Abstract
Looking back at this course, the point of departure in it was not commitment to ‘clinical epidemiology’ in preparation for practice of EBM. Instead, the commitment was to the Western ‘culture of improvement,’ this with a view to healthcare in this Information Age. Now the knowledge-base of clinical medicine could, and should, be codified in expert systems. But it isn’t. Promising for the future is, however, the fact that the form of the requisite knowledge is now understood, and also understood now is the way in which expert clinicians’ tacit knowledge could be garnered in the form that is appropriate for those systems.
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