
ecj-5615	154	7	173:416	173:416	NUM
ecj-5615	154	8	-	-	SYM
ecj-5615	154	9	7	7	NUM
ecj-5615	154	10	.	.	NOUN
ecj-5615	154	11	27	27	NUM
ecj-5615	154	12	.	.	PUNCT
ecj-5615	155	1	cervellin	cervellin	PROPN
ecj-5615	155	2	g	g	PROPN
ecj-5615	155	3	,	,	PUNCT
ecj-5615	155	4	borghi	borghi	PROPN
ecj-5615	155	5	l	l	PROPN
ecj-5615	155	6	,	,	PUNCT
ecj-5615	155	7	lippi	lippi	PROPN
ecj-5615	155	8	g.	g.	PROPN
ecj-5615	155	9	do	do	VERB
ecj-5615	155	10	clinicians	clinician	NOUN
ecj-5615	155	11	decide	decide	VERB
ecj-5615	155	12	relying	rely	VERB
ecj-5615	155	13	primarily	primarily	ADV
ecj-5615	155	14	on	on	ADP
ecj-5615	155	15	bayesians	bayesian	NOUN
ecj-5615	155	16	principles	principle	NOUN
ecj-5615	155	17	or	or	CCONJ
ecj-5615	155	18	on	on	ADP
ecj-5615	155	19	gestalt	gestalt	NOUN
ecj-5615	155	20	perception	perception	NOUN
ecj-5615	155	21	?	?	PUNCT
ecj-5615	156	1	some	some	DET
ecj-5615	156	2	pearls	pearl	NOUN
ecj-5615	156	3	and	and	CCONJ
ecj-5615	156	4	pitfalls	pitfall	NOUN
ecj-5615	156	5	of	of	ADP
ecj-5615	156	6	gestalt	gestalt	NOUN
ecj-5615	156	7	perception	perception	NOUN
ecj-5615	156	8	in	in	ADP
ecj-5615	156	9	medicine	medicine	NOUN
ecj-5615	156	10	.	.	PUNCT
ecj-5615	157	1	intern	intern	PROPN
ecj-5615	157	2	emerg	emerg	PROPN
ecj-5615	157	3	med	med	PROPN
ecj-5615	157	4	2014;9:513	2014;9:513	PROPN
ecj-5615	157	5	-	-	SYM
ecj-5615	157	6	9	9	NUM
ecj-5615	157	7	.	.	NOUN
ecj-5615	157	8	28	28	NUM
ecj-5615	157	9	.	.	PUNCT
ecj-5615	158	1	wells	wells	PROPN
ecj-5615	158	2	ps	ps	PROPN
ecj-5615	158	3	,	,	PUNCT
ecj-5615	158	4	anderson	anderson	PROPN
ecj-5615	158	5	dr	dr	PROPN
ecj-5615	158	6	,	,	PUNCT
ecj-5615	158	7	rodger	rodger	PROPN
ecj-5615	158	8	m	m	PROPN
ecj-5615	158	9	,	,	PUNCT
ecj-5615	158	10	et	et	PROPN
ecj-5615	158	11	al	al	PROPN
ecj-5615	158	12	.	.	PUNCT
ecj-5615	158	13	evaluation	evaluation	NOUN
ecj-5615	158	14	of	of	ADP
ecj-5615	158	15	d	d	NOUN
ecj-5615	158	16	-	-	NOUN
ecj-5615	158	17	dimer	dimer	NOUN
ecj-5615	158	18	in	in	ADP
ecj-5615	158	19	the	the	DET
ecj-5615	158	20	diagnosis	diagnosis	NOUN
ecj-5615	158	21	of	of	ADP
ecj-5615	158	22	suspected	suspect	VERB
ecj-5615	158	23	deep	deep	ADJ
ecj-5615	158	24	-	-	PUNCT
ecj-5615	158	25	vein	vein	NOUN
ecj-5615	158	26	thrombosis	thrombosis	NOUN
ecj-5615	158	27	.	.	PUNCT
ecj-5615	159	1	new	new	ADJ
ecj-5615	159	2	engl	engl	PROPN
ecj-5615	159	3	j	j	PROPN
