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Ontario family doctor says new AI notetaking saved her job

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Re: Ontario family doctor says new AI notetaking saved her job

#111

Post by Pigalowda »

resource_waste wrote: post #100
Pigalowda wrote: post #86

Earlier quoted context omitted.

ACR for radiology is going on in Washington DC. Current staffing throughout the country is poor - over utilization of imaging and not enough radiologists. So we are lobbying for an increase in Medicare funding for residency positions (they are paid by Medicare). Also trying to get more J1 visas but that’s kind of dubious as we are taking physicians from another country who likely also needs physicians. I have no idea…

>So we are lobbying for an increase in Medicare funding for residency positions (they are paid by Medicare). Hey taxpayers, can you pay for my grad degree too? Wait its worse, I actually profit during this period. Don't worry that I'm the highest paid profession upon graduation.

You think you’ll be able to recruit more people into medicine by reducing compensation, keeping education costs the same, and also keeping medicolegal liability on the physician?

Residency as “profit” is a stretch. You tread water for 5 years. If you would like those apprenticeship years to go unpaid then I’m not sure how it increases the number of people who want to go into medicine.

Re: Ontario family doctor says new AI notetaking saved her job

#112

Post by Pigalowda »

amkkma wrote: post #105
Pigalowda wrote: post #86

Earlier quoted context omitted.

ACR for radiology is going on in Washington DC. Current staffing throughout the country is poor - over utilization of imaging and not enough radiologists. So we are lobbying for an increase in Medicare funding for residency positions (they are paid by Medicare). Also trying to get more J1 visas but that’s kind of dubious as we are taking physicians from another country who likely also needs physicians. I have no idea…

You can't legally practice as a primary care physician without one year of internship, after which you get unrestricted licensed. If you're unmatched, no internship. Is that not correct?

Yea that’s right. You can scramble separately into 1 year internships. Those are really easy to get - but the unfilled spots are not in happy places. They’re usually more rural and surgical.

But like you said if you have a year under your belt you can work in an urgent care or the like.

Re: Ontario family doctor says new AI notetaking saved her job

#113

Post by tim333 »

forgetfreeman wrote: post #102
xyst wrote: post #92

As a person that used to be a “human scribe” but for emergency dept doctors. I would say the ER doctors shared the same experience as the one depicted in the news story. For a doctor that was nearing the age of retirement or had very poor keyboard proficiency. scribes were a godsend. Doctors worried less about documentation and focused more on patient care. Of course they still wrote things like admission orders, pre…

Yeah but you can't get that genie back in the bottle. Once these data are made available to private industry it's only a matter of lobbyists chipping away at whatever protections were initially legislated. See Also: your TV, phone, car, fucking doorbell, and fridge are all spying on you.

The HIPPA rules on health data are fairly strict, otherwise your doctor, hospital and so on could already be doing wrong. Personally I have a dumb TV, car, doorbell and fridge so not much spying there. The phone I'm less sure of.

Re: Ontario family doctor says new AI notetaking saved her job

#114

Post by theptip »

This could be the thing that saves the US healthcare system; currently we pay 2x what a normal developed country would pay for the level of service provided, because there is a thick layer of paperwork, with insurance companies going back-and-forth with medical providers to debate and negotiate billing.

Imagine if AIs on each side could run that negotiation process in seconds, at the cost of merely a few hundred thousand OpenAI API calls. Then humans can get back to doing the actual work!

Re: Ontario family doctor says new AI notetaking saved her job

#116

Post by randomdata »

JadeNB wrote: post #75
resource_waste wrote: post #62

Earlier quoted context omitted.

The solution to the shortage of doctors is to stop letting doctors decide the supply of doctors. Its a special interest problem. Doctors organize, bribe/lobby politicians, limit licenses, make extra money/get more power, repeat. The excuse 'there isnt enough surgeries', is a chicken and egg problem. More doctors lower the cost, making surgery more reasonable and not necessarily a last ditch option. Not to mention, we…

> The solution to the shortage of doctors is to stop letting doctors decide the supply of doctors. I would certainly rather let decisions about certification of doctors be in the hands of doctors than anyone else. There's potential for a conflict of interest, but there's also expertise that isn't replicated anywhere else.

