Embracing Transparency: How Digital Tools, Including AI, Enhance Patient Care
For many, the image of a doctor confidently diagnosing and treating without hesitation is reassuring. However, a common perception – often voiced with a hint of disapproval – is that a GP consulting online resources during a patient appointment suggests a lack of knowledge. I, Rammya Mathew, a GP in london, once shared that sentiment.
Early in my career, I’d discreetly check information after a patient left the room, concerned that visibly referencing guidelines might erode their trust. I worried about appearing uncertain.But my approach has evolved. Now, I routinely access relevant guidance with my patients, openly discussing my reasoning as I review it. This isn’t an admission of doubt, but a demonstration of humility and transparency. No physician can possibly retain all of medical knowledge; our dedication lies in securing the most appropriate answer for each individual.
The recent integration of artificial intelligence (AI) into clinical practice feels remarkably similar. I’ve been trialling tools like ChatGPT using real patient scenarios. the results have been striking. Within seconds, the AI generates potential management options that would previously have required critically important time to compile from numerous guidelines. Often, existing guidelines aren’t perfectly tailored to the nuances of a specific consultation, and AI’s ability to synthesize information from diverse sources proves surprisingly valuable.
It’s crucial to remember that AI isn’t infallible. Its output demands the same critical evaluation we apply to any information source. We must formulate insightful questions and rigorously assess the responses. Though, I firmly believe that, when used thoughtfully, AI can considerably enhance our clinical reasoning.
Human judgment, while essential, isn’t without flaws. We all carry inherent biases, can overlook rare conditions, and sometimes struggle to find the right balance between thorough inquiry and appropriate treatment. AI won’t eliminate these challenges, but it can help identify gaps in our knowledge, suggest alternative diagnoses, highlight crucial updates, and propose treatment options we might not have considered independently.
Medicine has always been a collaborative effort. AI, much like readily available online guidelines, is simply another skilled member of the team. It won’t replace the core of medical judgment, but it can certainly refine it. Instead of attempting to maintain the illusion of perfect recall, we should be upfront with patients about how we leverage all available tools to provide the best possible care.Ultimately, patient confidence should be rooted not in encyclopedic knowledge, but in our commitment to utilizing every resource – both human and digital - to make informed decisions.
You can follow me on X @RammyaMathew or reach me at rammya.mathew{at}nhs.net.
