The Promise of AI in Medicine with Eric Topol, MD

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The Nocturnists 55 min 1 speaker 8 chapters transcribed 9 hours ago
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What announcements and background set the stage for the AI in medicine discussion?

Emily Silverman 0:00
Hey everyone, we're so excited to be back this summer with a new batch of Conversations episodes, so you'll be hearing those over the next few weeks. But before we dive into today's episode, I wanted to drop a couple announcements. First, my friend and colleague Dr. BJ Miller and his organization, Metal Health, are hosting an annual convening in Nevada City, California on August 17th at the Historic Nevada Theater. I'm super honored to be included in this year's lineup, where I'll be speaking with occupational therapist Natalie Crittenden about her work. Metal Health offers online palliative and holistic care, so check them out if you're interested in learning more. And if you're in the Nevada, California area and you want to come to this event, visit their website and grab tickets.
Emily Silverman 0:48
We'd love to see you there. Second, I wanted to bring your attention to an article that came out recently in the New York Times called The Moral Crisis of America's Doctors. It was written by a journalist named Eyal Press, and I thought he did a great job explaining how the corporatization of health care is causing moral injury among frontline clinicians. So if you're interested in checking that out, you can search for it in The New York Times. Again, it's called The Moral Crisis of America's Doctors. Now on to today's episode. Support for The Nocturnist comes from the California Medical Association.
Unknown 1:22
At The Nocturnist, we are careful to ensure that all stories comply with healthcare privacy laws. Details may have been changed to ensure patient confidentiality. All views expressed are those of the person speaking and not their employer.
Emily Silverman 1:42
You're listening to The Nocturnist Conversations. I'm Emily Silverman. Artificial intelligence seems to have found its way into almost every aspect of our lives, and healthcare is no exception. From diagnosis to treatment to communication to clinical documentation, AI is already reshaping the very foundations of how we practice. Today's guest, cardiologist Eric Topol, was writing about AI way before it went mainstream. His book, Deep Medicine, How Artificial Intelligence Can Make Healthcare Human Again, unravels the mysteries behind AI, delves into its potential to revolutionize diagnosis, prognosis, and more. And it was published all the way back in 2019. Clearly, this book was way ahead of its time.
Emily Silverman 2:31
Eric is a professor of molecular medicine, editor-in-chief of Medscape, and founder and director of the Scripps Research Translational Institute. He's published 1,200 peer-reviewed articles and is one of the top 10 most cited researchers in medicine. And he's authored three books, The Creative Destruction of Medicine, The Patient Will See You Now, and Deep Medicine, which I mentioned before. Eric also publishes a Substack newsletter called Ground Truths. In my conversation with Eric, we discuss what we understand and don't understand about how AI works, how we grapple with that uncertainty, the ways AI is or can be applied in healthcare, and ultimately, his optimistic thesis that AI can actually help us bring humanity back to medicine.
Emily Silverman 3:21
But first, here's Eric reading an excerpt from his book, Deep Medicine.
Eric Topol 3:30
We're still in the earliest days of AI in medicine. The field is long on computer algorithmic validation and promises, but very short on real world clinical proof of effectiveness. But with the pace we're seeing in just the past few years, With machines outperforming humans on specific narrow tasks and likely to accelerate and broaden, it is inevitable that narrow AI will take hold. Workflow will improve for most clinicians, be it by faster and more accurate reading of scans and slides, seeing things that humans would miss, or eliminating keyboards so that communication and presence during a clinic visit is restored. At the same time, individuals who so desire will eventually gain the capacity to have their medical data seamlessly aggregated, updated, and processed along with all the medical literature to guide them, whether for an optimal diet or their physical or mental health.

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