AI in medical education - Another grand challenge for medical informatics

Artificial Intelligence in Medicine

Volumn 12, Issue 3, 1998, Pages 197-225

  Lillehaug, Svein Ivar ^a   Lajoie, Susanne P ^b  

^a LINKÖPING UNIVERSITY   (Sweden)

^b MCGILL UNIVERSITY   (Canada)

Author keywords

AI in medical education; AI in medicine research; Cognitive apprenticeship; Cognitive task analysis; Computers in medical education; Medical cognition; Situated learning

Indexed keywords

ARTIFICIAL INTELLIGENCE; ENGINEERING RESEARCH; HEALTH CARE; JOB SATISFACTION; MEDICAL COMPUTING; PERSONNEL TRAINING;

COGNITIVE TASK ANALYSIS; MEDICAL COGNITION;

MEDICAL EDUCATION;

ARTICLE; ARTIFICIAL INTELLIGENCE; INFORMATION SCIENCE; MEDICAL EDUCATION; MEDICAL INFORMATION; MEDICAL RESEARCH; PRIORITY JOURNAL;

EID: 0032033094     PISSN: 09333657     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0933-3657(97)00054-7     Document Type: Article

References (114)

1. Akroyd D., Bamberg R., Hall J. The impact of multiskilled practice on the job satisfaction of medical laboratory personnel. J. Allied Health. 21:1992;95-104.
2. Alexe, C, Gecsei, JA. learning environment for the surgical intensive care unit. In: Frasson, C, Gauthier, G, Lesgold, A, editors. Proc. Intelligent Tutoring Systems 1996. ITS'96, New York: Springer-Verlag, 1996:439-447.
3. Alfredson B.B., Annerstedt L. Staff attitudes and job satisfaction in the care of demented elderly people: group living compared with long-term care institutions. J. Adv. Nursing. 20:1994;964-974.
4. Allan D.M., Walraven G. Issues in the adoption of a new educational technology. Comput. Methods Programs Biomed. 25:1987;103-110.
5. Anderson, J. The Architecture of Cognition. Cambridge, MA: Harvard University Press, 1983.
6. Azevedo, R, Lajoie, SP, Bret, PM. Instructional scaffolding during medical decision making. Poster presented at the 26th Int. Congr. Psychology, Montreal, August 1996.
7. Azevedo, R, Lajoie, SP, Bret, PM. Tutoring complex visual concepts in radiology. Poster presented at the 26th Int. Congr. Psychology, Montreal, August 1996.
8. Azevedo, R, Lajoie, SP, Desaulniers, M, Fleiszer, DM, Bret, PM. RadTutor: the theoretical and empirical basis for the design of a mammography interpretation tutor. In: du Boulay, B., Mizoguchi, R, editors. Proceedings of AI in Education. AI-ED '97, Washington, DC: IOS Press, 1997:386-393.
9. Bandura A. Toward a unifying theory of behavioral change. Psychol. Rev. 84:1977;101-215.
10. Bandura, A. Social Foundations of Thought. Englewood Cliffs, NJ: Prentice Hall, 1986.
11. Barnett O. Information Technology and medical education. JAMIA. 2:1995;285-291.
12. Barr, A, Feigenbaum, EA, editors. The Handbook of Artificial Intelligence, vol. II. New York: William Kaufman, 1982.
13. Bashook, PG. Clinical competence and continuing medical education: lifelong learning to maintain competence. In: Coles, C, Holm, HA, editors. Learning in Medicine. Oxford: Oxford University Press, 1993:21-41.
14. Beach, LR, Lipshitz, R. Why classical decision theory is an inappropriate standard for evaluating and aiding most human decision making. In: Klein, GA, Orasanu, J, Calderwood, R, Zsambok, CE, editors. Decision Making in Action: Models and Methods. Norwood, NJ: Ablex, 1993:21-35.
15. Billings D.M. Advantages and disadvantages of computer-assisted instruction. Dimens. Crit. Care Nursing. 5:1986;356-362.
16. Bizek K.S., Oermann M. Critical care education. Heart Lung. 19:1990;439-444.
17. Blaney, DR, Hobson, CJ. Cost Effective Nursing Practice: Guidelines for Nurse Managers. Philadelphia: J.B. Lippincott, 1988.
18. Bloom, BS. Taxonomy of Educational Objectives: The Classification of Educational Goals, Cognitive Domain, Handbook 1. New York: McKay, 1956.
