Berner E S, McGowan J J
School of Health Professions, University of Alabama at Birmingham, Birmingham, AL 35294-3361, USA.
Methods Inf Med. 2010;49(4):412-7. doi: 10.3414/ME9309. Epub 2010 Apr 20.
Diagnostic decision support systems are designed to assist physicians with making diagnoses. This article illustrates some of the issues that will be faced as diagnostic decision support systems become used in medical education.
The objectives of this article are to examine 1) the skills that are needed to properly use these programs as part of the students' clinical experiences; 2) the changes that will be necessary in our curricula once these programs are more extensively utilized, including the implications of using these systems as an educational resource or simulation tool, and 3) the research issues that arise when these systems become an established part of our educational programs.
This is a critical analysis of the literature on diagnostic decision support systems and medical education.
To optimally use diagnostic decision support programs, students will need grounding in the basic knowledge and skills that have always been necessary to become a physician, such as the ability to accurately gather and interpret clinical information from the patient. In addition, students will need specific skills in 1) selecting appropriate system vocabulary and functions, and 2) applying the diagnostic system's suggestions to their particular patient.
When computer-based decision support systems are incorporated in medical education, they will likely lead to changes in the traditional medical curriculum. Research will be needed on how use of these programs changes the students' knowledge, problem-solving and information-seeking skills.
诊断决策支持系统旨在协助医生进行诊断。本文阐述了诊断决策支持系统应用于医学教育时将面临的一些问题。
本文的目的是探讨：1）将这些程序作为学生临床经验的一部分正确使用所需的技能；2）一旦这些程序得到更广泛应用，课程中需要做出的必要改变，包括将这些系统用作教育资源或模拟工具的意义；3）当这些系统成为我们教育计划的既定组成部分时出现的研究问题。
这是对关于诊断决策支持系统和医学教育的文献的批判性分析。
为了最佳地使用诊断决策支持程序，学生需要具备作为医生一直所需的基础知识和技能，例如准确收集和解读患者临床信息的能力。此外，学生还需要具备以下特定技能：1）选择合适的系统词汇和功能；2）将诊断系统的建议应用于其特定患者。
当基于计算机的决策支持系统纳入医学教育时，它们可能会导致传统医学课程的改变。需要研究这些程序的使用如何改变学生的知识、解决问题和信息寻求技能。
