{"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,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cognitivesciencesociety/article/24403/galley/14000/download/"},{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cognitivesciencesociety/article/24403/galley/21524/download/"}]}