Tag: clinical practice
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Resource: Towards a curated library for AI in healthcare
I’ve started working on what will eventually become a curated library of resources that I’m using for my research on the impact of artificial intelligence and machine learning on clinical practice. At the moment it’s just a public repository of the articles, podcasts, blog posts that I’ve read or listened to and then saved in…
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The Last Mile: Where Artificial Intelligence Meets Reality
Coiera, E. (2019). The Last Mile: Where Artificial Intelligence Meets Reality. Journal of Medical Internet Research, 21(11), e16323. https://doi.org/10.2196/16323 “…implementation should be seen as an agile, iterative, and lightweight process of obtaining training data, developing algorithms, and crafting these into tools and workflows.” A short article (2 pages of text) describing the challenges of building…
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Podcast: What AI means for the physical exam
It’s a very important ritual. If you look at rituals, in general, they are all about crossing a threshold. We marry, we have baptisms, we have funerals—all with ceremony to indicate the crossing of a threshold. If we step back and look at the physical exam, it has all the trappings of ritual. Verghese, A.…
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Survey: Physiotherapy clinicians’ perceptions of artificial intelligence in clinical practice
We know very little about how physiotherapy clinicians think about the impact of AI-based systems on clinical practice, or how these systems will influence human relationships and professional practice. As a result, we cannot prepare for the changes that are coming to clinical practice and physiotherapy education. The aim of this study is to explore…
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Research project exploring clinicians’ perspectives of the introduction of ML into clinical practice
I recently received ethics clearance to begin an explorative study looking at how physiotherapists think about the introduction of machine learning into clinical practice. The study will use an international survey and a series of interviews to gather data on clinicians’ perspectives on questions like the following: What aspects of clinical practice are vulnerable to…
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First compute no harm
Is it acceptable for algorithms today, or an AGI in a decade’s time, to suggest withdrawal of aggressive care and so hasten death? Or alternatively, should it recommend persistence with futile care? The notion of “doing no harm” is stretched further when an AI must choose between patient and societal benefit. We thus need to…
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The fate of medicine in the time of AI
Source: Coiera, E. (2018). The fate of medicine in the time of AI. The challenges of real-world implementation alone mean that we probably will see little change to clinical practice from AI in the next 5 years. We should certainly see changes in 10 years, and there is a real prospect of massive change in…
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An introduction to artificial intelligence in clinical practice and education
Two weeks ago I presented some of my thoughts on the implications of AI and machine learning in clinical practice and health professions education at the 2018 SAAHE conference. Here are the slides I used (20 slides for 20 seconds each) with a very brief description of each slide. This presentation is based on a…
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OpenPhysio abstract: Artificial intelligence in clinical practice – Implications for physiotherapy education
Here is the abstract of a paper I recently submitted to OpenPhysio, a new open-access journal with an emphasis on physiotherapy education. About 200 years ago the invention of the steam engine ushered in an era of unprecedented development and growth in human social and economic systems, whereby human labour was supplanted by machines. The…
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How my students do case studies in clinical practice
Our students do small case studies as part of their clinical practice rotations. The basic idea is that they need to identify a problem with their own practice; something that they want to improve. They describe the problem in the context of a case study which gives them a framework to approach the problem like a research…
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First draft of article on Informed Consent for the Clinical Teacher
Featured image “Diverging paths” by SDJ on Deviant Art. I’ve just finished the first draft of my 13th article in the Clinical Teacher mobile app. It’s been a LONG time since I’ve managed to put some effort into this project, mainly for personal reasons (my second daughter was born in March last year and we…
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Proposal abstract: Training in the ICU for physiotherapy students with a visual impairment (a case study)
Abstract for a project proposal that I submitted for ethics review earlier this week. If it gets approved we’ll begin data collection on our first visually impaired undergraduate student placement in the intensive care unit. The Department of Physiotherapy at the University of the Western Cape (UWC) began accepting students with visual impairments (VI) into…
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Proposal abstract: The use of medical and health-related smartphone apps by South African physiotherapists (a survey)
Abstract for a proposal I submitted earlier this week. This proposal is part of a larger project where we are developing an evaluation tool for decision-making around app use for physiotherapists in clinical practice, determining reliability of a range of pedometer apps on different hardware platforms, and evaluating the information provided by the top exercise-prescription…
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The Delphi method in clinical research
Thank you to Conran Joseph for his contribution to this post. We began developing this content as part of another project that we’re working on (more to come on that later) and then extended it as I made notes for a paper than I’m writing for my PhD. Introduction The Delphi method was developed in…
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From “designing teaching” to “evaluating learning”
Later this month we’ll be implementing a blended approach to teaching and learning in one module in our physiotherapy department. This was to form the main part of my research project, looking at the use of technology enhanced teaching and learning in clinical education. The idea was that I’d look at the process of developing…
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The role of clinicians in student assessment
A few weeks ago I was at a workshop attended mainly by clinicians who are involved in student supervision. One of the questions asked was about the role of clinicians in student assessment. I thought it was worth writing a short note about the general feeling in the room, and my own thoughts on the…
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Ethics CPD lecture
As part of our commitment to continuing professional development (CPD) in South African healthcare, we’re required to accumulate 5 ethics credits every year. Yesterday I gave a presentation to the staff in our department in order to fulfill this requirement. It went quite well, although being my first time I felt pretty unprepared. I learnt a lot…