Fri. May 3rd, 2024

We are entering a different world in medicine. Things are changing quickly and one of the biggest changemakers may be AI (artificial intelligence). A recent study showed that:

A study published in JAMA Internal Medicine indicates that artificial intelligence assistant-generated responses to patients’ questions are better than physicians’ responses regarding quality and empathy.

This may intrigue you but be careful. Comparing ChatGPT to burned out doctors answering emails is like shooting fish in a barrel. In other words, any response may be better. The point for doing the study is obvious. They want to replace physicians in the long run.

Based on these findings, the scientists recommend that AI chatbot assistants can be adopted in clinical setups for electronic messaging. However, chatbot-generated messages should be reviewed and edited by physicians to improve accuracy levels and restrict potential false or fabricated information.

First they want doctors to adopt it. Then they want doctors to review it. Soon they will remove the docs and just put a disclaimer in that the AI is not responsible for their answers.

But should you, as a DPC doc, use AI? I have played around with it and the AI answers sure sound nice. That’s a good thing. You may even get some ideas on a differential diagnosis from the AI. All that is helpful. But be careful. I have seen LOTS of AI mistakes and you need to review EVERYTHING. You also risk being found out by your patients that this is an AI response. This really looks bad.

In my “Churn” book I talk about how to make sure your emails and texts are not too abrupt or can be taken the wrong way. My point is that you DO need to be better in this area because of how patients can intepret your responses (if you are too curt, if you use the wrong words, etc).

I would love to hear any thoughts on how you are using AI for emails and texts.

Until then, enjoy this snippet about ChatGPT from South Park but watch the whole episode to see how things can really go wrong with it.

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By Douglas Farrago, MD

Douglas Farrago MD is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Douglas Farrago, MD received his Bachelor of Science from the University of Virginia in 1987, his Masters of Education degree in the area of Exercise Science from the University of Houston in 1990, and his Medical Degree from the University of Texas at Houston in 1994. His residency training occurred way up north at the Eastern Maine Medical Center in Bangor, Maine. In his final year, he was elected Chief Resident by his peers. Dr. Farrago has practiced family medicine for twenty-three years, first in Auburn, Maine and now in Forest, Virginia. He founded Forest Direct Primary Care in 2014, which quickly filled in 18 months. Dr. Farrago still blogs every day on his website Authenticmedicine.com and lectures worldwide about the present crisis in our healthcare system and the effect it has on the doctor-patient relationship. Dr. Farrago’s has written three books on direct primary care: The Official Guide to Starting Your Own Direct Primary Care Practice, The Direct Primary Care Doctor’s Daily Motivational Journal and Slowing the Churn in Direct Primary Care (While Also Keeping Your Sanity) are all best sellers in this genre. He is a leading expert in direct primary care model and lectures medical students, residents, and doctors on how to start their own DPC practice. He retired from clinical medicine in October, 2020.

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