NEJM AI Grand Rounds

AI and the Evolution of Medical Thought with Dr. Adam Rodman

12 snips
Jun 19, 2024
Dr. Adam Rodman, a physician interested in AI and medicine, discusses the evolution of clinical reasoning, probabilistic models, AI in diagnostics, and his work with GPT-4. He emphasizes the need for collaboration between computer scientists and medical professionals to harness AI's potential while avoiding misapplications.
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ANECDOTE

GPT-4's surprising performance

  • Adam Rodman tested early language models with historical AI tests, finding them lacking.
  • GPT-4, however, impressed him by outperforming prior systems on a patient case benchmark.
INSIGHT

History and Purpose of CPCs

  • Clinical Pathological Conferences (CPCs) originated from a need to formalize clinical reasoning and diagnostic processes.
  • CPCs, designed like mystery cases, emphasize how doctors think, not just what they know.
INSIGHT

LLMs and Clinical Reasoning

  • Language models effectively mimic a clinician's intuitive System 1 thinking, not formal Bayesian reasoning.
  • Their strength lies in bottom-up reasoning and handling contextual text information.
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