ecj-5615	159	4	med	me	VERB
ecj-5615	159	5	2003;349:1227	2003;349:1227	PROPN
ecj-5615	159	6	-	-	SYM
ecj-5615	159	7	35	35	NUM
ecj-5615	159	8	.	.	PUNCT
ecj-5615	160	1	29	29	NUM
ecj-5615	160	2	.	.	PUNCT
ecj-5615	161	1	casagranda	casagranda	PROPN
ecj-5615	161	2	i	i	PROPN
ecj-5615	161	3	,	,	PUNCT
ecj-5615	161	4	cavazza	cavazza	VERB
ecj-5615	161	5	m	m	PROPN
ecj-5615	161	6	,	,	PUNCT
ecj-5615	161	7	clerico	clerico	PROPN
ecj-5615	161	8	a	a	NOUN
ecj-5615	161	9	,	,	PUNCT
ecj-5615	161	10	et	et	PROPN
ecj-5615	161	11	al	al	PROPN
ecj-5615	161	12	.	.	PROPN
ecj-5615	161	13	proposal	proposal	NOUN
ecj-5615	161	14	for	for	ADP
ecj-5615	161	15	the	the	DET
ecj-5615	161	16	use	use	NOUN
ecj-5615	161	17	in	in	ADP
ecj-5615	161	18	emergency	emergency	NOUN
ecj-5615	161	19	departments	department	NOUN
ecj-5615	161	20	of	of	ADP
ecj-5615	161	21	cardiac	cardiac	ADJ
ecj-5615	161	22	troponins	troponin	NOUN
ecj-5615	161	23	measured	measure	VERB
ecj-5615	161	24	with	with	ADP
ecj-5615	161	25	the	the	DET
ecj-5615	161	26	latest	late	ADJ
ecj-5615	161	27	generation	generation	NOUN
ecj-5615	161	28	methods	method	NOUN
ecj-5615	161	29	in	in	ADP
ecj-5615	161	30	patients	patient	NOUN
ecj-5615	161	31	with	with	ADP
ecj-5615	161	32	suspected	suspect	VERB
ecj-5615	161	33	acute	acute	ADJ
ecj-5615	161	34	coronary	coronary	ADJ
ecj-5615	161	35	syndrome	syndrome	NOUN
ecj-5615	161	36	without	without	ADP
ecj-5615	161	37	persistent	persistent	ADJ
ecj-5615	161	38	st	st	PROPN
ecj-5615	161	39	-	-	PUNCT
ecj-5615	161	40	segment	segment	NOUN
ecj-5615	161	41	elevation	elevation	NOUN
ecj-5615	161	42	.	.	PUNCT
ecj-5615	162	1	clin	clin	PROPN
ecj-5615	162	2	chem	chem	NOUN
ecj-5615	162	3	lab	lab	NOUN
ecj-5615	162	4	med	me	VERB
ecj-5615	162	5	51:1727	51:1727	PROPN
ecj-5615	162	6	-	-	SYM
ecj-5615	162	7	37	37	NUM
ecj-5615	162	8	.	.	PUNCT
ecj-5615	162	9	30	30	NUM
ecj-5615	162	10	.	.	PUNCT
ecj-5615	163	1	us	us	PROPN
ecj-5615	163	2	institute	institute	PROPN
ecj-5615	163	3	of	of	ADP
ecj-5615	163	4	medicine	medicine	NOUN
ecj-5615	163	5	.	.	PUNCT
ecj-5615	164	1	committee	committee	NOUN
ecj-5615	164	2	on	on	ADP
ecj-5615	164	3	the	the	DET
ecj-5615	164	4	health	health	NOUN
ecj-5615	164	5	professions	profession	NOUN
ecj-5615	164	6	education	education	NOUN
ecj-5615	164	7	summit	summit	NOUN
ecj-5615	164	8	.	.	PUNCT
ecj-5615	165	1	in	in	ADP
ecj-5615	165	2	:	:	PUNCT
