You are the tech people, use AI to give me more time with patients and less administrative burden. I'd be able to see more patients and actually have time to look them in the eye. Increased productivity per doctor will help.

As someone knees deep in the training pipeline, this is simply not worth doing for anything less than current pay. This is hard as fuck.

And physicians won't stand idly by as you replace their jobs. Enough pressure and the strikes begin. If that's what it will take for the value to be recognized, so be it. Big Tech isn't going to deliver us a healthcare utopia, but it will accelerate the enshittification of healthcare.

See this. I use OpenEvidence. It has access to full text from some of the major medical journals. But generalist models seem to outperform it. Not sure what is going on there.

We are yet to see major, nationwide physician strikes. If that is what it will take for society to realize the value provided, so be it. Without physicians, there is very little healing going on. You can't say the same for so many other roles.

at reading scans. Not even close.

I tell you this with certainty as a 3rd year medical student: If physician wages go down and tuition stays as is, no one will do this. Intrinsic motivation to help people evaporates as soon as you see how enshittified healthcare in the US has become.

I do agree that medical school is far too restrictive to get into (For MD schools at least). However, if you want to make medical school easier to get into: Where will all those students rotate at for their clinical years? There aren't enough spots in hospitals to jam students in.

Stop taking aim at the people that sacrifice so much to help you. Take aim at the real drivers of healthcare expenditures: administrative bloat.

Before medical school, I was not so sure of the quality of your average doc. Now having spent a year in clinical practice across various settings, I am extremely reassured. I can say with certainty that a US trained doctor is miles ahead of AI right now. The system sucks really bad though and forces physicians to churn patients, giving the impression that physicians don't pay attention/don't care/etc.

It'll be great at first while in development. But when profits need to be generated, seeing a specialist will get harder. There will be less wiggle room. I predict we will see more GP utilization.

-Med student

-Med student

There are a ton of misses. Especially on imaging. LLMs are not ready for consumer-facing health information yet. My guess is ~ 3-5 years. Right now, I see systems implementing note writing with LLMs, which is hit or miss (but will rapidly improve). Physicians want 1:1 customization. Have someone sit with them and talk through how they like their notes/set it up so the LLMs produce notes like that. Notes need to be customized at the physician level.

Also, the electronic health records any AI is trained on is loaded to the brim with borderline fraud/copy paste notes. That's going to have to be reconciled. Do we have the LLMs add "Cranial Nerves II-X intact" even though the physician did not actually assess that? The physician would have documented that... No? But then you open up the physician to liability, which is a no go for adopting software.

Building a SaaS MVP that's 80% of the way there? Sure. But medicine is not an MVP you cram into a pitch deck for a VC. 80% of the way there does not cut it here, especially if we're talking about consumer facing applications. Remember, the average American reads at a 6th grade reading level. Pause and let that sink in. You're probably surrounded by college educated people like yourself. It was a big shock when I started seeing patients, even though I am the first in my family to go to college. Any consumer-facing health AI tool needs to be bulletproof!!

Big Tech will not deliver us a healthcare utopia. Do not buy into their propaganda. They are leveraging post-pandemic increases in mistrust towards physicians as a springboard for half-baked solutions. Want to make $$$ doing the same thing? Do it in a different industry.