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Re: I'm Begging You to Leave Your AI Note-Taker at Home

firesphere.dev

11–20 of 112 posts

Re: Re: I'm Begging You to Leave Your AI Note-Taker at Home

#12
In personal, light-hearted or even most 1 to 1 meetings I'd agree.

But my note taker has been an incredibly helpful piece of technology in professional meetings where domain decisions had to be recorded, high-throughput arguments were exchanged, ideas brought up and todos just verbally agreed on.

I always ask people, kindly and honestly with a lot of room for denial, for agreement to record meetings with them. No, I don't do it in meetings where I know personal topics could come up or be relevant. But those are more on the rare side. In most of my professional exchanges it hasn't posed a problem for anyone.

Re: Re: I'm Begging You to Leave Your AI Note-Taker at Home

#14

> How fucking creepy is that?! How fucking awkward is that? And before you start talking with whoever you're catching up with, you ask "You don't mind, do you?" In living memory, I had a HUMAN notetaker in important meetings. After secretaries left the world went to hell and topic experts and engineers were expected to have social graces, everything got worse. We invented new religions like agile to make up for a goo…

This particular article concerns an AI notetaker being used in the context of healthcare - there is a well founded reason that health information is so stringently controlled which is to enable patient comfort at sharing potentially embarrassing or uncomfortable details. If you're receiving PT there is a large potential to feel shame over an inability to do things that were previously trivial[1].

Once upon a time the notes may have been recorded by a staff member of the doctor's office or by the doctor themselves (usually after the meeting). Budgetary constraints push HCPs towards cutting staff and those rolls are being replaced by AI and that is not okay.

Staff, Nurses, Doctors are all under the clear guidance of HIPAA and understand their responsibility towards patient privacy - it isn't a perfect system and there are notable disclosures and violations that have happened in the past but once third party systems are involved - especially non-deterministic third party systems - then the client's understanding of privacy may be severely compromised.

I love voice to speech and meeting summarization for thinking sessions with coworkers where maybe someone is motivated to take notes (and better participates through that action) but the emphasis is on everyone being present and being able to talk freely. The doctor's office is a fundamentally different environment, though. 1. Aside - an unnecessary shame - no one should feel guilt over trying to overcome a disability.

Re: Re: I'm Begging You to Leave Your AI Note-Taker at Home

#15
did you use AI for your site because it ain't loading... so based on the title... I have no problem with people using them to help their memory, and if they kept it local, but I have a problem with monopolistic and exploitative companies with private data, that likely ends up in a govt db.

Re: Re: I'm Begging You to Leave Your AI Note-Taker at Home

#16

Earlier quoted context omitted.

> and this happened in pretty much every significant business meeting i think the point being made is that you typically didn't bring your secretary with you, notepad and pen in hand, when you went down to the local coffee shop to catch up with someone.

Are AI-assistant-enriched coffee catch ups an actual thing that's happening or is OP inventing scenarios to be mad at?

i have no idea! i have never encountered it. the original blog comes across as a bit larp-y to me, but on the other hand, some weird stuff happens in some circles and/or cities.

Re: Re: I'm Begging You to Leave Your AI Note-Taker at Home

#17
I have mixed feelings on this (I have some relatives in the medical industry). On the one hand, having a professional scribe is absolutely a positive for the provider, provided they have been trained and are accustomed to that provider. They take away significant cognitive load from them, leaving them able to focus on the patient.

With the proliferation of AI note taking, this advantage purports to have been democratized, but I'm not quite convinced. Since AI summaries are far from infallible, a mistake is bound to sneak in here and there (note that these aren't mere transcripts, but summaries split into sections). The provider may or may not go in and clean up your AI notes afterwards, any mistakes made by AI are effectively disowned in terms of responsibility, and admin will still pressure providers using these note takers as leverage to be able to see more patients than otherwise possible (admins want to see both lower costs and higher patients seen per day).

When you refuse this type of service, you're demanding a higher bar for your notes, but it comes at the cost of a distracted provider (who has grown accustomed to AI note taking, and only has so many hands, so they have to go back to the keyboard every now and then after checking your body).

In summary I think it comes down to how much you care about note quality versus care quality, which is likely different per person. I don't have any allergies, am not on any medications, and generally only go in for routine checkups, so in my case the notes are more or less a bureaucratic requirement that I'm happy to do away with cheaply. For others this may not be the case, and having quality notes may be critical to their care, in which case they should definitely refuse AI scribes.

Of course, none of what I said goes into privacy, which is a significant matter. However, "iPad scribes" which are essentially third party contractors remotely taking care of the notes already exist, so those concerns which arise even without the use of AI are a bit of a different topic.

Re: Re: I'm Begging You to Leave Your AI Note-Taker at Home

#18

I've had medical students in the room when doctors do all kinds of checks. I somehow didn't have any reservations about that either.

I've had medical students in the room when doctors do all kinds of checks. I somehow didn't have any reservations about that either.

Medical students are covered by rafts of privacy laws that will end their careers if violated.

The modern tech industry runs on privacy violation.

The two are not comparable.

Re: Re: I'm Begging You to Leave Your AI Note-Taker at Home

#20
post #3

> Let's imagine for a second that the whole AI craze doesn't exist, but you still would want to real-time note-taker, what would you do? Indeed, you bring a literal third person to the table. That will just be sitting there, listening in on your conversation and writing everything down. That's what secretaries were, and this happened in pretty much every significant business meeting for a long long time.

Secretaries are compelled by the same privacy and disclosure laws as doctors - AI notetaking apps may or may not be (it'll take examination of the product on a case by case basis) and the public is, at this point, used to AI companies blatantly lying about privacy, confidentiality, training sources, reuse of conversations and pricing - the good faith is gone as a default and in a setting like a HCP that is a terrible place to start from.
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