Visual 2: Session learning short and long term goals and objectives

Session learning Goals:

Creativity

Human centred management 

Short term: brief hands on interactive exposure to descriptive models of clinical decision making in the pre AI and current AI era and challenges posed toward explainability and trust in blended learning ecosystems

More here: 

Blended learning ecosystem: https://pmc.ncbi.nlm.nih.gov/articles/PMC6163835/, 

Descriptive or predictive? https://sites.pitt.edu/~super1/lecture/lec53081/015.htm

Changing the game: http://www.pitt.edu/~super1/lecture/lec54091/001.htm

Long term: collaborate to potentially develop a special group of human centered healthcare managers trained in AI driven clinical decision making that takes into account an individual patient's internal medicine (anatomy physiology, pathology, organ systems) and external (organisational, public health, environmental exposure and community medicine) drivers to optimise their overall healthcare outcomes using tools such as creative critical realist heutagogy.

More here: 

Understanding clinical complexity in organ and organizational systems: https://pubmed.ncbi.nlm.nih.gov/37335625/

Narketpally syn (critical realist heutagogy) : https://pubmed.ncbi.nlm.nih.gov/40674544/

https://link.springer.com/chapter/10.1007/978-3-658-19925-8_10#:~:text=This%20chapter%20outlines%20the%20fundamental%20principles%20of,in%20creating%20a%20holistic%2C%20self%2Ddetermined%20learning%20environment.

Session learning objectives:

1) Demonstrate a hands on approach to AI driven clinical decision making utilising past cases as well as cases from the floor shared by the audience 

2) Discuss briefly the evolution of clinical decision making pre and post AI

3) Discuss issues around how to bridge the inferential gap between multiple stakeholders in clinical decision making such as patients, their relatives, health professionals and policy makers through AI driven explainability 

4) Discuss how to gain and maintain trust between multiple stakeholders through judicious optimization of intelligence driven explainability.

Visual 1 flipped session content for GIM, November 7

 Never doubt that a small group of thoughtful committed individuals can change the world. In fact, it's the only thing that ever has."

Margaret Mead

Counterview to above in the link below illustrates the broader meaning of cision and de-cision (expanded again further down): https://www.ohiocitizen.org/about_that_margaret_mead_quotation

Introduction 

to our team and human centered clinical decision making lab: 

Our team consists of full time educators and practitioners of clinical decision making with a special interest in developing creative skills in learners and online users while tackling clinical decision making issues utilising current AI tools and descriptive models that not only create a case based medical informatics ecosystem but also promote explainability and trust among humans.

 

The above mug is available here: https://www.etsy.com/in-en/listing/270900314/theory-and-practice-funny-statement-mug?ref=elp_anchor_listing&sts=1

Why is a global clinical decision making team called "Narketpally syndrome?"

Rhetorical video : https://youtu.be/h-idYabkvQE?si=5vv0lcTwCyplY2U0

generated from a rhetorical editorial: https://pubmed.ncbi.nlm.nih.gov/40674544/

Why Narketpally?

Well let's just say because of a high perceived incidence of clinical complexity in comorbidities due to CHO molecular toxins such as C6H12O6 and C2H5OH and a certain halide! 

More about it here: https://medicinedepartment.blogspot.com/2025/03/project-7-years-in-narketpally.html?m=1

Our team is currently working on:

Among other things such as daily clinical decision making with our patients, a book on the same topic, named "Troubleshooting Humans in the Age of AI: A Playbook for Multidisciplinary, Participatory, Medical Cognition," and we are looking for potential chapter authors and elective trainees who will also enjoy this journey of clinical decision making to trouble shoot humans in our blended learning ecosystem in the coming months.

More about it here: https://userdrivenhealthcare.blogspot.com/2025/04/book-proposal-introduction-to-medical.html?m=1

More about our team members past and present here : https://medicinedepartment.blogspot.com/2021/03/medicine-department-training-programs.html?m=1

Case based medical informatics descriptive database: 

https://pajrcasereporter.blogspot.com/?m=1

Theory: https://pmc.ncbi.nlm.nih.gov/articles/PMC544898/

Visual 3 What is cognition, decision and clinical? GIM November 7

Evolution of clinical decision making 

pre and post AI

What is cognition?

