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Michele Pfannenstiel DVM's avatar

I got a question!!! Thank you so much (again) for your writing cause it makes a plebe like me smarter

As an end consumer of AI... I feel like everyone is pushing scenario 2 for diagnostics. We have scenario one for charting and God, it is so helpful.

But in medical diagnostics we aren't pushing out programmers we are pushing out radiologists and pathologists. This is for the reasons you think: expense, time and there aren't enough of either to handle the work load cause it isn't like older populations that love longer are getting healthier.

Your note about how junior programmers are evaluated made me nauseous. That seems like another question I need to ask my vendors on top of my questions about validation.

So here are my questions for you so that I can share info with my fellow docs.

1) what are we not seeing about the programming and the algorithms that we need to ask better questions about? I am already asking for transparency in validation and am met with blank stares.

2) how do we understand if the AI knows what it knows because it has an accurate dataset that is sensitive and specific to the pathology and structure in question OR if it is giving a best guess based on the next token or however it works and then... how can I as a clinician get the software to disclose that?

I am trying to figure out how to have a conversation with the vendors and they immediately pass me to the developers and I get in WAY over my head.

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