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I'm probably in the 99.99th percentile for doctors (or anyone else) when it comes to the use of AI in the workplace. I estimate I could automate 90% of my work (leaving aside the patient facing stuff and things that currently require hands and a voice) if I could.
The main thing holding me back? NHS IT, data protection laws and EMR software that still has Windows XP design language. This means I'm bottlenecked by inputting relevant informant into an AI model (manually trawling the EMR, copying and pasting information, taking screenshots of particularly intransigent apps) and also transferring the output into the digital record.
The AIs are damn good at medicine/psychiatry. Outside my own domain, I have a great deal of (justified) confidence in their capabilities. I've often come to take their side when they disagree with my bosses, though the two are usually in agreement. I've used them to help me figure out case presentations ("what would a particularly cranky senior ask me about this specific case?" and guess what they actually asked?), giving me a quick run-down on journal publications, helping me figure out stats, sanity checking my work, helping decide an optimal dose of a drug etc. There's very little they can't do now.
That's the actual thinky stuff. A lot of my time is eaten up by emails, collating and transcribing notes and information, and current SOTA models can do these in a heartbeat.
To an extent, this is an artifact of resident doctors often being the ward donkey, but I'm confident that senior clinicians have plenty to gain or automate away. The main reason they don't is the fact that they're set in their ways. If you've prescribed every drug under the sun, you don't need to pop open the BNF as often as a relative novice like me would - that means far less exploration of what AI can do for you. Yet they've got an enormous amount of paperwork and regulatory bullshit to handle, and I promise it can be done in a heartbeat.
Hell, in the one hospital where I get to call the shots (my dad's, back in India), I managed to cut down enormous amounts of work for the doctors, senior or junior. Discharges and summaries that would take half a day or more get done in ten minutes, and senior doctors have been blown away by the efficiency and quality gains.
Most doctors are at least aware of ChatGPT, even if the majority use whatever is free and easy. I'm still way ahead of the curve in application, but eventually the human in the loop will be vestigial. It's great fun till they can legally prescribe, at which point, RIP human doctors.
Charting is not supposed to be the majority of the job and is more or less a recent invention (in the US at least).
I find OpenEvidence and other similar tools to be relatively unhelpful, especially since I generally have to cross reference.
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