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> I don't think we want the doctor doing that You don't want your doc to give your problem his/her best shot !? > used a checklist and evidence based process
by rscho 2y ago
> I don't think we want the doctor doing that
You don't want your doc to give your problem his/her best shot !?
> used a checklist and evidence based process that can be engineered and improved over time.
Enticing and logically evident, isn't it? Well, except in practice it would cost so much to do that, that it's clearly not economically doable. And I'm not even sure it's technically doable in 2024.
> If there is some evidence they are gathering that ChatGPT doesn't have access to, an effort should be made to capture and systematise it. But there probably isn't very much of that for a typical doctors visit.
GPT is missing most of the info, because it's not equipped with 5 human senses and a brain to aggregate them. And that's, by far the most important info. You can see the challenge in solving this problem at a large scale, I'm sure.
- roenxi 2y ago> You don't want your doc to give your problem his/her best shot !? I don't think the doctors gut feel is going to be their best shot. I want them using logic, evidence and reason. The medical industry has a long history of people slowly managing to convince doctors to use evidence instead of making bad guesses. Explicit processes generally lead to far superior outcomes.
- rscho 2y agoBluntly put, you are wrong regarding today's medicine. In 2024, medicine is a heterogeneous mix of art and science. Even for experts, separating real science from what others would want you to believe is difficult, and experience is essential in most cases to bridge the gaps in knowledge. The best summary I can formulate is 'in 2024, a good doc is a stellar educated guesser relying on lots of inexact knowledge, a substantial amount of experience, and a sprinkle of logical reasoning in the rare but critical steps where reasoning is applicable'.
- roenxi 2y agoThat has been true from the dawn of medicine. And from the dawn of medicine, improvements have come from doing less art and more medicine; removing things like doctor's gut feelings from the process and replacing it with evidence based processes. You're not wrong about what the present is, but you are misrepresenting what a desirable future looks like. We want to engineer the guesswork out of the system altogether.
- rscho 2y agoWe misunderstood each other, because I'm all for engineering. What I'm saying is that it's mostly not doable right now, because of insufficient information retrieval capabilities.