19. Bouchard, RM, Lajoie, SP, Fleiszer, D. Constructing knowledge within the medical domain: a cognitive perspective. In: Cox, K., Marsh, J, editors. Proc. 1st Int. Cognitive Technol. Conf. City University, Hong Kong, 1995:45-56.
20. de Boulay, B. Synthesis of European Conference on AI in Education: closing keynote address at European Conference on AI in Education. Lisbon, Portugal, October 1996.
21. Breuker, J. Conceptual model of intelligent help systems. In: Breuker, J, editor. EUROHELP: Developing Help Systems. Copenhagen: EC, 1990:41-66.
22. Brown J.S., Collins A., Dugid P. Situated cognition and the culture of learning. Educ. Res. 18:1989;32-41.
23. Chastonay P., Brenner E., Peel S., Guilbert J.-J. The need for more efficacy and relevance in medical education (editorial). Med. Educ. 30:1996;235-238.
24. Clancey, WJ. NEOMYCIN: Reconfiguring a rule-based expert system for application to teaching. In: Clancey, WJ, Shortliffe, EH, editors. Readings in Medical Artificial Intelligence: The First Decade. Reading, MA: Addison-Wesley, 1981:361-381.
25. Clancey, WJ. Knowledge-Based Tutoring: The GUIDON Program. Boston, MA: MIT Press, 1987.
26. Coiera E.W. AI in medicine: the challenges ahead. JAMIA. 3:1996;363-366.
27. Coles, C. Education in practice: teaching medical teachers to teach. In: Coles, C, Holm, HA, editors. Learning in Medicine. Oxford: Oxford University Press, 1993:45-65.
28. Collins, A, Brown, JS, Newman, S. Cognitive apprenticeship: teaching students the crafts of reading, writing and mathematics. In: Resnick, LB, editor. Knowing, Learning and Instruction: Essays in Honor of Robert Glaser. Hillsdale: NJ, Erlbaum, 1989:453-494.
29. Corn M. Funding for computer-assisted instruction projects. Acad. Med. 6:1994;958-960.
30. Cronbach, LJ, Snow, RE. Aptitudes and Instructional Methods: A handbook for Research on Interactions. NY: Irvington, 1977.
31. Dillenbourg, P, Hilario, M, Mendelsohn, P, Schneider, D. The MEMOLAB Project: Current Status, TECFA Document 91-5. Université de Genéve, Switzerland, 1991.
32. de Dombal F.T. Computer-aided decision support: in praise of level playing fields. Methods Inf. Med. 33:1994;161-163.
33. Dunn P.M., Kaynard J. Unique educational program in critical care medicine for the general internist. J. Gen. Intern. Med. 8:1993;126-129.
34. Eidenwall, L. Evaluation of knowledge and skill of health care personnel concerning Servo ventilators. IMT/LiU Report ULi-IMT-EX-176, Linköping University, Sweden, 1989.
35. Eliot, CR. An intelligent tutoring system based upon adaptive simulation. PhD dissertation, Department of Computer Science, University of Massachusetts, Amherst, 1996.
36. Eliot, CR, Williams, KA, Woolf, BP. An intelligent learning environment for advanced cardiac life support. In: Cimino, JJ, editor. Proc. AMIA Annual Fall Symposium 1996, Philadelphia: Hanley and Belfus, 1996:7-11.
37. Evans, DA. The language of medicine and the modelling of information. In: Patel, V, Evans, DA, editors. Advanced Models of Cognition for Medical Training and Practice. NATO ASI series F-97, New York: Springer-Verlag, 1992:43-67.
38. Feltovich, PJ, Coulson, RL, Spiro, RJ, Dawson-Saunders, BK. Knowledge application and transfer for complex tasks in ill-structured domains: implications for instruction and testing in biomedicine. In: Patel, V, Evans, DA, editors. Advanced Models of Cognition for Medical Training and Practice. NATO ASI series F-97, New York: Springer-Verlag, 1992:213-244.
39. Fisher P. Cost-effective nursing practice: cost-awareness and empowerment. Can. Oper. Room Nursing J. 11:1993;5-9.
40. Foss, CL. Learning from errors in ALGEBRALAND. Institute for Research on Learning Technical Report IRL-87-0003, Palo Alto, CA, 1987.
41. Friedman C.P. The research we should be doing. Acad. Med. 69:1994;455-457.
42. Friedman C.P. Response to Christine McGuire's invited address. Acad. Med. 71:1996;129.
43. Friedman C.P., Dev P. Education and informatics: it's time to join forces. JAMIA. 3:1996;184-185.