ecj-5615	165	3	greiner	greiner	PROPN
ecj-5615	165	4	ac	ac	PROPN
ecj-5615	165	5	,	,	PUNCT
ecj-5615	165	6	knebel	knebel	PROPN
ecj-5615	165	7	e	e	NOUN
ecj-5615	165	8	,	,	PUNCT
ecj-5615	165	9	eds	eds	PROPN
ecj-5615	165	10	.	.	PUNCT
ecj-5615	165	11	health	health	NOUN
ecj-5615	165	12	professions	profession	NOUN
ecj-5615	165	13	education	education	NOUN
ecj-5615	165	14	:	:	PUNCT
ecj-5615	165	15	a	a	DET
ecj-5615	165	16	bridge	bridge	NOUN
ecj-5615	165	17	to	to	ADP
ecj-5615	165	18	quality	quality	NOUN
ecj-5615	165	19	.	.	PUNCT
ecj-5615	166	1	washington	washington	PROPN
ecj-5615	166	2	,	,	PUNCT
ecj-5615	166	3	dc	dc	PROPN
ecj-5615	166	4	:	:	PUNCT
ecj-5615	166	5	national	national	PROPN
ecj-5615	166	6	academies	academies	PROPN
ecj-5615	166	7	press	press	PROPN
ecj-5615	166	8	;	;	PUNCT
ecj-5615	166	9	2003	2003	NUM
ecj-5615	166	10	.	.	PUNCT
ecj-5615	167	1	pp	pp	ADP
ecj-5615	167	2	153	153	NUM
ecj-5615	167	3	-	-	SYM
ecj-5615	167	4	55	55	NUM
ecj-5615	167	5	.	.	PUNCT
ecj-5615	168	1	31	31	NUM
ecj-5615	168	2	.	.	PUNCT
ecj-5615	169	1	o’leary	o’leary	PROPN
ecj-5615	169	2	kj	kj	PROPN
ecj-5615	169	3	,	,	PUNCT
ecj-5615	169	4	choi	choi	PROPN
ecj-5615	169	5	j	j	PROPN
ecj-5615	169	6	,	,	PUNCT
ecj-5615	169	7	watson	watson	PROPN
ecj-5615	169	8	k	k	PROPN
ecj-5615	169	9	,	,	PUNCT
ecj-5615	169	10	williams	williams	PROPN
ecj-5615	169	11	mv	mv	PROPN
ecj-5615	169	12	.	.	PROPN
ecj-5615	169	13	medical	medical	ADJ
ecj-5615	169	14	students	student	NOUN
ecj-5615	169	15	’	'	PUNCT
ecj-5615	169	16	and	and	CCONJ
ecj-5615	169	17	residents	resident	NOUN
ecj-5615	169	18	’	’	PART
ecj-5615	169	19	clinical	clinical	ADJ
ecj-5615	169	20	and	and	CCONJ
ecj-5615	169	21	educational	educational	ADJ
ecj-5615	169	22	experiences	experience	NOUN
ecj-5615	169	23	with	with	ADP
ecj-5615	169	24	defensive	defensive	ADJ
ecj-5615	169	25	medicine	medicine	NOUN
ecj-5615	169	26	.	.	PUNCT
ecj-5615	170	1	acad	acad	PROPN
ecj-5615	170	2	med	med	ADJ
ecj-5615	170	3	2012;87:142	2012;87:142	PROPN
ecj-5615	170	4	-	-	SYM
ecj-5615	170	5	8	8	NUM
ecj-5615	170	6	.	.	PUNCT
ecj-5615	171	1	opinion	opinion	NOUN
ecj-5615	171	2	report	report	VERB
ecj-5615	171	3	non	non	PROPN
ecj-5615	171	4	co	co	PROPN
ecj-5615	171	5	mmerc	mmerc	PROPN
ecj-5615	171	6	ial	ial	PROPN
ecj-5615	171	7	us	us	PROPN
ecj-5615	172	1	e	e	NOUN
ecj-5615	172	2	o	o	NOUN
ecj-5615	172	3	nly	nly	ADV