The podcast discusses the evolution and impact of artificial intelligence in medicine, from early neural networks to transformer models. It explores the development of GPT-4, a powerful language model, and the concept of superhuman performance in AI. The podcast also explores the wide range of AI applications in healthcare, raising questions about accuracy, reliability, regulation, and biases.
The evolution of deep learning models, from convolutional neural networks to transformers, has led to impressive advancements in performance, with GPT-4 demonstrating potential for human-like performance.
Large language models like GPT-4 have the ability to diagnose medical conditions and provide valuable insights, but they still make errors and lack common sense, necessitating the need for regulation and public engagement in shaping their future.
Deep dives
The Evolution of Deep Learning Models: From Convolutional Neural Networks to Transformers
The podcast episode begins by discussing the progression of deep learning models, starting with convolutional neural networks and later transitioning to the transformer architecture. The speaker highlights how these models were purpose-built for specific tasks and were evaluated based on their accuracy. In 2017, the transformers architecture introduced a different approach by creating generic models trained on large corpora of data, such as words from the internet. This allowed for fine-tuning and training on more generic tasks. The speaker mentions that the increase in model size and performance over the years has been impressive and indicates that GPT-4, a large language model released in mid-March, has the potential for human-like performance on various tests.
The Impact of Transformer Models in Medicine
The speaker explains that large language models, like GPT-4, have the ability to diagnose medical conditions and provide insights that were previously only known by experts. However, these models still make mistakes and lack common sense at times. The speaker acknowledges the potential of using GPT-4 as a front-door helper for answering medical questions, providing support for primary care doctors or PAs, and improving the patient experience. The discussion also touches on the need for regulation and transparency in model development, along with the challenges it presents. The speaker mentions that different societies and regions may have varying views on regulation, and emphasizes the importance of public awareness and engagement in shaping the future of these models.
The Role of Multi-Modal Models in Medicine
The podcast explores the concept of multi-modal models, which combine text, images, and speech to enhance their capabilities in healthcare. While the speaker acknowledges the potential of multi-modal approaches to accelerate the performance of chatbots like GPT-4, they claim that the current strength of GPT-4 lies more in its size and alignment process than its multi-modal capabilities. The speaker emphasizes that alignment, achieved through reinforcement learning and human feedback, has played a crucial role in improving GPT-4's performance. They mention the potential for personalized AI models that align with individual needs, and highlight that the fragmentation of AI models based on diverse values may occur in society.
The Potential Impact of AI Models in Healthcare
The conversation concludes with a discussion on the future prospects of AI models in healthcare. The speaker expresses extreme optimism about the transformative potential of these models in medicine, but also acknowledges the challenges and variable rates of adoption across different healthcare systems. They anticipate that AI models will be used extensively in administrative tasks, leading to significant cost savings, but stress the importance of ensuring these models are also directed towards improving the quality of healthcare. The podcast concludes by highlighting the need for public awareness, regulation, and transparency in the development and use of AI models in healthcare.
Information pollution is just the beginning. We're in for an uncomfortable ride.
This podcast is intended for US healthcare professionals only.
To read a full transcript of this episode or to comment please visit:
https://www.medscape.com/features/public/machine
Eric J. Topol, MD, Director, Scripps Translational Science Institute; Professor of Molecular Medicine, The Scripps Research Institute, La Jolla, California; Editor-in-Chief, Medscape
Isaac S. Kohane, MD, PhD, Chair and Professor, Department of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts
You may also like:
Medscape's Chief Cardiology Correspondent Dr John M. Mandrola's This Week In Cardiology
https://www.medscape.com/twic
Discussions on topics at the core of cardiology and the practice of medicine with Dr Robert A. Harrington and guests on The Bob Harrington Show
https://www.medscape.com/author/bob-harrington
For questions or feedback, please email: news@medscape.net
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