You are conflating two different ideas. Supply management and certification are not one and the same. You can have supply management without certification, and you can have certification without supply management. The parent only expressed concern over the supply management practice, not the certification practice.

Re: Ontario family doctor says new AI notetaking saved her job

#117

Post by philipwhiuk »

theptip wrote: post #114

This could be the thing that saves the US healthcare system; currently we pay 2x what a normal developed country would pay for the level of service provided, because there is a thick layer of paperwork, with insurance companies going back-and-forth with medical providers to debate and negotiate billing. Imagine if AIs on each side could run that negotiation process in seconds, at the cost of merely a few hundred thou…

LinkedIn proved that adding a tech layer that should get rid of an industry of paper shufflers is only profitable if those paper shufflers fund the platform.

Cue me skeptical that AI really reduces the middle-folk fees.

Re: Ontario family doctor says new AI notetaking saved her job

#118

Post by chimeracoder »

tim333 wrote: post #113
forgetfreeman wrote: post #102

Earlier quoted context omitted.

Yeah but you can't get that genie back in the bottle. Once these data are made available to private industry it's only a matter of lobbyists chipping away at whatever protections were initially legislated. See Also: your TV, phone, car, fucking doorbell, and fridge are all spying on you.

The HIPPA rules on health data are fairly strict, otherwise your doctor, hospital and so on could already be doing wrong. Personally I have a dumb TV, car, doorbell and fridge so not much spying there. The phone I'm less sure of.

> The HIPPA rules on health data are fairly strict

Depends on how you define "strict". They're pretty onerous to comply with, but they don't really provide patients with anywhere near the level of protection that most people think. It's better than nothing, but in reality, your data is being legally shared with an arbitrary number of entities, without your consent, and without any way for you to even know who has access to that data.

If that data is breached in any way, in theory the reports are supposed to trickle up the chain eventually. In practice? If it's more than one or two subcontractors deep, you'll probably never find out (unless the breached data is posted publicly and you stumble upon it that way).

Also, the cap on penalties is shockingly low: $2 million for all violations of a given provision per calendar year. And that's for willful neglect. If the cause of the violation is determined to be lower than willful neglect, the maximum violation is even lower.

For a very large and well-capitalized company, that might as well be a cost of business.

Re: Ontario family doctor says new AI notetaking saved her job

#119

Post by peteradio »

chimeracoder wrote: post #118
tim333 wrote: post #113

Earlier quoted context omitted.

The HIPPA rules on health data are fairly strict, otherwise your doctor, hospital and so on could already be doing wrong. Personally I have a dumb TV, car, doorbell and fridge so not much spying there. The phone I'm less sure of.

> The HIPPA rules on health data are fairly strict Depends on how you define "strict". They're pretty onerous to comply with, but they don't really provide patients with anywhere near the level of protection that most people think. It's better than nothing, but in reality, your data is being legally shared with an arbitrary number of entities, without your consent, and without any way for you to even know who has acc…

> your data is being legally shared with an arbitrary number of entities

And ILLEGALLY shared via non-conformance with federal laws and data breaches.

Just look at the Boeing fiasco and the serious normalization of deviance. You think that doesn't happen when you outsource your entire IT operations offshore to a populace that literally has zero skin in the game.

Re: Ontario family doctor says new AI notetaking saved her job

#120

Post by dv_dt »

tim333 wrote: post #113
forgetfreeman wrote: post #102

Earlier quoted context omitted.

Yeah but you can't get that genie back in the bottle. Once these data are made available to private industry it's only a matter of lobbyists chipping away at whatever protections were initially legislated. See Also: your TV, phone, car, fucking doorbell, and fridge are all spying on you.

The HIPPA rules on health data are fairly strict, otherwise your doctor, hospital and so on could already be doing wrong. Personally I have a dumb TV, car, doorbell and fridge so not much spying there. The phone I'm less sure of.

The HIPPA rules may be strict, but my most frequent breach notification for loss of personal info (averaging once every 2-3 years) is from health insurers and practice companies losing my information.
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