In traditional medical education, learners are mostly trained to diagnose and treat patients through supervised practice. Artificial Intelligence and simulation techniques can complement such an educational practice. In this paper, we present GLARE-Edu, an innovative system in which AI knowledge-based methodologies and simulation are exploited to train learners “how to act” on patients based on the evidence-based best practices provided by clinical practice guidelines. GLARE-Edu is being developed by a multi-disciplinary team involving physicians and AI experts, within the AI-LEAP (LEArning Personalization of AI and with AI) Italian project. GLARE-Edu is domain-independent: it supports the acquisition of clinical guidelines and case studies in a computer format. Based on acquired guidelines (and case studies), it provides a series of educational facilities: (i) navigation, to navigate the structured representation of the guidelines provided by GLARE-Edu, (ii) automated simulation, to show learners how a guideline would suggest to act, step-by-step, on a specific case, and (iii) (self)verification, asking learners how they would treat a case, and comparing step-by-step the learner’s proposal with the suggestions of the proper guideline. In this paper, we describe GLARE-Edu architecture and general features, and we demonstrate our approach through a concrete application to the melanoma guideline and we propose a preliminary evaluation.
The cooperative construction of data/knowledge bases has recently had a significant impulse (see, e.g., Wikipedia [1]). In cases in which data/knowledge quality and reliability are crucial, proposals of update/insertion/deletion need to be evaluated by experts. To the best of our knowledge, no theoretical framework has been devised to model the semantics of update proposal/ evaluation in the relational context. Since time is an intrinsic part of most domains (as well as of the proposal/evaluation process itself), semantic approaches to temporal relational databases (specifically, Bitemporal Conceptual Data Model (henceforth, BCDM) [2]) are the starting point of our approach. In this paper, we propose BCDMPV, a semantic temporal relational model that extends BCDM to deal with multiple update/insertion/deletion proposals and with acceptances/rejections of proposals themselves. We propose a theoretical framework, defining the new data structures, manipulation operations and temporal relational algebra and proving some basic properties, namely that BCDMPV is a consistent extension of BCDM and that it is reducible to BCDM. These properties ensure consistency with most relational temporal database frameworks, facilitating implementations.