Bedside Rounds 74 - R2D2
Sep 3, 2023
The podcast explores the progress of AI in medicine, the historical foundations of diagnostic thinking, the limitations of diagnostic algorithms, the Hawthorne Effect in observational studies, propensity scoring in pharmaco epidemiology, and the evolution of prediction tools and AI.
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CAL Program
- Tim D'Ambal, a surgeon, used an Elliott 903C computer for surgical education.
- His program, CAL, highlighted clinicians' rigid diagnostic processes.
Observer Variation
- D'Ambal found low agreement among surgeons on physical exam findings in ulcerative colitis.
- He questioned if this reflected specific exam difficulties or a broader problem.
Inconsistent Definitions
- D'Ambal found inconsistent definitions of medical terms like "acute abdomen" and "dyspepsia."
- He decided to create a database of patients with acute abdominal pain to address this.