- Joined
- May 29, 2018
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- 41
Maybe I’m naively optimistic, but I think this will be a lot worse for midlevels than for docs. Ultimately most people are going to want a human being to be the face of their healthcare, so the corporate overlords will likely need to keep some human “providers” around. I think the most likely near-future change is lots of midlevel layoffs as AI takes over their largely algorithm-based decision making.
Once AGI becomes a thing, idk, that’s singularity territory, and nothing is predictable after that.
Maybe I’m naively optimistic, but I think this will be a lot worse for midlevels than for docs. Ultimately most people are going to want a human being to be the face of their healthcare, so the corporate overlords will likely need to keep some human “providers” around. I think the most likely near-future change is lots of midlevel layoffs as AI takes over their largely algorithm-based decision making.
Once AGI becomes a thing, idk, that’s singularity territory, and nothing is predictable after that.
Adjusted Gross IncomeWhat's AGI?
Artificial general intelligence. AI that is good at basically everything (unlike ChatGPT, which is just a language AI) and smarter than any human. Essentially gg to human effort being necessary. Lots of economic and philosophical concerns about if and when it comes about.What's AGI?
That's actually a pretty good point. We'll end up supervising computers rather than midlevels.
To the point about radiology...man....I feel like that would be the first domino to fall. It's ripe for algorithms to flourish in. No clinical history or context needed....just match that appendicitis r/o CT against 3 million positive and negative tests and it'll tell you yes or no.
No clinical history or context needed....
You sure about that?
One (or many) bad apple(s) can spoil the bunch 🙁Once I got an xray of an ankle and it said CT recommended
Got a CT. beginning of shift and I'm okay bedlocking. it says get MRI. At that point I consult ortho and get MRI
MRI says clinical correlation
I hope the robots can do better, but realistically I shouldn't have even gotten the xray
They are already trying to do this. I think this an area of Rads that might have them concerned. They lurk here, maybe they can chime in.
As long as we don't train AI to say "could be atelectasis, consolidation, or random white lines on an xray, clinically correlate"...
That's actually a pretty good point. We'll end up supervising computers rather than midlevels.
I don’t know man that sounds like a lot of billing generated. I’m sure our administrative hospital overlords would “hate” that result, especially if AI-based radiology created plenty of outputs like that.Once I got an xray of an ankle and it said CT recommended
Got a CT. beginning of shift and I'm okay bedlocking. it says get MRI. At that point I consult ortho and get MRI
MRI says clinical correlation
I hope the robots can do better, but realistically I shouldn't have even gotten the xray
Oh, you mean I won't have to refuse to sign an order for bicarb pushes in a DKA with a pH of 2.27 because "the serum bicarb was low" or deal with an NP spam consulting surgery and GI for undifferentiated acute pancreatitis?
I mean... sure... I, for one, welcome our new AI overlords.
Wait... what?
Yeah, in the original scenario I'd be less worried about whether or not I was giving bicarb and more as to whether the patient would start bleeding and burn a hole in the floor.Sorry... that was supposed to be 7.27...
Wait... what?
Aliens, you know - "acid for blood"!What's your problem. My DKA I had the other day had pH 1.68. Close to a record
I’m a bit skeptical but mostly because the major reason for EMR adoption was not because it was more efficient or cost effective but instead the government said “you will adopt an EMR or we will cut your reimbursement by X% and that number will increase each year until you do” (IIRC it was part of PPACA)I think people look at AI in medicine from a too "all or nothing" perspective. Physicians won't be replaced but the practice of medicine will likely dramatically change over the next decade or so in the same way it did when the internet became readily available. Think how different medicine was with paper charts and having to go to the library for a medical reference compared to the era of UpToDate, PubMed, and EMRs.