Katie,
>You are really asking for it this time ;-)
I know :(
As I said to Dave Roberts, it's one of the reasons for not voting for me;).
How DO you cope with the "heartsink" feeling?
>This is a laypersons thoughts on the diagnostic process and may you and
>all who hold it be disabused quickly.
de Dombal said near enough the same thing (but wasn't as polite.)
>Ahmad says he uses nose, hands, eyes and ears - what he left out is the
>processor unit - his brain, which draws on all it's experiences from all
>his existences in putting together a complex diagnostic, treatment and
>management plan and what's more conveys essential elements of said plan
>to the patient, keeping other strands inside his mind for future use.
That's an argument for process based rather than outcome based medicine.
>Artificial intelligence has not and likely will not achieve that.
Lets go back to 1983, a system called MYCIN had it's recommendations
evaluated against the advice of five infectious disease experts who
recommended therapy for the same patient. MYCIN's recommendations where
unanimously judged to be better or equivalent to those of the experts. How
much better should it be 25 years later?
>When you think about it, a patient walks in, you have already engaged
>your memory of past consultations with that person, dredged it for the
>most important information, associated other family info gained from
>relatives, made assumptions about the patient's current state from
>clothes, demeanour, considered in parallel factors such as time
>constraints, your own position, the next patient...
>... and then you are apparently able to give that patient your undivided
>attention.... and come up with "a cunning plan" ....
Most of the systems I have come across have been in the hospital environment
(and designed for limited tasks). I don't that they are viable for general
practice......yet;)
regards
Jeff
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