Northampton Electronic Collection of Theses and Research

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

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
ISSN: 0958-2592
Status: Published / Disseminated

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