What is dual processing theory of cognition?

Speakers thoughts: https://medicinedepartment.blogspot.com/2025/08/lecture-module-current-role-of-ai-in.html?m=1

What is decision?

Word picture:

Imagine you are "Cutting a vegetable with a knife" and imagine what is the next step in your cooking once cutting is over?

Cision is the process of cutting originated from Proto-Indo-European language as *skh₁-ie, *skh₁-io, and that is related to the Proto-Indo-European *kh₂eyd- (“to cut, hew”), whence also Latin caedō (“to cut, strike”) in Sanskrit aka खिद्

Source: https://en.wiktionary.org/wiki/%E0%A4%96%E0%A4%BF%E0%A4%A6%E0%A5%8D

Looks like Europeans added an s to the beginning of khid in Sanskrit aka caed in Latin and then subsequently removed the d when they used cutting as a metaphor for science!

The word science is derived from Proto-Indo-European language as *skh₁-ie, *skh₁-io, meaning "to incise". https://en.m.wikipedia.org/wiki/Science

So imagine some of the cutting instruments you know of and check out their names: 

Nouns: scissors, sickle, 

Verbs: incise, size up, cut to size 

Also part of: abscise; avicide; biocide; caesarian; caesura; cement; chisel; -cide; circumcise; circumcision; concise; decide; decision; deicide; excise (v.); excision; felicide; feticide; filicide; floricide; fratricide; fungicide; gallinicide; genocide; germicide; herbicide; homicide; incise; incision; incisor; infanticide; insecticide; legicide; liberticide; libricide; matricide; parricide; patricide; pesticide; precise; precision; prolicide; scissors; senicide; spermicide; suicide; uxoricide; verbicide.

Unquote: https://www.etymonline.com/word/*kae-id-

Needless to say, not everything ending with cise means cutting such as the words "exercise" and "exorcise" apparently have no connection to cutting: https://www.etymonline.com/word/exorcise

Image with CC licence: https://commons.m.wikimedia.org/wiki/File:Sickle_and_throwing_knife_at_Manchester_Museum.jpg#mw-jump-to-license

And the image of the sickle and science is contained in an important writing tool for science! The question mark is a very important instrument of scientific scepticism:

Creative commons license: https://en.m.wikipedia.org/wiki/Question_mark#/media/File%3AQuestion_opening-closing.svg

To reach a de cision is to stop cutting and stop questioning further! As in de addiction or de escalation, which means to stop addiction or stop escalation!

In other words going with the cutting edge pictorial cooking analogy above, one simply moves to the next phase of cooking once the cutting of it's ingredients is over.

Decision etymology:

https://www.reddit.com/r/etymology/comments/2eujw6/where_did_the_root_cision_come_from_decision/

Clinical etymology:

"Clinical" comes from the Sanskrit Klinna (क्लिन्न) refers to “dripping (clothes) and in general suggests moisture as a result of which it's also used to denote putrefaction due to microorganism action.

https://www.wisdomlib.org/definition/klinna

Greeks took the word to clean their beds and for them it means "kline or  "bed, couch, that on which one lies! 

Europeans took the word to their clinics which were essentially glorified bedsides!

It's a mystery (other than the connotations of slipperiness) as to how klinna also came to mean 'lean' and became used as a suffix for words such as: incline, decline, recline and if you are to believe this link 👇

https://www.etymonline.com/word/clinical, 

Then even the ones below:

acclivity; anticline; clemency; client; climate; climax; cline; clinic; clinical; clino-; clitellum; clitoris; decline; declivity; enclitic; heteroclite; incline; ladder; lean (v.); lid; low (n.2) "small hill, eminence;" matroclinous; patroclinous; polyclinic; proclitic; proclivity; recline; synclinal; thermocline.

Also here:

https://ahdictionary.com/word/indoeurop.html