1. Discussion on: “Treatment of Clubfoot using Mobile Devices – The Implementation and Evaluation of Gensupport”, by Dag Skjelvik and Weiquin Chen, UiB. NOKOBIT, 17.-19.nov, 2008 Kristiansand Discussant: Judith Molka-Danielsen Molde University College

2. IT and analysis of Clinical Decision Support Systems Positive: well motivated research for the improved treatment of clubfoot. Positive: Design research methodology - is identified as design research, analysis of the use and performance of design artifacts to understand, to explain and frequently to improve upon the behavior of aspects of IS. (good)..but are we evaluating the CDSS or the Mobile-aspect or both? Further Questions: Who is the “domain” expert?..first mentioned in section 3, first identified as an orthopaedian in section 4. Should clarify in what domain: IS or Health? How might the expert opinion differ from the other interviewed physicians? (background differences?)

3. IT and analysis of Clinical Decision Support Systems Further Questions: ”Hectic” is used to describe the workspace of those interviewed and is one of the motivations for using the registration features of GenSupport. But, is the treatment of Clubfoot really under the constraints of a ”hectic” environment? Are the doctors not meeting with parents and patients by appointment? Just because Mobile systems help with registration in ”hectic” situations, does not mean this was one such situation. The second primary motivation of GenSupport is to advise for better treatment: but experienced physicians do not trust a system over their own experience. Do the physicians get to see the data on success rating of GenSupport advice? Maybe they will trust it more over time, as a second opinion.