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

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

#62

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 democrat…

AI only needs to be better than a human, which is also fallible.

But I would only accept AI note taking if it was reconciled (in a timely manner) by a human listening to the audio recording and verifying accuracy. Without that, it's an unacceptable loss of accountability. Even with that, privacy concerns are abound with frontier models.

STT local models offer different concerns, but generally are pretty good at transcribing in a quite environment.

Capitalistic pressures reduce quality of health care far too often. Everything from artificially limiting how many doctors get degrees, to pushing doctors to see more people per day from such tech. The enshittification will continue until moral improves.

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

#63
I rarely have online meetings, but what annoyed me most last time I did was that I had multiple AI note taking services magnanimously send me multiple emails each telling me how if I signed up for their service they could share their meeting notes with me. It wasn't even that important of a meeting!

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

#64
post #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…

Yes and I bet my doctors would LOVE to be able to "roll the tape back" when the client said "no they arent taking any medication"

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

#65
post #49
post #14

Earlier quoted context omitted.

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…

There's no reason an AI notetaker couldn't be certified to handle HIPAA and PII data.

They are, and already exist.

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

#66

> 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…

Well, yes, but the article is not about those important meetings. The examples there are literally meeting friends over coffee and attending a health-care professional.

somehow my paltry and boring CRUD business specifics seem a lot less important than recording a doctors recommendations as to how to treat my wounds.

I have a son and we have to sometimes split appointments across me and my wife. I wish i had a recording or automated AI notes that came to my email (no not to a captive portal I can lose access to) so i can read what my doctor said about my son without it getting filtered through my wifes memory.

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

#67
Let's try the suggested advice and ask why five times.

> Why do you even need an AI assistant here?

To take notes on what we talked about.

> Why do you want to do that?

Because I want to retain the contents of this conversation, and I don't want to be distracted by note-taking. I want to be in the moment and also have a record of what we talked about for later.

> Why do you want a record?

Because I expect that what you're going to say is valuable enough to want to reference later. Perhaps you will give me the name of a cool podcast, or you'll give me very good, detailed advice. Perhaps you'll mention when your upcoming birthday is or a favorite brand of a product, and it'll be useful for gifting.

> Why is that information valuable to you?

Because I value you and your opinions.

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

#68
post #49
post #14

Earlier quoted context omitted.

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…

There's no reason an AI notetaker couldn't be certified to handle HIPAA and PII data.

You absolutely could build such a tool and I have seen HIPAA authorized model sandboxes that do definitely exist. However, most off the shelf note-takers would not so qualify and it's a minefield to build one with out of domain third party resources.

I think it's fair to say the non-technical public has been repeatedly burned by AI companies selling something different from what they're advertising and it's fair to be skeptical as a layperson about your ability to tell a properly HIPAA compliant tool from a non-HIPAA compliant tool.

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

#69

These AI Note-Takers can also mangle the summaries. A few weeks ago I read anecdotes here about a doctor getting completely wrong information about a patient, and a manager getting upset because he was depending on a summary of something a client never said or agreed to, but the AI summary said he did. These things are downright dangerous. Now come the replies saying, "as if human note-takers never made mistakes!"

Actually I think one of the main values of note taking isn't that you get notes, it is that engaging your brain to summarize points makes you understand and remember the points better, even if you throw your notes away right after.

It is like writing: One of the main purposes of writing (for me and many others) is that it forces you to structure your thoughts. You could give that task to AI, get the resulting text, but your loss is the lack of clarity you could have gained from doing it yourself.

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