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PHYS THER
Vol. 69, No. 7, July 1989, pp. 565-568

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Conference Proceedings on Clinical Decision Making

The Problem-Oriented System, Problem-Knowledge Coupling, and Clinical Decision Making

Lawrence L Weed and Nancy J Zimny

L Weed, MD, is President, PKC Corporation, 10 Mary St, South Burlington, VT 05401 (USA).
N Zimny, MS, PT, is Assistant Professor, Department of Physical Therapy, School of Allied Health Sciences, University of Vermont and State Agricultural College, Burlington, VT 05405.

This excerpt was created in the absence of an abstract.

Whether it is medicine or any field, the essential task in making decisions is to bring the whole world of knowledge in that field to our everyday actions. When we do problem solving in medicine, we are in essence trying to take all the relevant medical knowledge and apply it to each action we take on behalf of the person paying for it. The ultimate goal of this endeavor should be to satisfy each consumer that he or she consistently received in every medical encounter the best possible care that was available. The premise under which we have been operating to accomplish this goal is "education." We plan courses for students in which we stuff enormous amounts of medical knowledge into their heads. We examine them for recall of that knowledge as they seek admission to the world of practice....

Key Words: Clinical competence • Computers • Decision making, computer-assisted


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Copyright © 1989 by the American Physical Therapy Association.