Digital Health Section Podcast- Royal Society of Medicine

This episode focusses on the topic of confidence in healthcare AI technologies. My guest is Dr Mike Nix, Lead AI Clinical Scientist at Leeds NHS trust. Discussion topics include: How AI errors and human errors are fundamentally different, and why that’s so important in the context of healthcare AI  The concept of explainable AI and its potential limitations in the context of human cognitive biases and decision making  The role of regulation in supporting AI confidence  Link to reports on Healthcare workers' confidence in AI: https://digital-transformation.hee.nhs.uk/building-a-digital-workforce/dart-ed/horizon-scanning/understanding-healthcare-workers-confidence-in-ai https://digital-transformation.hee.nhs.uk/building-a-digital-workforce/dart-ed/horizon-scanning/developing-healthcare-workers-confidence-in-ai

This episode centres on the evaluation of digital health solutions. It features a conversation with Dr Saira Ghafur, Consultant in Respiratory medicine and co-founder of Prova Health. Discussion topics include - The different types of evidence required at different stages of product development - The use of innovative approaches such as simulation to produce evidence for digital health technologies - The importance of linking evidence and reimbursement and different international approaches that are being implemented to tackle this

This episode focusses on PIFU (patient initiated follow up) and how technology is helping to reimagine outpatient care pathways. It features a conversation with Tom Whicher, CEO and co-founder of DrDoctor Discussion topics include: - How technology enabled patient initiated follow up pathways are helping patients, clinicians and the healthcare system  - How data from appointment bookings is enabling a personalised approach to patient appointment booking and outpatient care  - How PIFU technology can help to even out the variability in care experienced in the NHS

In this episode Giuseppe Sollazzo shares his insights from the NHS AI lab skunkworks programme - an initiative to find new ways to use AI for driving forward the early adoption of technology in the NHS. Discussion topics include: - The value of an open-source approach to AI development in the public sector - The importance of being transparent about both successes and failures - The role of MDT AI teams in the NHS and upskilling the workforce in relation to AI More information about the skunkworks projects here: https://transform.england.nhs.uk/ai-lab/ai-lab-programmes/skunkworks/

This episode features a conversation with Dr Saddif Ahmed- Director of Clinical Safety and Accuracy at Flo Health, uncovering how femtech products are providing novel insights into women's health. Discussion topics include: - How period tracking apps are leading to earlier diagnosis of women's health disorders - How femtech data is challenging conventional medical wisdom and offering novel insights into how sleep, mood and exercise vary of their menstrual cycle - The potential for future research in the field using data collected at scale from apps and wearables

In this episode, we delve into the realm of AI regulation and its impact on the future of medical AI innovation in UK. Joining me is the esteemed Professor Stephen Gilbert, a medical device regulatory science academic. During our discussion, we explore: The necessity for innovative regulatory approaches in the AI domain The diverging paths of EU and US regulatory strategies Challenges posed by the EU MDR approach and its horizontal regulatory system Pioneering approaches to regulation, emphasising system rather than product-level oversight Relevant publicatons: https://www.jmir.org/2023/1/e43682 https://www.nature.com/articles/s41591-023-02412-6https://www.sciencedirect.com/science/article/pii/S2949761223000421

This episode features a conversation with Dr Azeem Alam, member of the RSM Digital Health Council and co-founder of Bitemedicine, the creators of Bitelabs, a healthtech and innovation fellowship for clinicians  Discussion points include: - The bitelabs fellowship - Ways clinicians can gain experience in digital health - How you can combine tech experience with clinical training  - Roles for clinicians within healthtech companies Resources/opportunities discussed during the podcast: Bitelabs: @BiteLabsHealth https://bitelabs.io Fellowships/programmes: - Topol Digital fellowships:⁠ ⁠⁠Topol Digital FellowshipsHealth Education Englandhttps://topol.hee.nhs.uk › digital-fellowships⁠Fellowships in Clinical Artificial Intelligence : https://www.aicentre.co.uk/fellowships - National medical director's clinical fellow scheme (digital roles available): https://www.fmlm.ac.uk/programme-services/individual-support/national-medical-directors-clinical-fellow-scheme - Royal College of Physicians Flexible portfolio training (clinical informatics stream): https://www.rcplondon.ac.uk/projects/flexible-portfolio-training - Clinical entrepreneur programme: https://www.england.nhs.uk/aac/what-we-do/how-can-the-aac-help-me/clinical-entrepreneur-programme - Digital health leadership programme https://digital-transformation.hee.nhs.uk/digital-academy/programmes/digital-health-leadership-programme - Harvard health tech fellowship https://projects.iq.harvard.edu/healthtechfellowship/fellowship-overview - Stanford biodesign innovation fellowship:https://biodesign.stanford.edu/programs/fellowships/innovation-fellowships.html - Faculty fellowship: https://faculty.ai/fellowship-fellows/ - Entrepreneur First: https://www.joinef.com/ Events: - Royal Society of Medicine Digital health council events - HETT - Digital health Rewired - SomX events - Intelligent Health  - Med-tech World Blog article about different roles for clinician in digital health: https://medium.com/@annabellepainter/what-is-a-digital-doctor-db14522ec398 Range- Generalism book: https://davidepstein.com/the-range/

This episode features a conversation with Dr Satya Raghuvanshi- VP at Accurx exploring the development of healthtech communication tools in the NHS. Discussion points include - How Accurx is solving entrenched communication problems in primary & secondary care - Accurx’s approach to product development and market entry that have contributed to its success - How Accurx is now tackling elective recovery

This episode features a conversation with Professor Colin Espie Professor of Sleep Medicine at the University of Oxford and co-founder and Chief Scientist at Big Health. It focusses on the topic evidence generation for digital therapeutics Discussion topics include: - Why evidence generation is so important for digital therapeutics - The distinction between evidence-informed and evidence-based therapies - The challenge of designing placebo controlled trials for digital therapies Links to papers: https://www.healthaffairs.org/do/10.1377/forefront.20220223.739329/ https://www.jmir.org/2023/1/e43682

This episode features a conversation with Dr Hugh Harvey- Managing Director at Hardian Health exploring the regulatory, ethical and logistical challenges involved in developing Large Language Models (LLMs) as medical devices. Discussion topics include: - A step-by-step guide to the regulatory approval process for LLM medical devices - Should users be allowed to ask general purpose LLMs (like chatGPT) medical questions? - What needs to change in current regulation in order for it to keep pace with recent AI developments Blog posts mentioned in podcast: Hardian Health blog by Hugh Harvey: https://www.hardianhealth.com/blog/how-to-get-regulatory-approval-for-medical-large-language-models MHRA LLM blog post: https://medregs.blog.gov.uk/2023/03/03/large-language-models-and-software-as-a-medical-device/ RSM Ethics and Regulation for AI in health event: https://www.rsm.ac.uk/events/digital-health/2022-23/ter04/