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.
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  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:
              
            Creators:
              Curran, M., Rugg, G. and Campbell, J.
            Publisher:
              Elsevier
            Faculties, Divisions and Institutes:
              
            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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