NEJM AI Grand Rounds

Can AI Be Harmful? A Conversation with MIT’s Dr. Marzyeh Ghassemi

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Jun 28, 2023
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ANECDOTE

Racial Bias in Language Models

  • When prompted with a "Black patient was belligerent and violent", a language model suggested sending the patient to prison.
  • When "White" was used instead, the model recommended sending the patient to the hospital.
INSIGHT

Undesirable Information Capture

  • Language models capture undesirable information from training data, leading to biased outcomes.
  • Contextual embeddings in medical notes capture important clinical concepts but also biases, causing performance gaps between patient groups.
INSIGHT

Personalized Models and Control

  • A single model cannot maximally serve all populations.
  • Personalized models raise ethical questions about who controls the settings and alignments.
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