J R Coll Physicians Edinb 2019 RAPPORTEUR REPORT RCPE Symposium – Diagnostic medicine – from stethoscope to artificial intelligence HE Jones1 The Diagnostic medicine symposium was held on Thursday 19 September 2019 at the Royal Correspondence to: College of Physicians of Edinburgh HE Jones Medicine of the Elderly Declaration of interests No conflicts of interest declared Royal Infirmary of Edinburgh Edinburgh EH16 4SA UK Email:
[email protected] Introduction reasoning and must ensure that tests are carried out only for the appropriate reason. In the early 1800s, the invention of the stethoscope heralded a new era in diagnostics. Since then, a plethora of diagnostic Session 2: Thinking about medicine technologies has been introduced and diagnostic reasoning has become a science and skill in itself. In Session 2, Dr Laura Zwaan (Erasmus Medical Centre, Netherlands) explored the complexity of the diagnostic This symposium brought together clinicians from a breadth of reasoning process, highlighting how cognitive bias can cause specialties and from around the world to consider the lessons diagnostic errors but may not be recognised in real-time of the past, the challenges of the present and the promises clinical practice. She highlighted the importance of clinical of the future of clinical diagnostic medicine.1 knowledge and practice to inform our ‘fast thinking’. Session 1: The rise and rise of physical The George Alexander Gibson Lecture was delivered by diagnosis Professor Abraham Verghese (Stanford University, USA). His central message was that, in a world of rapidly advancing Dr Andrew Flapan (Royal Infirmary of Edinburgh) opened the medicine, the timeless constant is the concept of caring, as session by tracing the evolution of the stethoscope back to captured in Fildes’ painting, ‘The Doctor’.