Cardiologist Michelle O'Donoghue and ACC CIO Ami Bhatt discuss how to use artificial intelligence to the benefit of your practice, and why it’s unlikely to replace the clinician just yet.
Senior Investigator, TIMI Study Group; Associate Professor of Medicine, Harvard Medical School; Associate Physician, Brigham and Women’s Hospital, Boston, Massachusetts
I started to experiment in it 15 years ago. In 2013, I started — every Wednesday — a telemedicine clinic for my patients with congenital heart disease who lived far away. It was my patients who drove me and led me to it. Very quickly, as a young cardiologist, you think, I went out to Worcester, Massachusetts, where a nonprofit, Girls Inc., teaches STEM. I was going there to teach 5th graders about AI. As we started working together, I said,"Let's do a demo." I was typing and one of the girls came up to me — one who hadn't been paying attention, by the way — and she said,"Would you mind, doctor, if I did this?"
Writing insurance notes. You know what needs to go in there. Teach the computer to go find it in the records, have it create a draft, and again, edit it. One of the things we're doing at the American College of Cardiology is, instead of saying,"We can give you decision support," it's"Can we navigate you to the right information at the right time?" That's the next natural step in using AI.
I think those kind of things make us feel really good about our job. I'm helping a patient sooner. I can get on the phone and call them because I have the time to do it because the AI is helping me with my reads, so I'm using the time wisely. With time and with these machine learning possibilities, one could imagine that, especially in areas that are underserved, in countries that don't have as much access to healthcare, there may be a reasonable opportunity to improve access to care through some of these automated types of approaches.If you think about cardiovascular disease burden globally, it's only going up. There will be more patients with more disease. If we just look at our workforce, it's going down.
I think there are so many different ways that AI, again, can be an assist in underrepresented areas, to really be able to say that we're going to use our workforce to the best of our ability. We're going to enable people to get the best care that they can.I don't object to the idea that, as an additional check, perhaps, AI is able to offer alternative diagnoses as something I could have missed. Many people would value having that sort of safety net in place.
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