TY - JOUR
T1 - Steering through the murky waters of a scientific conflict
T2 - situated and symbolic models of clinical cognition
AU - Patel, Vimla L.
AU - Kaufman, David R.
AU - Arocha, JoséF F.
N1 - Funding Information:
The researchr eported in this paper was supportedi n part by a grant from the Fonds pour la Formation de Chercheurse t L’Aide a la Recherche( 95-ER-1177) and Social Sciencesa nd HumanitiesR esearch Council of Canada (9410-92-1535) to Vimla L. Patel. We thankT oomasT impka and the two anonymousr eviewersf or their valuable comments.W e would like to acknowledget he contributions of Andre Kushniruk and Michael Leccisi and Susan St-Pierre for assistingi n the preparationo f the manuscript.
PY - 1995/10
Y1 - 1995/10
N2 - The situated action perspective, which embraces a diversity of views, challenges several of the fundamental assumptions of the symbolic information-processing framework underlying cognitive science and artificial intelligence. In this paper, we consider the following issues: symbolic representations, plans and actions, distributed cognition, and the transfer of learning. We evaluate each of these issues in terms of research and theories in clinical cognition and examine the implications for education and training, and for the integration of intelligent systems in medical practice. We argue for a reconceptualization of the symbolic framework in terms of the way the role of internal representations and cognitive activities are perceived. However, symbolic representations are integral to medical cognition and should continue to be central in any theoretical framework. A re-examination of cognitive science in medicine in terms of the relationship among physicians, technology, and the workplace could prove to be constructive in bridging the gap between theory and practice.
AB - The situated action perspective, which embraces a diversity of views, challenges several of the fundamental assumptions of the symbolic information-processing framework underlying cognitive science and artificial intelligence. In this paper, we consider the following issues: symbolic representations, plans and actions, distributed cognition, and the transfer of learning. We evaluate each of these issues in terms of research and theories in clinical cognition and examine the implications for education and training, and for the integration of intelligent systems in medical practice. We argue for a reconceptualization of the symbolic framework in terms of the way the role of internal representations and cognitive activities are perceived. However, symbolic representations are integral to medical cognition and should continue to be central in any theoretical framework. A re-examination of cognitive science in medicine in terms of the relationship among physicians, technology, and the workplace could prove to be constructive in bridging the gap between theory and practice.
KW - Cognitive psychology
KW - Medical cognition
KW - Situated theories
KW - Symbolic framework
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U2 - 10.1016/0933-3657(95)00013-V
DO - 10.1016/0933-3657(95)00013-V
M3 - Article
C2 - 8547966
AN - SCOPUS:0029380450
SN - 0933-3657
VL - 7
SP - 413
EP - 438
JO - Artificial intelligence in medicine
JF - Artificial intelligence in medicine
IS - 5
ER -