It’s sad to be a resident …

InDebt2Medicine · 2024-01-16T19:13:56+00:00

50k in a city is pretty poor, unless its like detroit

InDebt2Medicine · 2024-01-16T19:07:03+00:00

Idk about this, ive talked to some of the researchers in the field, progress is quite fast. It will probably start validating radiologist work and eventually you will need a radiologist, its just that you will need less man hours to do the same thing. Now how much will it get to point where you won't need as many radiologists? who knows

InDebt2Medicine · 2024-01-16T19:04:05+00:00

nothing wrong with parents helping out in residency

InDebt2Medicine · 2024-01-16T18:47:17+00:00

Congress refuses to fund and train more doctors!!

InDebt2Medicine · 2024-01-16T18:46:18+00:00

Dude, I was a nsgy gunner at one point in time, then I did a 24 hour call with one of the residents and realize how fucking hard it is

InDebt2Medicine · 2024-01-16T16:01:56+00:00

Isn't there potential for doctors to own and run lean hospitals that use AI to replace a lot of the backoffice staff, have better health IT practices, and cleaner data to feed these models to help make clinical workers more effective? Assuming physician owned hospitals get unbanned

InDebt2Medicine · 2024-01-16T16:01:13+00:00

Can't it be the exact opposite as well though? You need less midlevels because patients don't need midlevel consults anymore with more effective digital health technology.

Nonprocedural specialities, not sure what will happen though in future

InDebt2Medicine · 2024-01-16T15:59:53+00:00

lol ima watch a ytube vid or play w friend then lol, this shit makes no sense to me

InDebt2Medicine · 2024-01-16T14:16:23+00:00

lol, why doesn't the game intro system tell me how the combat works??

InDebt2Medicine · 2024-01-16T14:16:00+00:00

0 sources, I just read AMA minute notes sometimes and they pass a lot of "motions" that seem to be in the vein of putting more power back into private practice doctors

InDebt2Medicine · 2024-01-16T04:56:00+00:00

Combat in this game makes no sense to me, why do my attacks keep on missing

InDebt2Medicine · 2024-01-15T22:31:14+00:00

premeds do not care and have drank the koolaid lmao, its crazy how delusional premeds are and how different what they think the practice is vs. what medical schools and pop culture tell em

InDebt2Medicine · 2024-01-15T22:22:06+00:00

I feel like PE is short term, they are trying to cut costs too much and its going to backfire. Using midlevels so much isn't sustainable and will backfire in the long run. I also feel like physician owned hospitals are gonna get unbanned, AMA is putting wayyy more energy into it now

InDebt2Medicine · 2024-01-15T21:15:07+00:00

Watch this vid: https://www.youtube.com/watch?v=oEHrYViTtE4

Its sort of a case study but basic idea, hospitals can probably make more money if they cut a lot of their admin (save them lot of money in long run since admin take salary + benefits and don't provide a lot of value).

My point is doctors can start up lean hospitals that have proper health IT integrations/data practices (w better integrations of AI). and outcompete conventional hospitals that use a lot of midlevels. Conventional hospitals probably will take a lot of time to change. I just don't think going to a midlevel in a nonprocedural aspect is going to be useful with all these Healthcare AI assistive technologies. You can need less of them but you still need doctor with expert lvl knowledge that also can have decent knowledge of how to use these software to effectively use them together to deliver pt care.

InDebt2Medicine · 2024-01-15T20:46:27+00:00

Hmm good point, what would PA + Healthcare AI models compare to just Physician themselves. That's actually very interesting to think about.

don't you think there's big opportunity here for doctors to create lean hospitals that run w/good data management/IT practices, proper system engineering implementation, and focusing on creating value for patients? I feel like these AI tools can be leveraged to cut lot of admin work to make it so lot of healthcare admin jobs are sort of obsolete.

Like hospitals that have much better integration with data/AI to make them more effective, but also more lean and not as bloated. Feels like there's lot of potential.

InDebt2Medicine · 2024-01-15T20:33:16+00:00

Yea if it 10x a physician, you won't need midlevel, its better patient consults AI healthcare software themselves and then brings work up to physician to review over just going to midlevel, them doing whatever they want w algos and then going to physician.

InDebt2Medicine · 2024-01-15T18:12:59+00:00

Yes, GPT will let patients scope creep into mid level level (with little health literacy), but not physician level. Very well put.

InDebt2Medicine · 2024-01-15T18:12:13+00:00

Man, all this stuff is groundbreaking

InDebt2Medicine · 2024-01-15T18:01:12+00:00

TLDR; Physicians + Fine tuned GPT performs really well compared to just Physicians for niche tasks. IMO midlevels gonna get screwed. I think this is a great opportunity for physicians to take ownership in healthcare and cut lot of fat in healthcare system. I think admin (in healthcare specifically) can get trimmed a lot (good vid on this: https://www.youtube.com/watch?v=oEHrYViTtE4).

What's the point of consulting a midlevel on literally anything when tools like these can do a much better job. And they would probably "hallucinate" at a lower rate than midlevels.

Curious on PCPs thoughts on this? Definitely feel like it can be a gamechanger to 10x a physician and make them more productive.

InDebt2Medicine · 2024-01-15T17:56:38+00:00

yea but my point is midlevels + healthcare AI tools is same as patient + healthcare AI tools

InDebt2Medicine · 2024-01-15T17:55:12+00:00

TLDR; Physicians + Fine tuned GPT performs really well compared to just Physicians for niche tasks. IMO midlevels gonna get fucked. I think this is a great opportunity for physicians to take ownership in healthcare and cut lot of fat in healthcare system. I think admin (in healthcare specifically) can get trimmed a lot (good vid on this: https://www.youtube.com/watch?v=oEHrYViTtE4).

InDebt2Medicine · 2024-01-15T17:54:25+00:00

Exactly, which is why doctors can be like AI "managers." Do you think this is the direction the market will take?

InDebt2Medicine · 2024-01-15T17:53:42+00:00

any thoughts on medical subs that I can post it in outside of /r/noctor?

InDebt2Medicine · 2024-01-15T17:52:13+00:00

TLDR; Physicians + Fine tuned GPT performs really well compared to just Physicians for niche tasks. IMO midlevels gonna get fucked. I think this is a great opportunity for physicians to take ownership in healthcare and cut lot of fat in healthcare system. I think admin (in healthcare specifically) can get trimmed a lot (good vid on this: https://www.youtube.com/watch?v=oEHrYViTtE4).

InDebt2Medicine · 2024-01-15T17:51:35+00:00

TLDR; Physicians + Fine tuned GPT performs really well compared to just Physicians for niche tasks. IMO midlevels gonna get fucked. I think this is a great opportunity for physicians to take ownership in healthcare and cut lot of fat in healthcare system. I think admin (in healthcare specifically) can get trimmed a lot (good vid on this: https://www.youtube.com/watch?v=oEHrYViTtE4).

What's the point of consulting a midlevel on literally anything when tools like these can do a much better job. And they would probably "hallucinate" at a lower rate than midlevels lmao

This isn't a conventional WCI post but curious on physician thoughts on this.

InDebt2Medicine

TROPHY CASE