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{
    "pk": 24403,
    "title": "Revealing the Dynamics of Medical Diagnostic Reasoning as Step-by-Step Cognitive Process Trajectories",
    "subtitle": null,
    "abstract": "A detailed understanding of the cognitive process underlying diagnostic reasoning in medical experts is currently lacking. While high-level theories like hypothetico-deductive reasoning were proposed long ago, the inner workings of the step-by-step dynamics within the mind remain unknown. We present a fully automated approach to elicit, monitor, and record diagnostic reasoning processes at a fine-grained level. A web-based user interface enables physicians to carry out a full diagnosis process on a simulated patient, given as a pre-defined clinical vignette. By collecting the physician's information queries and hypothesis revisions, highly detailed diagnostic reasoning trajectories are captured leading to a diagnosis and its justification. Four expert epileptologists with a mean experience of 19 years were recruited to evaluate the system and share their impressions in semi-structured interviews. We find that the recorded trajectories validate proposed theories on broader diagnostic reasoning, while also providing valuable additional details extending previous findings.",
    "language": "eng",
    "license": {
        "name": "",
        "short_name": "",
        "text": null,
        "url": ""
    },
    "keywords": [
        {
            "word": "Psychology; Case-based reasoning; Decision making; Reasoning; Case studies"
        }
    ],
    "section": "Papers with Poster Presentation",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4qn3z59m",
    "frozenauthors": [
        {
            "first_name": "Dominik",
            "middle_name": "",
            "last_name": "Battefeld",
            "name_suffix": "",
            "institution": "Research Center Cognitive Interaction Technology (CITEC), Bielefeld University",
            "department": ""
        },
        {
            "first_name": "Sigrid",
            "middle_name": "",
            "last_name": "Mues",
            "name_suffix": "",
            "institution": "Dpt. of Neurology, Ruhr-Epileptology",
            "department": ""
        },
        {
            "first_name": "Tim",
            "middle_name": "",
            "last_name": "Wehner",
            "name_suffix": "",
            "institution": "University Hospital Knappschaftskrankenhaus Bochum, Dept. of Neurology, Ruhr-Epileptology, Bochum",
            "department": ""
        },
        {
            "first_name": "Patrick",
            "middle_name": "",
            "last_name": "House",
            "name_suffix": "",
            "institution": "Epileptologicum Hamburg",
            "department": ""
        },
        {
            "first_name": "Christoph",
            "middle_name": "",
            "last_name": "Kellinghaus",
            "name_suffix": "",
            "institution": "Klinikum Osnabrück",
            "department": ""
        },
        {
            "first_name": "Jörg",
            "middle_name": "",
            "last_name": "Wellmer",
            "name_suffix": "",
            "institution": "University Hospital Knappschaftskrankenhaus Bochum, Dpt. of Neurology, Ruhr-Epileptology",
            "department": ""
        },
        {
            "first_name": "Stefan",
            "middle_name": "",
            "last_name": "Kopp",
            "name_suffix": "",
            "institution": "Bielefeld University",
            "department": ""
        }
    ],
    "date_submitted": null,
    "date_accepted": null,
    "date_published": "2024-01-01T18:00:00Z",
    "render_galley": null,
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            "path": "https://journalpub.escholarship.org/cognitivesciencesociety/article/24403/galley/14000/download/"
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        {
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            "path": "https://journalpub.escholarship.org/cognitivesciencesociety/article/24403/galley/21524/download/"
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}