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How will companies sell "central monitoring" of patient data?

Great potential industries can spring up around this

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Social media for business - keeps it away from the personal account
Similar to teams, cheaper or free for nonprofits
Schedule posts, group chats etc
Easy to use but future generations dont use FB as much
Can measure #of subscribers, chats, etc.
Mostly an in-network chat group, doesn't add much to the pt interaction

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In the home? On the phone in non-medical apps? Information management is ALREADY a problem; will continue to be an issue.

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Not enough to include in curriculum but may be interesting to discuss the future of the utility in medical practice

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Not enough to include in curriculum but may be interesting to discuss the future of the utility in medical practice

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Worried well overtaking appointments from people who are in need

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Worried well overtaking appointments from people who are in need

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Examples:
Ring devices
Scannable patches
Apple watch

Can detect data like EKG, vital signs etc. But also (soon) sweat, sputum, etc.

Accuracy: are wearables worsening the load on the system?
Spurious results (afib, etc) in normal patients
Useful for building a picture of a patient's life outside the one or two visits per year
Already used by pts and doctors; definitely here to stay; a lasting tool
Med students should learn about application of wearables but how feasible is it to incorporate into curriculum? Not enough content to make it worth including.

$$$ high cost is an obstacle to equity

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Tradeoff of human touch with the knowledge that AI is recording conversation

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Tradeoff of human touch with the knowledge that AI is recording conversation

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AI to help support scribing and interface with the EMR

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AI to help support scribing and interface with the EMR

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AI Scribes
-Can interface with EMR
-need lots of storage, wifi, robust infrastructure
-Many lessons learned from AI besides scribing
-How do we teach how to interact with pts, dealing with AI
-Garbage in, garbage out!
-Scribing - replaces a large task load and cognitive load...=wellness for providers.
-Carbon footprint is an issue
-Confidentiality is a concern
-Counter-intuitively, may allow providers to have more natural interaction with patients
-Changing culture around privacy and confidentiality is a challenge
-Lasting tool? yes BUT need to develop curricula to explain what AI is and how it is used. How do we get expertise integrated, and where? UME? college?
-Metrics might include -demonstrating reduced time allocated to digital scut work and patient satisfaction with their interactions
-Challenges: more questions than answers! What instruction do ZSOM students get? the Faculty?
-Requires buy-in from many stakeholders, not least the EMR companies