Development of the Major Improvements

Abstract

The present situation confronts leaders of the various disciplines of clinical medicine with the challenge and topical mission to bring about major improvement – from status quo to universal excellence – in the practices. At issue is codification of the knowledge-base of the discipline in expert systems, thus providing for practice that is characterized by universal excellence in the quasi-scientific sense of this: the practice is, universally, like that of scientific medicine, except that its knowledge-base is derived from the tacit knowledge of experts with no inherent role for science as the source of this knowledge.