Computer Programs to Support Clinical Decision Making-Reply

Abstract

In Reply.—

I disagree with Dr Levin on two points and agree with him on one. First, rushing to greet the "bride of a new technology" is not the same as hurling one's self at her. The purpose of my editorial remarks was not to instill fear of technology. DXplain represents a medical decision assistance tool that is the first of a new genre of cognitive medical applications to appear on an online, national medical information network. As is the case with any new device or process, the prudent practitioner will carefully evaluate it, integrate it into his or her professional template, and apply it on those occasions where it makes sense and can improve an outcome. This evaluation and integration process does not disenfranchise one, either intellectually or professionally. It does help to ensure that new technological advances will be exploited in the manner in which they are intended.