4 ms·

You'll only be allowed to do what the LLMs prescribe, even if you're an MD. Legal, compliance, and insurance may overwhelmingly favor that. On the other hand,

You'll only be allowed to do what the LLMs prescribe, even if you're an MD. Legal, compliance, and insurance may overwhelmingly favor that. On the other hand, a HIPAA-compliant white-label LLM could be really useful to a doctor. Could this disrupt or enhance PA and NP roles?

turtleyacht 4y ago
I can't go back to edit, but I understand the downvote. It seems like I am saying only LLMs will be the sole authority. And that doesn't make sense, insofar as a model without the latest data may make the wrong recommendation, and--more importantly--the doctor would have the final say in the treatment plan. What I mean is, if LLMs are able to match "here is what any reasonable person of equal experience would have done in the circumstances," [1] it would be very risky to try something counter to that. The Large Language Model as Liability Limiting Machine. [1] https://himpro.ca/reasonable-care-vs-standard-of-care/ https://himpro.ca/reasonable-care-vs-standard-of-care/ > Reasonable care is the caution and concern used by an average, rational person in any given situation to prevent the harm of others. > Standard of care is the acceptable standard of care acceptable in society or in a profession.
biohax2015 4y ago
Truthfully, if LLMs make an MD career unviable, then we are simply fucked. I do think that day will come, but if I need a career for the next 30 years then I believe that MD is a safe choice. Not even for technical reasons. I think there are legal and bureaucratic hurdles that will take decades to adjust.
- turtleyacht 4y ago
  You'd be in good company as a post-bacc. Among those from merchant marines and commercial real estate; the son of a psychiatrist, an ankle ruined and a star throw; a cancer survivor with a metal arm; and others. From backgrounds divers but with a single aim. Hope they are all doing well. They should be out of residency by now.
  - biohax2015 4y ago
    Just curious, did you take this route yourself? If so, at what age?
    - turtleyacht 4y ago
      It has to have been... 16 years ago. Oof. Time flies. The post-bacc folks ranged in age from late 20s to early 40s.

turtleyacht 4y ago

I can't go back to edit, but I understand the downvote. It seems like I am saying only LLMs will be the sole authority. And that doesn't make sense, insofar as a model without the latest data may make the wrong recommendation, and--more importantly--the doctor would have the final say in the treatment plan. What I mean is, if LLMs are able to match "here is what any reasonable person of equal experience would have done in the circumstances," [1] it would be very risky to try something counter to that. The Large Language Model as Liability Limiting Machine. [1] https://himpro.ca/reasonable-care-vs-standard-of-care/ https://himpro.ca/reasonable-care-vs-standard-of-care/ > Reasonable care is the caution and concern used by an average, rational person in any given situation to prevent the harm of others. > Standard of care is the acceptable standard of care acceptable in society or in a profession.

biohax2015 4y ago

Truthfully, if LLMs make an MD career unviable, then we are simply fucked. I do think that day will come, but if I need a career for the next 30 years then I believe that MD is a safe choice. Not even for technical reasons. I think there are legal and bureaucratic hurdles that will take decades to adjust.

turtleyacht 4y ago
You'd be in good company as a post-bacc. Among those from merchant marines and commercial real estate; the son of a psychiatrist, an ankle ruined and a star throw; a cancer survivor with a metal arm; and others. From backgrounds divers but with a single aim. Hope they are all doing well. They should be out of residency by now.
- biohax2015 4y ago
  Just curious, did you take this route yourself? If so, at what age?
  - turtleyacht 4y ago
    It has to have been... 16 years ago. Oof. Time flies. The post-bacc folks ranged in age from late 20s to early 40s.