3 ms·

Yeah that wouldn't be a good outcome. How would you feel if the doctor were messaging you through a platform that had extensive predictive text features, possib

Yeah that wouldn't be a good outcome. How would you feel if the doctor were messaging you through a platform that had extensive predictive text features, possibly trained on that particular doctor's past messages, and allowed her to send a message in 30 seconds that would have taken 10 minutes to type out? If you used that system for years and paid for it happily, would you be upset to learn that the doctor was spending so little time?

Macha 3y ago
The difference here really is that the doctor is reviewing what is being sent in some practice. Sure, there's some possibility that the doctor is over influenced by the suggestion and goes "it seems right", but that's true even if they effectively google it as GPs often do today. Whereas a LLM trained on the internet at large seems about as useful as WebMD, which sometimes feels like it would tell you bleeding after an accident chopping food is a sign of cancer.
devilbunny 3y ago
Most EMR's allow for certain boilerplate things to be inserted easily. My wife is a neurologist; it's very common for her to dictate a note saying "insert seizure precautions" and it puts in a paragraph of things that you can't do if you have seizures: take a bath, drive, get on ladders or other elevated surfaces, that sort of thing. I've customized the hell out of my own hospital's Epic system (I'm an anesthesiologist) to make notes as easy as possible. 95% of the things I do are done the same way, every time. Back when we used paper, they had all of that in checkboxes on forms. Basically a way to say "yes, I did this legal and proper" very quickly. It was very useful because you knew that if you skipped over that and went straight to the written description on an old record, you'd actually get the important information. Before billing criteria took over medical documents, doctors could do more because a board-certified pediatrician doing a well-baby visit could just write "18 mo WM, PMH NC, PE WNL, f/u 6 mo" (18 month old white male, past medical history noncontributory, physical exam within normal limits, follow up in six months). We had "skeletons" for reporting the most common labs in notes - just a graphic representation so you didn't have to write "Sodium 139, potassium 4.3, chloride 122, bicarb 24, BUN 9, creatinine 1.1, glucose 85". 139 | 122 | 9 / --------------- 85 4.3 | 24 | 1.1 \ The paper medical record was subject to handwriting, but it was extraordinarily space- and time-efficient.
HumblyTossed 3y ago
As another commenter said, EMR have allowed Drs to dictate messages for some time now, filling in important details for them. I worked on a very popular one some 12 years ago. No, I wouldn't care if it takes them 30 seconds vs 10 min. as long as it is my Dr driving it.

Macha 3y ago

The difference here really is that the doctor is reviewing what is being sent in some practice. Sure, there's some possibility that the doctor is over influenced by the suggestion and goes "it seems right", but that's true even if they effectively google it as GPs often do today. Whereas a LLM trained on the internet at large seems about as useful as WebMD, which sometimes feels like it would tell you bleeding after an accident chopping food is a sign of cancer.

devilbunny 3y ago

Most EMR's allow for certain boilerplate things to be inserted easily. My wife is a neurologist; it's very common for her to dictate a note saying "insert seizure precautions" and it puts in a paragraph of things that you can't do if you have seizures: take a bath, drive, get on ladders or other elevated surfaces, that sort of thing. I've customized the hell out of my own hospital's Epic system (I'm an anesthesiologist) to make notes as easy as possible. 95% of the things I do are done the same way, every time. Back when we used paper, they had all of that in checkboxes on forms. Basically a way to say "yes, I did this legal and proper" very quickly. It was very useful because you knew that if you skipped over that and went straight to the written description on an old record, you'd actually get the important information. Before billing criteria took over medical documents, doctors could do more because a board-certified pediatrician doing a well-baby visit could just write "18 mo WM, PMH NC, PE WNL, f/u 6 mo" (18 month old white male, past medical history noncontributory, physical exam within normal limits, follow up in six months). We had "skeletons" for reporting the most common labs in notes - just a graphic representation so you didn't have to write "Sodium 139, potassium 4.3, chloride 122, bicarb 24, BUN 9, creatinine 1.1, glucose 85". 139 | 122 | 9 / --------------- 85 4.3 | 24 | 1.1 \ The paper medical record was subject to handwriting, but it was extraordinarily space- and time-efficient.

HumblyTossed 3y ago

As another commenter said, EMR have allowed Drs to dictate messages for some time now, filling in important details for them. I worked on a very popular one some 12 years ago. No, I wouldn't care if it takes them 30 seconds vs 10 min. as long as it is my Dr driving it.