44. Gecsei, J, Frasson, C. SAFARI: an environment for creating tutoring systems in industrial training. Proc. Educational Media Conference, Vancouver, 1994:15-20.
45. Glaser, R, Chi, M. Overview. In: Chi, M, Glaser, R, Farr, MJ, editors. The Nature of Expertise. Hillsdale, NJ: Lawrence Erlbaum Assoc., 1988:xv-xxviii.
46. Glaser, R, Lesgol, A, Lajoie, SP. Toward a cognitive theory for the measurement of achievement. In: Ronning, R, Glover, J, Conoley, JC, Witt, JC, editors. The Influence of Cognitive Psychology on Testing. Buros/Nebraska Symposium on Measurement, vol. 3, Hillsdale, NJ: Lawrence Erlbaum Assoc., 1987:41-85.
47. Glenn J. A consumer-oriented model for evaluating computer-assisted instructional materials for medical education. Acad. Med. 71:1996;251-255.
48. Greeno J. A perspective on thinking. Am. Psychol. 44:1987;134-141.
49. Greer, J. Student modelling in intelligent tutoring systems. Tutorial at the 5th International Conference on User Modelling, Kona, Hawaii, January 1996. (for slides, see http://www.cs.usask.ca/homepages/faculty/greer/sm-tut.html).
50. Hackman J.R., Oldham G.R. Motivation through the design of work. Test of a theory. Organ. Behav. Hum. Perform. 16:1976;250-279.
51. Heathfield H.A., Wyatt J. Philosophies for the design and development of clinical decision-support systems. Methods Inf. Med. 32:1993;1-8.
52. Henry J.B. Computers in medical education: Information and knowledge management, understanding and learning. Hum. Pathol. 21:1990;998-1002.
53. Hmelo, CE. Computer-assisted instruction in health professions education: a review of the published literature. J. Educ. Technol. Syst. 1989/1990;18:83-101.
54. Jelovsek F.R., Adebonojo L. Learning principles as applied to computer-assisted instruction. M.D. Comput. 10:1993;165-172.
55. Jelovsek F.R., Catanzarite V.A., Prince R.D., Stull R.E. Application of teaching and learning principles to computer-aided instruction. M.D. Comput. 6:1989;267-273.
56. Jennet, PA. Lifelong learning to maintain competence. In: Coles, C, Holm, HA, editors. Learning in Medicine. Oxford: Oxford University Press, 1993:21-41.
57. Kearsley, G. Explorations in Learning and Instruction: The Theory into Practice Database. The George Washington University WWW, 1997, (see http://www.gwu.edu/~tip/index.html).
58. Kivimäki M., Kalimo R., Lintström K. Contributors to satisfaction with management in hospital wards. J. Nursing Manag. 2:1994;229-234.
59. Klein, GA. Naturalistic decision making: implications for design. SOAR Report 93-01, CSERIAC, OH: Wright-Patterson AFB, 1993.
60. Koschmann, TD, Kelson, AC, Feltovich, PJ, Barrows, HS. Computer-supported problem-based learning: a principled approach to the use of computers in collaborative learning. In: Koschmann, TD, editor. CSCL: Theory and Practice of an Emerging Paradigm. Hillsdale, NJ: Lawrence Erlbaum Assoc., 1996:83-124.
61. Kulikowski C.A. AIM: Quo vadis? JAMIA. 3:1996;432-433.
62. Lajoie, SP, Azevedo, R, Fleiszer, D. Assessing learning within a high information flow environment. Paper presented at the Annual Meeting of the AERA, Chicago, March 1997.
63. Lajoie, SP, Lesgold, A. Apprenticeship training in the workplace. In: Farr, M, Psotka, J, editors. Intelligent Instruction by Computer: Theory and Practice. NY: Taylor and Francis, 1992:15-36.
64. Lave J. Cognitive consequences of traditional apprenticeship training in West Africa. Anthropol. Educ. Q. 8:1977;177-180.
65. Lepper M. Motivational considerations in the study of instruction. Cogn. Instr. 5:1988;289-309.
66. Lesgold, A, Lajoie, SP, Bunzo, M, Eggan, G. SHERLOCK: a coached practice environment for an electronics troubleshooting job. In: Larkin, JH, Chabay, RW, editors. Computer Assisted Instruction and Intelligent Tutoring Systems: Shared Goals and Complementary Approaches. Hillsdale, NJ: Lawrence Erlbaum Assoc., 1992:201-238.
