Tag: clinical reasoning
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ChatGPT won’t be your doctor
Commercial frontier AI models like ChatGPT and Llama are known to hallucinate, but research proving this is redundant. Instead, attention should be on specialised medical AI systems like Google’s AMIE, which are showing impressive improvements in diagnostic accuracy. These purpose-built models, not general-purpose language models, are likely to be integrated into healthcare products.
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Generative AI and the cognitive apprenticeship model for developing clinical reasoning
This post explores how generative AI can support cognitive apprenticeship in developing clinical reasoning skills. Using a structured approach, I show how AI can enhance various aspects of learning, from providing domain knowledge to simulating patient scenarios, ultimately creating a comprehensive framework for AI-assisted clinical education.
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Podcast – AI and the Evolution of Medical Thought
In this episode of the AI Grand Rounds podcast, Dr. Adam Rodman shares his unique journey from a historian to a physician deeply interested in the intersection of medicine and artificial intelligence.
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In Beta podcast: Generative AI personas in physiotherapy education
In this conversation Leanne Wiles and Dean Walker discuss how they used generative AI tools like Claude and ChatGPT to simulate patient interactions for students in physiotherapy education, enhancing their communication and reasoning skills. Students interacted with AI personas portraying diverse health scenarios. The practice proved immersive and effective, displaying significant potential for flexible educational…
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Using Claude to rapidly build an evidence-based CPD activity
How I used Claude to rapidly develop the pedagogical framework and outline of an evidence-based CPD activity or assessment task.
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Symposium – Beyond thinking fast and slow: Theories informing teaching and assessment of clinical decision-making and error
in Conferenceaffordance, ai, AMEE, AMEE23, artificial intelligence, bais, chunk, clinical reasoning, cognitive debiasing, collective intelligence, diagnosis, diagnostic error, distributed cognition, dual-process theory, ecological psychology, embodied cognition, error, extended mind, illness schema, illness script, information, philosophy of mind, reasoning, situated cognition, system 1, system 2, technology affordance, transtheoretical modelThis is going to be a long post, as it includes an expansion of the notes I took during this symposium. It’s hard to draw a bright line between the presentation content and my extended notes, so I think it’s fair to say that what’s presented below isn’t an accurate description of what was presented.…
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AI is already an important part of clinical practice. Just not in the way that you think.
We’re all using AI all the time. We just don’t always recognise it. There’s a lot of discussion around the introduction of AI-based systems into clinical practice and healthcare systems. But these discussions tend to focus on the systems that are being designed, developed, and deployed as part of formal processes centred on ‘big ideas’…
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How to replace a physiotherapist (or any professional, really)
Rowe, M., Nicholls, D. A., & Shaw, J. (2021). How to replace a physiotherapist: Artificial intelligence and the redistribution of expertise. Physiotherapy Theory and Practice. I’m really excited to finally share this article that I’ve been working on for a couple of years with David Nicholls and Jay Shaw. I say a couple of years…
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Giving algorithms a sense of uncertainty could make them more ethical
The algorithm could handle this uncertainty by computing multiple solutions and then giving humans a menu of options with their associated trade-offs. Say the AI system was meant to help make medical decisions. Instead of recommending one treatment over another, it could present three possible options: one for maximizing patient life span, another for minimizing…
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Algorithmic de-skilling of clinical decision-makers
What will we do when we don’t drive most of the time but have a car that hands control to us during an extreme event? Agrawal, A., Gans, J. & Goldfarb, A. (2018). Prediction Machines: The Simple Economics of Artificial Intelligence. Before I get to the takehome message, I need to set this up a…
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Proposal abstract: Case-based learning in undergraduate physiotherapy education
Abstract for a project I submitted earlier this week for ethics clearance. During 2012 – 2014 we converted one of our modules that runs in the 2nd, 3rd and 4th year levels from a lecture-based format to a case-based learning format. We are now hoping to have a closer look at whether or not the…
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Clinical reasoning: Identifying errors and correcting
Yesterday I attended a presentation on clinical reasoning by Professors Vanessa Burch (University of Cape Town) and Juanita Bezuidenhout (University of Stellenbosch). Here are the notes I took during the presentation. How does CR work? How do errors occur? Do clinician educators contribute to errors? Can we identify students with CR difficulties? Can we improve…
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Content isn’t important, relative to thinking
I just had a brief conversation with a colleague on the nature of the teaching method we’re using in my department. Earlier this year we shifted from a methodology premised on lectures, to the use of case-based learning. I’ve been saying for a while that content is not important, but I’ve realised that I haven’t…
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SAFRI 2011 (session 2) – day 1
A few days ago we began the second SAFRI* session of 2011, which will lead into the SAAHE conference** later in the week. Every day I take notes and will try to put them up as we go along bearing in mind that a lot of what we do is workshop-based. The notes are a…
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Strategies to improve clinical teaching: a workshop
On Saturday I attended a workshop at Groote Schuur hospital that had the aim of providing “…clinicians with the opportunity to improve their ability to facilitate learning in clinical practice”. Objectives included improving the understanding of theories of learning, methods of enhancing learning and assessment practices and the role of assessment in learning. I was…
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Twitter Weekly Updates for 2011-05-16
RT @amcunningham: An analysis of clinical reasoning through a recent and comprehensive approach: the dual-process theory http://is.gd/WrvHwI # The use of tense in Lit review. http://bit.ly/ma0MBm. I also prefer the present tense to situate the conversation in a current context # 13 Photographs That Changed the World. http://bit.ly/iK9LFP # “Dropbox Lied to Users about Data…
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Developing clinical reasoning and critical thinking
“Clinical reasoning is a process in which the therapist, interacting with the patient and significant others (e.g. family and other health-care team members), structures meaning, goals and health management strategies based on clinical data, client choices and professional judgment and knowledge (Higgs & Jones, 2000). Clinical reasoning is difficult, if not impossible to “teach” (if…