Would podiatrists benefit from an expert system for clinical reasoning and diagnosis? A study using laddering

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Background: Computer expert systems may be of benefit to podiatrists in assisting in diagnosis. However little is known about how podiatrists use certain forms of clinical reasoning in making a diagnosis. Objectives: To investigate the mechanisms used by podiatrists in the process of clinical reasoning and whether a computer expert system may aid the process of diagnosis. Method: Laddering was used on a random sample of 12 podiatrists to find why podiatrists use certain mechanisms of clinical reasoning to make a diagnosis. Each podiatrist was interviewed by telephone and the information recorded to audio tape. A content analysis of the laddering data produced a hierarchical value map for clinical reasoning. Results: The hierarchical value map suggested that the podiatrists rely on tacit knowledge and highly schematized knowledge for their clinical decision making. It was concluded that a computer expert system is not the best technology for clinical decision making in this context
    Original languageEnglish
    Pages (from-to)71-75
    Number of pages5
    JournalThe Foot
    Volume16
    Issue number2
    Early online date3 Mar 2006
    DOIs
    Publication statusPublished - 1 Jun 2006

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    Expert Systems
    Computer Systems
    Telephone
    Technology
    Clinical Decision-Making

    Keywords

    • Laddering
    • Computer expert system
    • Tacit knowledge
    • Schemata
    • Clinical reasoning
    • Podiatry
    • Diagnosis

    Cite this

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    title = "Would podiatrists benefit from an expert system for clinical reasoning and diagnosis? A study using laddering",
    abstract = "Background: Computer expert systems may be of benefit to podiatrists in assisting in diagnosis. However little is known about how podiatrists use certain forms of clinical reasoning in making a diagnosis. Objectives: To investigate the mechanisms used by podiatrists in the process of clinical reasoning and whether a computer expert system may aid the process of diagnosis. Method: Laddering was used on a random sample of 12 podiatrists to find why podiatrists use certain mechanisms of clinical reasoning to make a diagnosis. Each podiatrist was interviewed by telephone and the information recorded to audio tape. A content analysis of the laddering data produced a hierarchical value map for clinical reasoning. Results: The hierarchical value map suggested that the podiatrists rely on tacit knowledge and highly schematized knowledge for their clinical decision making. It was concluded that a computer expert system is not the best technology for clinical decision making in this context",
    keywords = "Laddering, Computer expert system, Tacit knowledge, Schemata, Clinical reasoning, Podiatry, Diagnosis",
    author = "Mike Curran and Gordon Rugg and Jackie Campbell",
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    Would podiatrists benefit from an expert system for clinical reasoning and diagnosis? A study using laddering. / Curran, Mike; Rugg, Gordon; Campbell, Jackie.

    In: The Foot, Vol. 16, No. 2, 01.06.2006, p. 71-75.

    Research output: Contribution to journalArticleResearchpeer-review

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    AU - Curran, Mike

    AU - Rugg, Gordon

    AU - Campbell, Jackie

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    AB - Background: Computer expert systems may be of benefit to podiatrists in assisting in diagnosis. However little is known about how podiatrists use certain forms of clinical reasoning in making a diagnosis. Objectives: To investigate the mechanisms used by podiatrists in the process of clinical reasoning and whether a computer expert system may aid the process of diagnosis. Method: Laddering was used on a random sample of 12 podiatrists to find why podiatrists use certain mechanisms of clinical reasoning to make a diagnosis. Each podiatrist was interviewed by telephone and the information recorded to audio tape. A content analysis of the laddering data produced a hierarchical value map for clinical reasoning. Results: The hierarchical value map suggested that the podiatrists rely on tacit knowledge and highly schematized knowledge for their clinical decision making. It was concluded that a computer expert system is not the best technology for clinical decision making in this context

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