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Graham Walker, MD

@drgrahamwalker.com

I have a deranged hatred for 🎵Mary Had a Little Lamb🎵. The ChatGPT image generated for my article is just as deranged... and terribly accurate. blog.mdcalc.com/post/the-fu...

blog.mdcalc.comThe Future of Clinical Decision Support Is SilenceWe’ve been ignoring the lesson for twenty years. Now the stakes are higher.The Future of Clinical Decision Support is a new series from MDCalc exploring how AI, evidence, and physician judgment are reshaping medicine. These essays are intended to spark discussion about where technology is taking clinical decision support – and where physicians feel it should go. Blaring “Mary Had a Little Lamb” every 4–19 minutes from 2am to 4am in a fluorescent-lit ER has only two outcomes: insanity, or alert f

Graham Walker, MD

@drgrahamwalker.com

For years, the jingle was the song our ER bed alarms played whenever a high risk patient tried to climb out of bed. At 3am, hearing it for the 700th time that night, you start to wonder how many marbles you're going to have left when the sun comes up.

Graham Walker, MD

@drgrahamwalker.com

Somehow this trauma has become my philosophy of clinical AI.

Graham Walker, MD

@drgrahamwalker.com

For 20+ years, clinical decision support has taught us a pretty important lesson: 𝗶𝗳 𝘆𝗼𝘂 𝗶𝗻𝘁𝗲𝗿𝗿𝘂𝗽𝘁 𝗰𝗹𝗶𝗻𝗶𝗰𝗶𝗮𝗻𝘀 𝗼𝗳𝘁𝗲𝗻 𝗲𝗻𝗼𝘂𝗴𝗵 𝘄𝗶𝘁𝗵 𝘁𝗵𝗶𝗻𝗴𝘀 𝘁𝗵𝗮𝘁 𝗱𝗼𝗻’𝘁 𝗺𝗮𝘁𝘁𝗲𝗿, 𝘁𝗵𝗲𝘆 𝘄𝗶𝗹𝗹 𝗹𝗲𝗮𝗿𝗻 𝘁𝗼 𝘀𝘁𝗼𝗽 𝗹𝗶𝘀𝘁𝗲𝗻𝗶𝗻𝗴.

Graham Walker, MD

@drgrahamwalker.com

And now we’re building AI that can generate a warning, recommendation, caveat, differential, or “helpful” suggestion about basically... everything. Ruh-roh, Scooby.

19/9/26, 12:39 pm0 reposts0 likes

Graham Walker, MD

@drgrahamwalker.com

I wrote about why I think the future of clinical decision support is actually 𝘀𝗶𝗹𝗲𝗻𝗰𝗲: AI actually doing far MORE in the background, while having the judgment (and restraint) to interrupt us far LESS.