9 Report 77 29 A Rule Based Approach to the Generation Stanford of Advice and Explanations in Clinical Medicine . 1111.1 DataLink

The general practitioner has accordingly become rare, and today's primary care physicians are beginning to graduate from family practice residencies which recognize that "family doctoring" is a subspecialty in itself. Thus when a patient's problem clearly falls outside the area of the attending physician's expertise, consultations from experts in other subspecialties have become a wellaccepted part of medical practice. Such consultations are acceptable to doctors in pert because they maintain the primary physician's role as ultimate decision maker. The consultation generally involves a dialog between the two physicians, with the expert explaining the basis for his advice and the nonexpert seeking jus-MYCIN Project is located at Stanfcrd University School of Medicine and is zepported by BHSRE Grant No. HS01544. Much of the work described in this report yes undertaken by other project members, notably A.C. Scott and W.J. Clancey, who have devoted much of their time to improvements in the general question-answerer, and R. Davis, who did most of the work on the reasoning status checker and on knowledge acquisition capabilities.