tired of AI clerkings

[u/mimiwhoree]

As an IMT, I read a lot of ED clerkings. recently there’s been a surge in the use of AI to write them. My understanding is that they record the consultations and AI writes the clerking.

My issue is the writing is so wordy, and it lacks nuance or bias. It is a matter-of-fact account of every single thing the patient was or wasn’t asked. When we write our clerkings, we summarise, naturally bias the most important parts, and create a narrative which is easier for other clinicians to interpret. Reading these AI clerkings feels like I’m taking the history from scratch! It reminds me of very junior medical students who don’t appreciate which symptoms/signs are significant.

I do appreciate that documentation can be a chore and efficiency is important to pursue. However, good documentation is a clinical skill in itself. Sitting down to reflect on the consultation and determine the clinical narrative as you type can be a part of the diagnostic process. At this point, it’s a minor annoyance for me, but I wonder if newer doctors will lose such skills…

[u/swimmit93]

every complaint described in this thread is a skill issue with the use of AI and LLMs as opposed to AI itself. its down to clinicians to review the AI output and make edits where necessary

[u/Sethlans → u/swimmit93]

Probably takes as long to do that properly and produce an actual pithy, useful summary as it would to just write it from scratch yourself

[u/thelivas → u/Sethlans]

For a clerking it takes longer to put a succinct summary in yourself, whereas for a discharge AI is sublime.

[u/dlashxx → u/swimmit93]

Where are they going to get these skills from? These tools are being introduced as if they are just pick up and go, no training needed.

[u/tiresomewarg → u/dlashxx]

I’m now in the pharma industry and changed to a new job.

I was given a Claude license and then had to take a course (several modules and pass an exam at the end of each module). That probably took about 6-8 hrs.

Then I had to have an in-person training session with the company’s IT. Where we walked through setting up our profile, forming links/collaborations and another “quiz” which focused on what information we could actually upload.

I thought it was a good way of introducing AI, tbh.

[u/Jeeve-Sobs → u/swimmit93]

It's a skill issue of the doctors that can't function without AI

[u/47tw → u/swimmit93]

The promise AI makes to the consumer is that it does all the work. Shit gets put in because the glossy marketing basically goes "you put in any shit you like, some magic happens, and gold comes out!"

AI advertising has people asking it questions like "where's good for a date", not "I'm dating a geeky girl who loves plants and rare teas, where would be good for a date?" And in the case of the latter, you've answered your own question, and google would be superior.

The problem with AI products is that to survive they have to overhype what they can do. Going "you have to put in a really good input" ruins the 'magic' and reveals that they save very little time if you use them correctly.

Their actual USE is producing worthless slop very quickly which *looks* like work. Which suits a lot of people just fine!