Abstract
Remarkably little is known about the cognitive processes which are employed in the solution of clinical problems. This paucity of information is probably accounted for in large part by the lack of suitable analytic tools for the study of the physician’s thought processes. Here we report on the use of the computer as a laboratory for the study of clinical cognition.
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References
Slack WV, Hicks GP, Reed CE, VanCura LJ: A computer-based medical history system.N Engl J Med274:194, 1966.
Bleich HL: Computer evaluation of acid-base disorders.J Clin Invest48:1689, 1969.
Bleich HL: Computer-based consultation, electrolyte and acid-base disorders.Am J Med53:285, 1972.
Peck CC, Scheiner LB, Martin CM, Combs MD, Melmon KL: Computer- assisted digoxin therapy.N Engl J Med289:441, 1973.
Jelliffe RW, Buell J, Kalaba R: Reduction of digitalis toxicity by computer- assisted glycoside dosage regimens.Ann Intern Med77:891, 1972.
Gorry GA, Kassirer JP, Essig A, Schwartz WB: Decision analysis as the basis for computer-aided management of acute renal failure.Am J Med55:473, 1973.
Shortliffe EH, Axline SG, Buchanan BG, Merigan TC, Cohen SN: An artificial intelligence program to advise physicians regarding antimicrobial therapy.Comput Biomed Res6:544, 1973.
Kulikowski CA, Weiss S, Safir A: Glaucoma diagnosis and therapy by computer. Proceedings of Annual Meeting of Association for Research in Vision and Ophthalmology, Sarasota, Florida, May 1973.
Pople H, Werner G: An information processing approach to theory formation in biomedical research. Proceedings of the AFIPS Spring Joint Computer Conference, 1972, p 1125
Stead WW, Heyman A, Thompson HK, Hammond WE: Computer-assisted interview of patients with functional headache.Arch Intern Med129:950, 1972.
Winston PH : New Progress in Artificial Intelligence TR-310, Cambridge, Massachusetts, The Artificial Intelligence Laboratory, Massachusetts Institute of Technology, 1974.
Feigenbaum EA, Feldman J, eds: Computers and Thought. New York, McGraw-Hill, 1963. This book is a collection of papers on a variety of artificial intelligence problems: chess playing, solving geometry problems, theorem proving, and some cognitive simulation experiments. Written in the late 1950’s and early 1960’s, these papers reflect the then current emphasis on highly-structured problem domains and more or less formal problem-solving methods. Of particular interest is Minsky’s paper “Steps Toward Artificial Intelligence,” a lucid discussion of the state of the art at that time.
Bell DA: Intelligent Machines (An introduction to cybernetics). London, Pitman, 1962.
McCarthy J : Programs with common sense, Semantic Information Processing (Minsky M, ed), Cambridge, MIT Press, 1968.
Shannon CE, Weaver W: The Mathematical Theory of Communication, Urbana, Ill., University of Illinois Press, 1949.
Minsky M : A framework for representing knowledge. The Psychology of Computer Vision (Winston PH, ed), New York, McGraw-Hill, 1975.
Minsky M (ed): Semantic Information Processing. Cambridge, MIT Press, 1968. This collection of papers considers such problems as finding analogies between things, making logical and non-logical inferences, and engaging in a coherent dialogue with a person. The papers are interesting in their own right but also by virtue of the historical perspective which they provide on the shift toward the intensive study of knowledge by artifical intelligence researchers.
Newell A, Simon HA: Human Problem Solving, Englewood Cliffs, New Jersey, Prentice-Hall, 1972. This book is a comprehensive summary of work done over the past 15 years by two of the most prolific and important workers in the field. Through the extensive use of protocol analysis and computer simulation, Newell and Simon have developed a theory of human problem solving which has had a widespread influence in artificial intelligence, psychology and management science. This book is of interest as a review of their work, as a statement of their theory and as an exposition of a powerful methodology for the study of cognition.
Sussman GJ, McDermott DV: From PLANNER to CONNIVER—a genetic approach. Proceedings of the Fall Joint Computer Conference, Anaheim, Calif., 1972, p 1171.
Feinstein AR: Clinical Judgment, Baltimore, Williams & Wilkins, 1967.
Shank RC, Colby KM (eds): Computer Models of Thought and Language, San Francisco, WH Freeman & Co., 1973. This collection of papers describes more recent attempts to model human psychological processes on a computer. On the whole, the work reported in this book concerns the creation and testing of more complex models of human behavior than those discussed in the books described above. Also of interest are the contributions of psychologists to the volume. Their papers represent a slight, but significant trend toward the casting of psychological theories in computer pro-grams rather than in the more conventional literary or mathematical forms.
Wintrobe MM (ed): Harrison’s Principles of Internal Medicine, New York, McGraw-Hill, 1974.
Beeson PW, McDermott W (eds): Cecil-Loeb Textbook of Medicine, Philadelphia, W.B. Saunders, 1975.
Strauss MB, Welt LG: Diseases of the Kidney, Boston, Little, Brown & Co., 1971.
Hurst JW: The Heart, Arteries and Veins, New York, McGraw-Hill, 1974.
Wintrobe MM: Clinical Hematology, Philadelphia, Lea & Febiger, 1974.
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Pauker, S.G., Gorry, G.A., Kassirer, J.P., Schwartz, W.B. (1976). Towards the Simulation of Clinical Cognition: Taking a Present Illness by Computer. In: Reggia, J.A., Tuhrim, S. (eds) Computer-Assisted Medical Decision Making. Computers and Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5108-8_7
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DOI: https://doi.org/10.1007/978-1-4612-5108-8_7
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