Bob Wachter

speaker
382 appearances 1 recordings 1 series first heard Apr 2024 last heard Apr 2024

Bob Wachter’s voice in public audio — every appearance, attributed to the second.

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And the question, you know, it's it's sort of a version of anchoring bias, whether over time people would just sort of trust it and not think twice about it.
And that's kind of what humans do.
And there have been
We've seen this in other you know, one of the nice parts about
Medicine we tend to be so late to digital transformation that you can look at other industries and see how that's gone.
And in aviation, there have been a few pretty terrible high profile accidents that happened when the technology went on the you know, went on the Fritz and no longer was working, and the pilots now had to fly the plane.
And I remember interviewing Captain Sullenberger for my book and as he was describing accidents like this, he said they were flying flying a plane they were not familiar with, which is a plane without their their digital, you know, wingman.
Uh and you know, and yet the flying is safer than it was ever it has ever been because in in large part because of the digital.
So that's part of the trade off that it probably does will de skill us, will make us less good.
But if the technology is better, then maybe net it's good for it's good for patients.
I when I was in residency, uh, Alex they said, I think eventually they're gonna have this thing called an E K G.
It's really inspiring.
Yeah, I mean it's it's just natural to turn your brain off when the thing is right the vast majority of times.
And and you know, the EKG reading is right the vast majority of times, and so it's logical that people will not not get as good at that as they as your generation or my generation was.
they're doing I think they're doing it partly 'cause, you know, if they do that they have handed off an hour of work to you rather than them.
So as opposed to the really believing that you have a you know, your skill set is incredibly valuable, but really for the for the tough stuff, for the easy stuff, we should all be able to do it.
What's the first use case?
That is the first clinical use case.
Uh at UCSF today, forty of our busiest ambulatory doctors are using a digital scribe.
And I predict within two years everyone will.
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