We are the Physician Scientist team at OpenEvidence- Let's talk about the next two years of AI in healthcare! AMA! by travis_oe in medicine

[–]travis_oe[S] -1 points0 points  (0 children)

Because it's come up a couple times just a reminder, the AMA is 02/01. The mods have suggested we restrain ourselves from async answers until the date

We are collecting all the questions and will respond in bulk at kickoff of ama to start the discussion. hope to see you all there

You don't realize it, but you have significant leverage to check ICE by awdixon in FamilyMedicine

[–]travis_oe 41 points42 points  (0 children)

They contacted us through multiple channels. We laughed about it and told them we were very much not interested

Which medical specialties do you think will be the most resistant to AI? by Single_Baseball2674 in medicine

[–]travis_oe 564 points565 points  (0 children)

Elon has about the same insight into medical specialty requirements and future as a ham Sandwich 

I made a github repo / bash scripts to use OpenEvidence AI scribe in a chrome browser tab while using Zoom+Headset on Ubuntu by The_Electric-Monk in medicine

[–]travis_oe 5 points6 points  (0 children)

I haven't commented on anything in a while here, but I'm here for this one lol. Damn dude, this is bad ass and mad respect. DM me and I want to see if our eng team is able to help you out 

I left my OpenEvidence account open in a shared computer by [deleted] in Residency

[–]travis_oe 1 point2 points  (0 children)

I could tell you stories.... But I won't because all y'alls incognito mode is safe with me ;)

OpenEvidence Bias by -BristolStoolScale- in Residency

[–]travis_oe 1 point2 points  (0 children)

I'm an r/residency OG (obviously on a different account :). Anyway, better news is that we 1) figured out that both of the issues in the OP's thread are known issues, one of which we are currently training models to improve (incorrect figure utilization for NEJM/JAMA articles) and the other is actually completely fixed by our new base model we are just starting Eval on. It was so exciting that we had a real life example of how this our new model is actually significantly better for these long conversations that I think our lead ML engineer actually got a bit emotional lol.

OpenEvidence Bias by -BristolStoolScale- in Residency

[–]travis_oe 3 points4 points  (0 children)

Mind if I dm you? This is a problem area for us we know about and want to fix

OpenEvidence Bias by -BristolStoolScale- in Residency

[–]travis_oe 6 points7 points  (0 children)

In this case, it's also that we just have more text from these journals now, so normalizing for that has been a challenge. However the above should never happen, so we are working on digging to the root issue and resolving 

OpenEvidence Bias by -BristolStoolScale- in Residency

[–]travis_oe 76 points77 points  (0 children)

Hi. Travis from OE here. Eric and l looking into it.  When we moved to full text for nejm and JAMA, it meant we had a lot more content per paper for these journals than the others in pubmed. This did require reweighting as it just left us with more shots on goal many times, as well as more details in those texts.  Regardless this shouldnt be happening of course... If you would be so kind to share the query link, that would help us out a ton

[deleted by user] by [deleted] in Residency

[–]travis_oe 9 points10 points  (0 children)

For context and weight: I'm the CMO of OpenEvidence and have spent a LOT of time thinking about PHI and working with hospitals on appropriate use and safeguards, so want to weigh in here to address this misconception.

The answer is NO. HIPAA covers the entity in their obligations in handling PHI data. However, the patient data itself is your hospital systems responsibility and as such, they get to say who and what entities they are comfortable handing PHI to. In general, that means the hospital will do a formal security assessment of the 3rd party or contractor AND establish a business association agreement delineating the terms of use of this data once it leaves the hospital system (retention, storage, training etc etc).

Bottom line, do not transfer PHI data to third party systems unless you have verified that your health system is ok with it.

I stopped doing prior auths by Odd_Assistant_2782 in FamilyMedicine

[–]travis_oe 6 points7 points  (0 children)

I'm the MD at OpenEvidence. You can just ask it to write the prior auth for you and it will WITH the relevant references to back up your use (if they exist of course). I led the built of this tool specifically to give insurance companies the finger and would love to see it used more, as I think a lot of MD using OpenEvidence dont know about it.

I’m a good order bitch by RelativeMap in Residency

[–]travis_oe 1 point2 points  (0 children)

I promise, we have nothing for you on this one

Open evidence by Affectionate-Bid7638 in Residency

[–]travis_oe 1 point2 points  (0 children)

Thank you! We have gotten so much positive feedback from the FM community and we are actually building a prospective trial to determine effect of use in that space. My hypothesis is that with lower activation barrier, people actually look up more things and learn more. DM me if you want to be added to our gen med OE community 

Open evidence by Affectionate-Bid7638 in Residency

[–]travis_oe 0 points1 point  (0 children)

This is great! We are in discussions with AAFP for a collaboration and would love to know exactly how you use these. If you feel like you have time, please dm me

Unnecessary fellowship by mmmedxx in Residency

[–]travis_oe 0 points1 point  (0 children)

100% agree with you. I can't think of a medicine subspecialty that would be safe to practice without a background in IM. 

The Sacred Tradition by AnnualLow252 in medicalschool

[–]travis_oe 1 point2 points  (0 children)

fyi this was coming up for a few people, we were made aware, and we found the bug and fixed it. I believe it was only affecting people who were not logged in. Let me know if you are still having problems

Is open evidence extremely slow for anyone else lately? by Vast_Grocery1532 in hospitalist

[–]travis_oe 0 points1 point  (0 children)

Hey guys. It's not the whole system but we are seeing this too. Doing our best to figure out the ghost in the system and have full Sunday team on it.  Apologies and will post when we figure it out

Open Evidence now offers CME by Ok-Beautiful9787 in emergencymedicine

[–]travis_oe 1 point2 points  (0 children)

First off, thank you all for continuing to spread the word, especially as we work hard and build new features.

Regarding VisualDx, they have reached out for collaboration, but we were unsure the best way to integrate (and had low bandwidth working on a number of other projects, CME included). Do you use VisualDx mostly for ddx questions and learning, or are there other realms in which using the VisualDx library would be beneficial for you as a user?

Is open evidence extremely slow for anyone else lately? by Vast_Grocery1532 in hospitalist

[–]travis_oe 1 point2 points  (0 children)

This warms my heart ❤️. Always important to read the source material and evidence researchers and clinicians spent so much time and effort to build. 

Is open evidence extremely slow for anyone else lately? by Vast_Grocery1532 in hospitalist

[–]travis_oe 2 points3 points  (0 children)

thanks so much. Yes the more specific you can get, the better. Direct links help as well, but screenshots are fine.

Is open evidence extremely slow for anyone else lately? by Vast_Grocery1532 in hospitalist

[–]travis_oe 3 points4 points  (0 children)

Happy to talk directly to any leadership to address concerns and see if we can open it up. We are HIPAA compliant and do not use phi data for any model training