Document Detail


Medical practice and informatics tools: a vignette.
MedLine Citation:
PMID:  9934293     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this article the authors recreate an improvisational vignette originally presented at the Third Annual Information Connection in Burlington, Vermont, in January 1998. The vignette illustrates various state-of-the-art decision-support systems for clinical care and their promises and problems in real-world medical practice. The characters are Dr. Alex Grant, a rural physician in solo practice; Anna Everett, a patient suffering from chronic headaches; Bob, a hospital librarian; and Sarah, Dr. Grant's nurse. The short play centers on Dr. Grant's attempt to diagnose the cause of Anna's headaches (which he and she believe to be sinus-related) and the roles information technologies--Medline searching, Anna's own Internet searches, the use of MDConsult, which provides Internet access to standard medical texts, journals, etc., and a desktop decision-support tool called Problem Knowledge Couplers--play in this process. The vignette concludes with the realization that while computer technologies can be of great help in medicine "there is still a need for a good doctor to pull it all together."
Authors:
J J McGowan; K W Michl; D L O'Malley; S Parrish
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Academic medicine : journal of the Association of American Medical Colleges     Volume:  74     ISSN:  1040-2446     ISO Abbreviation:  Acad Med     Publication Date:  1999 Jan 
Date Detail:
Created Date:  1999-02-18     Completed Date:  1999-02-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8904605     Medline TA:  Acad Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  37-41     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, University of Vermont College of Medicine (UVCOM), Burlington 05405-0068, USA. julie.mcgowan@vtmednet.org
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MeSH Terms
Descriptor/Qualifier:
Diagnosis, Computer-Assisted
Humans
MEDLINE
Medical Informatics*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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