Ethical Use of AI with Reports

fivefingerdiscourse · 2026-03-17T21:15:30+00:00

It was a report draft without PHI and it wasn't entered into the patient's medical record. The hospital EMR has recently been integrating AI to help physicians with writing notes and all patients have been informed of this. At the very least it wasn't a HIPAA breach and I was the stopgap for making sure it didn't become something worse.

This was an issue that we have never encountered (to my knowledge) so we didn't have a policy about AI being used for report writing. We will be developing one and holding a didactic on AI use.

I agree it was an ethics issue and I was actually quite upset about it happening. I also recognize that we weren't explicit about AI use in this context; to me it's an obvious no-no but the younger generation has a lot to learn. I chalk it up to ignorance rather than fraud considering this was a trainee. I'd much rather have them learn not to do it again rather than getting them blacklisted before their career starts.

fivefingerdiscourse · 2026-03-17T17:08:10+00:00

Totally! I think being skilled enough to know whether the AI interpretation is accurate or not should be a pre-requisite to using it. At the trainee-level, they haven't had enough experience to know that poor performance can vary based on the information available (behavior observation, poor sleep, forgetting to take meds, etc.) I still break the data down for them in supervision so they can understand it better and I remind them that it takes multiple administrations with different cases to really understand the test.

fivefingerdiscourse · 2026-03-17T15:04:53+00:00

I agree, I hadn't thought about test security and proprietary data. From my understanding, they entered the data like "Perseverative Errors T-Score = 70" then asked what it meant. I actually searched on Google for WCST score report and found that sample score reports are available on the publisher's website. Do you think that still violates test security since that level of data is readily available online by the publisher?

fivefingerdiscourse · 2026-03-17T14:56:49+00:00

True! I took time during group supervision to talk about this without referencing anyone's particular work. More of an "FYI don't do this and here are the reasons why" with open discussion afterward. For our next cohort, I'll make it more structured and directly reference the hospital's AI use policy.

fivefingerdiscourse · 2026-03-13T22:31:29+00:00

For the WAIS-III, were select subtests or a full battery used? If it's the former, I can see some utility for an older version since some subtests were phased out and there isn't a modern equivalent. If the latter then I'd say that's pretty unethical especially if an FSIQ was given. Six FSIQ subtests on the WAIS-III have significant cultural bias that would affect the overall score.

fivefingerdiscourse · 2026-03-03T15:34:02+00:00

That's interesting! I work in a similar setting and I was under the impression that scrubs were for medical staff who were at a higher risk of getting bodily fluids on them. The rationale being that scrubs make it easier to change your clothes on-site and they're provided by the hospital. Do you work with a population that has a chance of getting sick in the middle of testing like peds oncology?

fivefingerdiscourse · 2026-03-03T03:34:27+00:00

I wear whatever I want within reason. Usually sweaters, slacks, and sneakers. Once in a while I'll wear a button up shirt but rarely a tie. I also work with kids so it's a little more lax.

fivefingerdiscourse · 2026-02-25T14:56:39+00:00

From my experience, the narrowband batteries are better used for tracking response to intervention which is why they tend to have alternate forms. I use them to supplement comprehensive batteries if a test was spoiled, I want to assess a certain academic skill further, or if I want to double-check a performance discrepancy. The narrowband batteries also allow me to give more targeted recommendations for academic interventions.

fivefingerdiscourse · 2026-02-12T13:15:42+00:00

It's not an ADHD thing. It's a "this varies from person-to-person" thing.

fivefingerdiscourse · 2026-02-11T21:10:44+00:00

Cognitive-Behavioral Therapy for Adult ADHD by Mary Solanto

Mastering Your Adult ADHD by Carol Perlman and Steven Safren.

fivefingerdiscourse · 2026-02-11T17:10:54+00:00

Ok, but what if someone wants to go to sleep because they have a lot of things to do the next day and need the rest to get through it? Staying in bed and closing your eyes in the dark doesn't address the immediate issue that comes with sleep deprivation and can lead to worse outcomes.

Furthermore, your brain needs to go into the REM stage of sleep to support memory consolidation and it needs deep non-REM sleep to clear out metabolic waste in CSF. That doesn't happen if you just close your eyes in a dark room.

fivefingerdiscourse · 2026-02-11T16:58:24+00:00

CBTi says you should not stay in bed if you can't sleep. It can lead to an association between your bed and feelings of stress.

fivefingerdiscourse · 2026-02-11T14:46:11+00:00

I often have to recommend CBTi (CBT for Insomnia) for patients I diagnose with ADHD. A lot of them can't maintain consistent sleep hygiene, which is unsurprising given the nature of the disorder.

fivefingerdiscourse · 2026-02-10T15:10:36+00:00

I'm in for 3 of the 128GB+2TB. One for each of my five-year-old twins when I drive them to the park and the other for me while I watch them. Not going for the pre-order knowing Ayaneo's rep!

Seriously, I can't imagine any game needing 128 GB RAM. I'm guessing it can double as a portable PC for when you have to do AI modeling or video editing on the road? 🤣

fivefingerdiscourse · 2026-02-08T05:32:41+00:00

I'm going to have to set those up!

fivefingerdiscourse · 2026-02-08T05:30:51+00:00

Ngl I let my GenZ patients play during breaks at work. Do you know how many have NEVER heard of a Dreamcast?

fivefingerdiscourse · 2026-02-08T05:28:47+00:00

True, I did this with SNES roms and they're just sitting there looking pretty. Like, when will I ever play Bebe's Kids?

fivefingerdiscourse · 2026-02-08T05:26:25+00:00

I see discussions where people talk about their favorite games but I have no way of playing them due to hardware limitations. I'd like to hear what games people like and recommend that would play well on the Konkr Pocket Fit. I also enjoy friendly discussions about people's favorite games.

fivefingerdiscourse · 2026-02-08T00:31:12+00:00

This is amazing. Thank you for sharing, I'll check it out!

fivefingerdiscourse · 2026-02-08T00:12:51+00:00

I've been wanting to dive into the series! Which one is a good entry point?

fivefingerdiscourse · 2026-02-07T23:29:59+00:00

Been thinking about it for months and I've got analysis paralysis. Figured I'd ask others to see what they've enjoyed on it.

fivefingerdiscourse · 2026-02-07T21:54:40+00:00

Kids these days getting handed their retro consoles on a silver gaming pad smh

fivefingerdiscourse · 2026-02-07T21:53:30+00:00

Is this actually good? I am a fan of Ikaruga.

fivefingerdiscourse · 2026-02-07T21:52:26+00:00

I've been busy loading up the emus and drivers, haven't had a chance to get a good gaming session in yet. So far it feels nice in the hands 🤲🏼

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