---
_id: '55429'
abstract:
- lang: eng
  text: A detailed understanding of the cognitive process underlying diagnostic reasoning
    in medical experts is currently lacking. While high-level theories like hypothetico-deductive
    reasoning were proposed long ago, the inner workings of the step-by-step dynamics
    within the mind remain unknown. We present a fully automated approach to elicit,
    monitor, and record diagnostic reasoning processes at a fine-grained level. A
    web-based user interface enables physicians to carry out a full diagnosis process
    on a simulated patient, given as a pre-defined clinical vignette. By collecting
    the physician’s information queries and hypothesis revisions, highly detailed
    diagnostic reasoning trajectories are captured leading to a diagnosis and its
    justification. Four expert epileptologists with a mean experience of 19 years
    were recruited to evaluate the system and share their impressions in semi-structured
    interviews. We find that the recorded trajectories validate proposed theories
    on broader diagnostic reasoning, while also providing valuable additional details
    extending previous findings.
author:
- first_name: Dominik
  full_name: Battefeld, Dominik
  id: '91864'
  last_name: Battefeld
  orcid: 0000-0002-5480-0594
- first_name: Sigrid
  full_name: Mues, Sigrid
  last_name: Mues
- first_name: Tim
  full_name: Wehner, Tim
  last_name: Wehner
- first_name: Patrick
  full_name: House, Patrick
  last_name: House
- first_name: Christoph
  full_name: Kellinghaus, Christoph
  last_name: Kellinghaus
- first_name: Jörg
  full_name: Wellmer, Jörg
  last_name: Wellmer
- first_name: Stefan
  full_name: Kopp, Stefan
  last_name: Kopp
citation:
  ama: 'Battefeld D, Mues S, Wehner T, et al. Revealing the Dynamics of Medical Diagnostic
    Reasoning as Step-by-Step Cognitive Process Trajectories. In: <i>Proceedings of
    the 46th Annual Conference of the Cognitive Science Society</i>. ; 2024.'
  apa: Battefeld, D., Mues, S., Wehner, T., House, P., Kellinghaus, C., Wellmer, J.,
    &#38; Kopp, S. (2024). Revealing the Dynamics of Medical Diagnostic Reasoning
    as Step-by-Step Cognitive Process Trajectories. <i>Proceedings of the 46th Annual
    Conference of the Cognitive Science Society</i>. The Annual Meeting of the Cognitive
    Science Society, Rotterdam, NL.
  bibtex: '@inproceedings{Battefeld_Mues_Wehner_House_Kellinghaus_Wellmer_Kopp_2024,
    title={Revealing the Dynamics of Medical Diagnostic Reasoning as Step-by-Step
    Cognitive Process Trajectories}, booktitle={Proceedings of the 46th Annual Conference
    of the Cognitive Science Society}, author={Battefeld, Dominik and Mues, Sigrid
    and Wehner, Tim and House, Patrick and Kellinghaus, Christoph and Wellmer, Jörg
    and Kopp, Stefan}, year={2024} }'
  chicago: Battefeld, Dominik, Sigrid Mues, Tim Wehner, Patrick House, Christoph Kellinghaus,
    Jörg Wellmer, and Stefan Kopp. “Revealing the Dynamics of Medical Diagnostic Reasoning
    as Step-by-Step Cognitive Process Trajectories.” In <i>Proceedings of the 46th
    Annual Conference of the Cognitive Science Society</i>, 2024.
  ieee: D. Battefeld <i>et al.</i>, “Revealing the Dynamics of Medical Diagnostic
    Reasoning as Step-by-Step Cognitive Process Trajectories,” presented at the The
    Annual Meeting of the Cognitive Science Society, Rotterdam, NL, 2024.
  mla: Battefeld, Dominik, et al. “Revealing the Dynamics of Medical Diagnostic Reasoning
    as Step-by-Step Cognitive Process Trajectories.” <i>Proceedings of the 46th Annual
    Conference of the Cognitive Science Society</i>, 2024.
  short: 'D. Battefeld, S. Mues, T. Wehner, P. House, C. Kellinghaus, J. Wellmer,
    S. Kopp, in: Proceedings of the 46th Annual Conference of the Cognitive Science
    Society, 2024.'
conference:
  end_date: 2024-07-27
  location: Rotterdam, NL
  name: The Annual Meeting of the Cognitive Science Society
  start_date: 2024-07-24
date_created: 2024-07-30T08:17:35Z
date_updated: 2025-09-23T15:11:19Z
ddc:
- '000'
department:
- _id: '660'
file:
- access_level: closed
  content_type: application/pdf
  creator: doba2
  date_created: 2024-07-30T08:21:13Z
  date_updated: 2024-07-30T08:21:13Z
  file_id: '55430'
  file_name: Battefeld_2024_Revealing-the-dynamics.pdf
  file_size: 486513
  relation: main_file
  success: 1
file_date_updated: 2024-07-30T08:21:13Z
has_accepted_license: '1'
keyword:
- Differential Diagnosis
- Diagnostic Reasoning
- Reasoning Process Analysis
- Seizure
- Epilepsy
language:
- iso: eng
project:
- _id: '128'
  name: 'TRR 318 - C5: TRR 318 - Subproject C5'
publication: Proceedings of the 46th Annual Conference of the Cognitive Science Society
publication_status: published
quality_controlled: '1'
status: public
title: Revealing the Dynamics of Medical Diagnostic Reasoning as Step-by-Step Cognitive
  Process Trajectories
type: conference
user_id: '91864'
year: '2024'
...