67. Lesgold, A, Lajoie, SP, Logan, D, Eggan, GM. Cognitive task analysis approaches to testing. In: Frederiksen, N, Glaser, R, Lesgold, A, Shafto, M, editors. Diagnostic Monitoring of Skill and Knowledge Acquisition. Hillsdale, NJ: Lawrence Erlbaum Assoc., 1990:325-350.
68. Lesgold, A, Rubinson, H, Feltovich, P, Glaser, R, Klopfer, D, Wang, Y. Expertise in a complex skill: diagnosing X-ray pictures. In: Chi, M, Glaser, R, Farr, MJ, editors. The Nature of Expertise. Hillsdale, NJ: Lawrence Erlbaum Assoc., 1988:311-342.
69. Lillehaug, S-I. ILE-VT: Towards an intelligent learning environment in ventilator therapy. Cand. Scient. thesis (Master thesis) in Computer Science, Dept. of Computer Science, University of TromsÝ, Norway. Also available as Norwegian Telecom report TF U 6/92.
70. Lillehaug, S-I. ILE-VT: an intelligent learning environment in ventilator therapy. In: Andreassen, S, Engelbrecht, R, Wyatt, J, editors. Artificial Intelligence in Medicine. Proc. 4th Conf. on Artificial Intelligence in Medicine Europe, AIME'93, Munich: IOS Press, 1993:197-207.
71. Lowe H.J., Lomax E.C., Polonkey S.E. The world wide web: a review of an emerging Internet-based technology for the distribution of biomedical information. JAMIA. 3:1996;1-14.
72. Malone T. Toward a theory of intrinsically motivating instruction. Cogn. Sci. 5:1971;333-369.
73. Maslow, AH. Motivation and Personality. NY: Harper Row, 1954.
74. McGuire C.H. Contributions and challenges of medical education. Acad. Med. 71:1996;121-126.
75. Miller, PL. A Critiquing Approach to Expert Computer Advice: ATTENDING. Boston: Pitman Advanced Publishing Program, 1984.
76. Miller R.A., Masarie F.E. Jr. The demise of the 'Greek Oracle' model for medical diagnostic systems. Methods Inf. Med. 29:1990;1-2.
77. Muller S. Physicians for the 21st century - report of the project panel on general professional education of the physician and college preparation for medicine. J. Med. Educ. 59:1984;1-208.
78. Nichols, P, Pokorny, R, Jones, G, Gott, SP, Alley, WE. Evaluation of an avionics troubleshooting tutoring system. Technical Report, Armstrong Laboratory, Human Resources Directorate, Brooks AFB, TX, 1995.
79. Nkambou, R, Gauthier, G. Un modele de representation du curriculum dans un STI. In: Frasson, C, Gauthier, G, Lesgold, A, editors. Proc. Intelligent Tutoring Systems 1996. ITS'96, New York: Springer, 1996:420-429.
80. Orasanu, J, Connolly, T. The reinvention of decision making. In: Klein, GA, Orasanu, J, Calderwood, R, Zsambok, CE, editors. Decision Making in Action: Models and Methods. Norwood, NJ: Ablex, 1993:3-20.
81. Oxman A.D., Davis D.A., Feightner J.W., Finnie N.V., Hutchison B.G., Lusk S., MacDonald P.J., McAuley R.G., Sellors J.W. Evidence-based care: 4. Improving performance: how can we improve the way we manage this problem? Can. Med. Assoc. J. 150:1994;1793-1796.
82. Patel, VL. Keynote address at track on 'Training, Education and Cognition.' AMIA Annual Fall Symposium, 26-30 October, Washington, DC, 1996.
83. Patel, VL, Groen, GJ. The representation of medical information in novices, intermediates, and experts. In: Lun, KC, et al, editors. Proc. MEDINFO'92. Amsterdam: Elsevier, 1992:1344-1349.
84. Patel V.L., Kaufman D.R., Arocha J.F. Steering though the murky waters of scientific conflict: situated and symbolic models of clinical cognition. Artif. Intell. Med. 7:1995;413-428.
85. Piemme T.E. Computer-assisted learning and evaluation in medicine. J. Am. Med. Assoc. 260:1988;367-372.
86. Radice B. The relationship between nurse empowerment in the hospital work environment and job satisfaction. J. N.Y. State Nurses Assoc. 251:1994;14-17.
87. Rappleye, WC. Medical education: final report of the commission on medical education. Association of American Medical Colleges Commission on Medical Education, NY, 1932.
