See Herndl, Fennell, and Miller (1991); Walzer & Gross (1994); Sauer (1996)
See Simon (1976); Varela, Thompson, and Rosch (1991); and Baron (2006)
Q: What means and modes of deliberation do medical workplace professionals employ while constructing and communicating knowledge about future action?
Problems of action = Problems of knowledge (Miller, 1990)
“ uncertainty lies in the discrepancy between information available and information needed” (Miller re: Herbert A. Simon, 1990)
<ul><li>Weekly, 60 min meetings </li></ul><ul><li>Collaborative, multidisciplinary medical discussions about “difficult” patient cases </li></ul><ul><li>Patient is not present </li></ul><ul><li>Decisions are made about potential treatment options </li></ul><ul><li>Standards of care collide with in situ, clinical practice </li></ul>Tumor Boards
Tumor Board handout’s opening statement “ This is a patient-oriented conference which we hope will provide a forum for rendering multi-disciplinary opinion and benefit our patients with cancer.”