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Post: Doctors Say AI Is Introducing Slop Into Patient Care

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Doctors Say AI Is Introducing Slop Into Patient Care
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Doctors testing AI say it is not ready for patient care. Every so often these days, a study comes out proclaiming that AI is better at diagnosing health problems than a human doctor. These studies are enticing because the healthcare system in America is woefully broken and everyone is searching for solutions. AI presents a potential opportunity to make doctors more efficient by doing a lot of administrative busywork for them and by doing so, giving them time to see more patients and therefore drive down the ultimate cost of care. There is also the possibility that real-time translation would help non-English speakers gain improved access. For tech companies, the opportunity to serve the healthcare industry could be quite lucrative.

In practice, however, it seems that we are not close to replacing doctors with artificial intelligence, or even really augmenting them. The Washington Post spoke with multiple experts including physicians to see how early tests of AI are going, and the results were not assuring.

Here is one excerpt of a clinical professor, Christopher Sharp of Stanford Medical, using GPT-4o to draft a recommendation for a patient who contacted his office: Sharp picks a patient query at random. It reads: “Ate a tomato and my lips are itchy. Any recommendations?” The AI, which uses a version of OpenAI’s GPT-4o, drafts a reply: “I’m sorry to hear about your itchy lips. Sounds like you might be having a mild allergic reaction to the tomato.” The AI recommends avoiding tomatoes, using an oral antihistamine — and using a steroid topical cream. Sharp stares at his screen for a moment. “Clinically, I don’t agree with all the aspects of that answer,” he says. “Avoiding tomatoes, I would wholly agree with. On the other hand, topical creams like a mild hydrocortisone on the lips would not be something I would recommend,” Sharp says. “Lips are very thin tissue, so we are very careful about using steroid creams. “I would just take that part away.” Here is another, from Stanford medical and data science professor Roxana Daneshjou: She opens her laptop to ChatGPT and types in […]

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