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AI has arrived in B.C. health care, here香蕉视频直播檚 what to ask your doctor

Many doctors using Aritificial Intelligence tech, especially for note-taking
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A petri plate is seen being scanned and lifted by a robot at St. Paul香蕉视频直播檚 Hospital in Vancouver on Tuesday, January 23, 2024. THE CANADIAN PRESS/Ethan Cairns

As artificial intelligence continues to develop in seemingly all facets of life 香蕉视频直播 including health care 香蕉视频直播 experts say it香蕉视频直播檚 important for patients to know AI may be used in their care.

香蕉视频直播淚 think we香蕉视频直播檙e going to see significant advances in AI use and AI capacity in the next few years,香蕉视频直播 said Dr. Sian Tsuei, a family physician at Metrotown Urgent and Primary Care Centre in Burnaby, B.C.

香蕉视频直播淚 think we香蕉视频直播檙e only seeing the start of it. So I would really encourage patients to continuously stay informed and for doctors to also be staying informed,香蕉视频直播 said Tsuei, who also researches AI in health care at the University of British Columbia.

Here are some AI risks and benefits Tsuei and other experts recommend you discuss with your health-care provider.

1. FIRST, JUST ASK

Next time you have an appointment with your family doctor, ask them if they are using AI.

If they are, a likely bet is that it香蕉视频直播檚 an AI scribe. Physicians香蕉视频直播 colleges and associations, including in Ontario and B.C., have released guidelines for doctors interested in using the technology to transcribe their conversations with patients instead of manually taking notes themselves.

In a recent trial in Ontario, doctors using AI scribes spent 70 to 90 per cent less time on paperwork, saving on average three to four hours per week.

In addition to saving doctors time, AI scribes can also improve the quality of patient visits, said Muhammad Mamdani, vice president of data science and advanced analytics at Unity Health Toronto.

香蕉视频直播淲ith your family doctor, a lot of them will spend quite a bit of time not just looking at you, but staring at their computer screen. They香蕉视频直播檙e busily typing away the conversation so it香蕉视频直播檚 on record,香蕉视频直播 said Mamdani, who is also the director of artificial intelligence education and research in medicine at the University of Toronto.

香蕉视频直播淏ut that香蕉视频直播檚 a lot of time being spent away, not really listening to you with maybe the attention they should have.香蕉视频直播

2. HOW SAFE IS MY DATA?

Tsuei said cybersecurity is one of the most important factors as he considers using an AI scribe in his practice.

香蕉视频直播淭o what extent has the technology developed appropriate cybersecurity measures? Do we actually understand cybersecurity threats and are (there) appropriate ways to defend against those?香蕉视频直播

Some physicians may store patient data on the premises, while others may upload it to a cloud server or another location, said Nadia Shaikh-Naeem, vice-president of programs at DIGITAL, an 香蕉视频直播渋nnovation cluster香蕉视频直播 dedicated to AI development that is funded by the federal government.

It香蕉视频直播檚 important to ask about 香蕉视频直播渄igital residency,香蕉视频直播 Shaikh-Naeem said, noting that DIGITAL requires its health partner organizations to store data within Canada.

That香蕉视频直播檚 because the data should be protected by national information privacy laws such as the Personal Information and Electronic Documents Act.

Terry Stepien, CEO of Expeflow 香蕉视频直播 one of DIGITAL香蕉视频直播檚 partner organizations that is providing AI services to a psychology practice in Toronto 香蕉视频直播 said it香蕉视频直播檚 important to ask if your data is encrypted.

If the data is transferred to a cloud server or an off-site server, 香蕉视频直播渉ow does it move between where you are and the end location? Is it encrypted at all times as it香蕉视频直播檚 moving?香蕉视频直播 he said.

Stepien said it香蕉视频直播檚 also important to know who has access to patient data within the health-care practice 香蕉视频直播 and to have a log that documents any activity in the patient files to ensure people without permission have not tried to access them.

3. IS MY CONSENT REQUIRED? AND WHAT AM I CONSENTING TO?

Your doctor must get your consent before using an AI scribe to record your conversations, according to both Doctors of BC and the College of Physicians and Surgeons of Ontario.

But it香蕉视频直播檚 also a good idea to ask specifically how the recorded and transcribed information will be used, said Shaikh-Naeem.

香蕉视频直播淎m I consenting to research? Am I consenting to my data being used to train the AI? Am I consenting to it being used internally for diagnostic purposes, my own broader diagnostics?香蕉视频直播 she said.

If the recording is being used solely for documentation in your electronic medical record, the AI model is 香蕉视频直播渃losed,香蕉视频直播 Shaikh-Naeem said.

But some AI models are 香蕉视频直播渙pen,香蕉视频直播 meaning they learn from your data to improve their accuracy in future transcribing.

4. IS THE AI-TRANSCRIBED INFORMATION ABOUT ME ACCURATE?

Doctors should be checking the AI transcriptions of patient visits, Mamdani at Unity Health Toronto said, noting that scribe technology requires a 香蕉视频直播渉uman in the loop.香蕉视频直播

香蕉视频直播淏asically what happens is the scribes will do their work, but the physician will obviously have to review whatever the scribe has taken down,香蕉视频直播 he said.

In its professional guidance about AI posted online, Doctors of BC cautions that not all AI scribes can accurately transcribe speech from patients who have accents.

香蕉视频直播淚f a substantial number of your patients are non-native English speakers, prioritizing an AI scribe known for its proficiency in handling diverse accents, or one that supports multiple languages, is critical,香蕉视频直播 the guidance says.

Experts say the onus is on the health-care provider to make an informed choice of AI technology and to be aware of potential patient concerns.

香蕉视频直播滻t香蕉视频直播檚 always important as a patient to feel empowered with our data and how our data will be used,香蕉视频直播 Shaikh-Naeem said.

香蕉视频直播漈he doctor must be able to answer those questions in order to give the patients the comfort around their data and the usage of AI.香蕉视频直播





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