88. Rasmussen, J. Deciding and doing: decision making in natural contexts. In: Klein, GA, Orasanu, J, Calderwood, R, Zsambok, CE, editors. Decision Making in Action: Models and Methods. Norwood, NJ: Ablex, 1993:158-171.
89. Resnick L.B. Learning in school and out. Educ. Res. 16:1987;13-20.
90. Sharples, M, du Boulay, B, Teather, B, Teather, D, Jeffery, N, du Boulay, G. The MR tutor: computer-based training and professional practice. In: Greer, J, editor. Proc. World Conference in Artifical Intelligence and Education. Washington, DC: AACE, 1995:429-436.
91. Shaw S., Azevedo R., Bret P. The effectiveness of hypermedia instructional modules for radiology residents. Can. J. Educ. Comm. 24:1995;245-268.
92. Shortliffe, E. Computer-Based Medical Consultations: Mycin. Amsterdam: Elsevier, 1976.
93. Shortliffe E. The adolescene of AI in medicine: will the field come of age in the 1990s? Artif. Intell. Med. 5:1993;93-106.
94. Shuell, TJ. Designing instructional computing systems for meaningful learning. In: Jones, M, Winne, P, editors. Foundations and Frontiers of Adaptive Learning Environments. NATO ASI series F-85, New York: Springer-Verlag, 1992:19-54.
95. Sittig D.F. Grand challenges in medical informatics: editorial comments. JAMIA. 1:1994;412-413.
96. Sleeman, D, Brown, J. Intelligent Tutoring Systems. London: Academic Press, 1982.
97. Slotnick H.B. How doctors learn: the role of clinical problems across the medical school-to-practice continum. Acad. Med. 71:1996;28-34.
98. Snow R.E. Toward assessment of cognitive and conative structures in learning. Educ. Res. 18:1989;8-14.
99. Stefanelli M. European research efforts in medical knowledge-based systems. Artif. Intell. Med. 5:1993;107-124.
100. Stillman P.L., Hanshaw J.B. Education of medical students: present innovations, future issues. Mayo Clin. Proc. 64:1989;1175-1179.
101. Swanson A.G. Medical education reform without change. Mayo Clin. Proc. 64:1989;1173-1174.
102. Szolovits, P, editor. Artificial Intelligence in Medicine. AAAS Selected Symposium, Boulder, Colorado: Westview Press, 1982.
103. Teather B.A., Sharples M., Jeffery N., Teather D., du Boulay B., Direne A.A., du Boulay G.H. Statistical modelling and structured image description for intelligent tutoring in MR imaging of the head. Riv. Neuroradiol. 7:1994;29-35.
104. Teather D., Teather B.A., Wills K.M., du Boulay G.H., Plummer D., Isherwood I., Gholkar A. Evaluation of computer advisor in the interpretation of CT images of the head. Neuroradiology. 30:1988;511-517.
105. Uckun S. Artificial intelligence in medicine: state-of-the-art and future prospects. Artif. Intell. Med. 5:1993;89-91.
106. UMUAI, International Journal of User Modelling and User-Adapted Interaction 5(1). Amsterdam: Kluwer Academic Publishers, 1995.
107. UMUAI, International Journal of User Modelling and User-Adapted Interaction 5(2). Amsterdam: Kluwer Academic Publishers, 1996.
108. Wasson B. Advanced learning technologies: the learning environment. Comput. Hum. Behav. 13:1997;571-594.
109. Wenger, E. Artificial Intelligence and Tutoring Systems. Computational and Cognitive Approaches to the Communication of Knowledge. Los Altos: Morgan Kaufmann, 1987.
110. White B.Y., Frederiksen J.R. Causal model progressions as a foundation for intelligent learning environments. Artif. Intell. 42:1990;99-157.
111. Whitehead, AN. The Aims of Education. NY: MacMillan, NY, 1929.
112. Williams S.M. Putting case-based instruction into context: examples from legal and medical education. J. Learn. Sci. 2:1992;367-427.
113. Woolf, B. Why should industry be interested in advanced IT for learning and training: keynote address at workshop on advanced IT support for education and training. Linköping University, Sweden, March 1996.
114. Woolf, B, Blegen, D, Jansen, JH, Verloop, A. Teaching a Complex Industrial Process, Artificial Intelligence and Education, vol. 1. Norwood, NJ: Ablex, 1987:413-427.