2.
> I'd like for doctors to focus more on the keen observation and decision parts and would not mind automated transcription of doctor / patient interactions to be reviewed and possibly have a summary forward (but not replacement of actual data) added by other staff.
The patient history we track isn't a literal transcript: it's a transcript of what we find pertinent from our clinical interview and observations. The word "pertinent" there is key; it's intimately and inseparably attached to our decision-making process and diagnostics. Think of it as a persuasive essay. The facts and the deliberation are what a medical historty is, not just a list of data. Med students spend half of med school learning the very basics of this.
> That might be an opportunity to hire/train other types of staff and gain experience in a more concrete way; much like the source article wants to make it easier for potential experts to grow in to a job.
In learning hospitals, we already have residents and med students doing this. And then an attending will come and do it again, because we're better, and this is a learned skill built around our clinical acumen, not a literal transcription.
> If there's a typical outcome given an input it's important to document the decisions that affected the selection of non-generic courses of action
The combinatorics of medicine are too huge for "typical input." That said, we justify all of our decisions, so that someone reviewing our actions can decide whether our behavior - the outcome - was justifiable given the input. The "reviewer" tends to be someone in our own specialty, though - replacing this with something standardized and codified would require, literally, encoding the entirety of medical reasoning. It's a bit beyond modern EMRs.
The patient history we track isn't a literal transcript: it's a transcript of what we find pertinent from our clinical interview and observations. The word "pertinent" there is key; it's intimately and inseparably attached to our decision-making process and diagnostics. Think of it as a persuasive essay. The facts and the deliberation are what a medical historty is, not just a list of data. Med students spend half of med school learning the very basics of this.
> That might be an opportunity to hire/train other types of staff and gain experience in a more concrete way; much like the source article wants to make it easier for potential experts to grow in to a job.
In learning hospitals, we already have residents and med students doing this. And then an attending will come and do it again, because we're better, and this is a learned skill built around our clinical acumen, not a literal transcription.
> If there's a typical outcome given an input it's important to document the decisions that affected the selection of non-generic courses of action
The combinatorics of medicine are too huge for "typical input." That said, we justify all of our decisions, so that someone reviewing our actions can decide whether our behavior - the outcome - was justifiable given the input. The "reviewer" tends to be someone in our own specialty, though - replacing this with something standardized and codified would require, literally, encoding the entirety of medical reasoning. It's a bit beyond modern EMRs.