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Comment by burnte | Hacker News Reader

> I still don't want a fucking audio recorder in my doctor's office

Which would you prefer, your doctor remembering everything, or making verbal notes into a microcassette tape recorder that is transcribed by a human later (sometimes the doctor, sometimes someone else)? What if your doctor had a medical assistance in the room and spoke out loud and that medical assistant wrote down everything, is that ok?

> or a fucking AI that sits in between me and my doctor.

It sits next to the doctor helping them focus on you by transcribing the session, it doesn't do anything the doctor can't and definitely doesn't do anything the doctor SHOULD. No decision making is done, only transcription and summarization which is then checked by the doctor. We do not let AI make decisions.

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I'd prefer a doctor's brain being actively engaged in the second pass summary checking phase that follows the first pass infomation gathering phase.

You know, keeping a skilled human actively in the oversight loop and not being encouraged by time pressures or apparent conveniences to slide further and further out of the active loop.

ie. Always catching that passing jokes about Coke don't end up as cocaine usage notations etc.

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I'd seriously suggest / trial delibrately injecting (with doctor's knowledge) some N +/- 2 significant (meaning reversed) transcription errors in either each transcript or in the run of transcripts for a shift.

Now it's a game for a doctor to pick out the {N} known errors as they check the transcription points with penalties for missing known errors and a bonus for finding unknown not delibrately made errors.

Don't allow the doctors to easily fail into the trap of trusting transcription and don't fall into he trap of making easy to spot obvious errors that can be auto hind brain ticked off.

> It sits next to the doctor helping them focus on you by transcribing the session, it doesn't do anything the doctor can't and definitely doesn't do anything the doctor SHOULD

You said the transcript isn’t available, only the notes/summary. The notes is what the doctor should do, the AI should only transcribe for the doctor’s review.

https://news.ycombinator.com/item?id=47895868

>making verbal notes into a microcassette tape recorder that is transcribed by a human later

This one, along with them actually typing their notes as they work.

>What if your doctor had a medical assistance in the room and spoke out loud and that medical assistant wrote down everything, is that ok?

That would be ok too.

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