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430 Alternative decision-support systems<br />

textbook study, students are unable to show diagnostic expertise. Thisis<br />

achieved from an ‘apprenticeship period’ where they observe experts in<br />

real diagnoses and attempt to duplicate the skill by practicing themselves.<br />

Indeed, expert knowledge consists of many unwritten ‘rules of<br />

thumb’:<br />

[it is] ...largely heuristic knowledge, experimental, uncertain – mostly ‘good<br />

guesses’ and ‘good practice’, in lieu of facts and figures. Experience has also<br />

taught us that much of this knowledge is private to the expert, not because he<br />

is unwilling to share publicly how he performs, but because he is unable to.<br />

He knows more than he is aware of knowing ...What masters really know<br />

is not written in the textbooks of the masters. But we have learned that this<br />

private knowledge can be uncovered by the careful, painstaking analysis of<br />

a second party, or sometimes by the expert himself, operating in the context<br />

of a large number of highly specific performance problems.<br />

Sometimes in order to understand one expert’s actions the expertise of<br />

another is required. For example, in organized human/machine chess<br />

matches a high-ranking player is often present in order to explain<br />

the likely reason for each player’s moves. Similarly, in eliciting medical<br />

expertise a doctor can be employed to observe a patient–doctor interview<br />

and infer the reasons for questions asked of the patient.<br />

Given the ‘hidden’ nature of expert knowledge, it is not surprising<br />

to find research in the area of knowledge engineering pointing to the<br />

difficulties of elicitation. Hayes-Roth et al. 2 have described it as a ‘bottleneck<br />

in the construction of expert systems’. For example, communication<br />

problems arise because not only is the knowledge engineer relatively<br />

unfamiliar with the expert’s area or ‘domain’ but the expert’s vocabulary<br />

is often inadequate for transferring expertise into a program. The<br />

‘engineer’ thus plays an intermediary role with the expert in extending<br />

and refining terms. Similarly, Duda and Shortcliffe 3 conclude that:<br />

The identification and encoding of knowledge is one of the most complex<br />

and arduous tasks encountered in the construction of an expert system ...<br />

Thus the process of building a knowledge base has usually required an AI<br />

researcher. While an experienced team can put together a small prototype in<br />

one or two man-months, the effort required to produce a system that is ready<br />

for serious evaluation (well before contemplation of actual use) is more often<br />

measured in man-years.<br />

Wilkins et al. 1 reinforce this view and note that attempts to automate<br />

the ‘tedious’ and ‘time-consuming’ process of knowledge acquisition<br />

between expert and ‘engineer’ have so far proved unsuccessful. It is clear

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