Teaching

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Any of the above mentioned interaction models can be enhanced by offering a "teaching mode" to the user. Such a mode would allow the system to "explain" its reasoning to the clinician. In a landmark article, Teach and Shortliffe stated that the ability of a system to "explain" its reasoning was one of the key factors in clinician acceptance of decision support systems [Teach, 1981]. Since that time many systems have been successfully deployed without this capability, although system developers are still encouraged to provide it when possible. Many developers skirt this issue by citing a scientific journal article or displaying the actual rules (along with the patient's data values) the system used to reach the conclusion.


  1. Teach RL, Shortliffe EH. An analysis of physician attitudes regarding computer-based clinical consultation systems. Comput Biomed Res 1981 Dec;14(6):542-58

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