Curran, M., Rugg, G. and Campbell, J. (2006) Would podiatrists benefit from an expert system for clinical reasoning and diagnosis? A study using laddering. The Foot. 16(2), pp. 71-75. 0958-2592.
| Item Type: | Article |
|---|---|
| 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 |
| Uncontrolled Keywords: | Laddering; computer expert system; tacit knowledge; schemata; clinical reasoning; podiatry; diagnosis |
| Subjects: |
R Medicine > RD Surgery > RD563 Podiatry R Medicine > R Medicine (General) > R858 Computer applications to medicine. Medical informatics R Medicine > RC Internal medicine > RC71 Examination. Diagnosis including radiography |
| Creators: | Curran, Mike, Rugg, Gordon and Campbell, Jackie |
| Publisher: | Elsevier |
| Faculties, Divisions and Institutes: |
University Faculties, Divisions and Research Centres - OLD > Faculty of Health & Society > Podiatry Faculties > Faculty of Health & Society > Podiatry |
| Date: | June 2006 |
| Date Type: | Publication |
| Page Range: | pp. 71-75 |
| Journal or Publication Title: | The Foot |
| Volume: | 16 |
| Number: | 2 |
| Language: | English |
| DOI: | https://doi.org/10.1016/j.foot.2005.12.007 |
| ISSN: | 0958-2592 |
| Status: | Published / Disseminated |
| URI: | http://nectar.northampton.ac.uk/id/eprint/3684 |
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