Bjorn Watsjold

@ivanzvonarmd at a Pels game you might get this

@doc_BLocke @JAMAInternalMed Protecting the trope “the procedure was technically perfect, nonetheless the patient died.”

@doc_BLocke @JAMAInternalMed Though in this case, (2) looks to be a logic statement, if something is adjudicated to be an error, there is a process fault, thus, if we can’t find a process fault, there isn’t an error

Among hospitalized adults transferred to the ICU or who died in the hospital, diagnostic errors were common, harmful, and had underlying causes, which can be used to design future interventions. ja.ma/3NQSWEL

This report is a short but powerful review of police dog injuries, and the injustices underlying their use. I want to illustrate their report with a few of the cases 🧵

Supervising medical student sim lab—there should be acting awards for playing sim and standardized patients

@jeremyfaust Also, hard disagree that we think like LLMs, but that may be a discussion for another day

@jeremyfaust But as we engage further with “how to think with GPT,” move towards authorship criteria, validity or liability of judgments made with AI, we need better metaphors for how this works and what is happening. We can blame AI as a separate agency, but we’re behind the curtain

AI in medicine update. How I use it and what the latest research shows… open.substack.com/pub/insidemedi…

@jeremyfaust A better metaphor might be that of Otto’s notebook, in which we consider whether a notepad used to record and recall ideas and plans is part of Otto’s thinking or is just an artifact. GPT can present statistical prose, soon will be able to calculate and may even get Bayesian…

@jeremyfaust This seems to confound the statistical generation of prose with reasoning and contributes to the anthropomorphism of gpt. I think that’s a mistake, despite the useful ways you’ve applied it to your work.

@EmpiricGame @dr_dmorgan @AdamRodmanMD @ldscherer Completely agree. I don’t know both specificity and sensitivity for any test off the top of my head, much less apply them in practice, but I also think few doctors have a sense of baseline/pretest risk. Nonetheless, improved testing numeracy helps conceptually when using tests.

@docbjorn @dr_dmorgan @AdamRodmanMD @ldscherer I pretty much never think about numbers when making a diagnosis. I think brains work good when you get lots of repetitions with high quality feedback (which is the tough part).

Excited about SXSW proposal w/ @AdamRodmanMD & @ldscherer Can a Game Teach Doctors To Better Diagnose Patients? Please vote for us on PanelPicker! shar.es/afNdPc before 8/20.

@EmpiricGame @dr_dmorgan @AdamRodmanMD @ldscherer This is strong evidence that Gerd Gigerenzer should be taught in medical school…would still be simpler if it was just likelihood ratios

@dr_dmorgan @AdamRodmanMD @ldscherer @docbjorn this sounds like you're kind of thing

Privatization of public services — hospitals, schools, prisons — results in lower quality services. Worse, it results in corruption, theft of public dollars, and fraud. CT allowed a national healthcare company to buy three community hospitals—a disaster! propublica.org/article/invest…

@TChanMD @erikwdriessen @mededdoc There may still be room for a reflection on how validity arguments should be made for the use of LLMs

@erikwdriessen @docbjorn @mededdoc Lol. Bjorn are you actually doing this? T

Want to be one of the most cited researchers over the next 20 years? Develop STARD or similar reporting guidelines for AI-classified data. Assessments will be automated, how much bias will be hidden if we don't anticipate how and why it occurs? @mededdoc @erikwdriessen @TChanMD

@TChanMD @erikwdriessen @mededdoc I should have spent 2 minutes on google scholar, @dmoher may have already done it bmjopen.bmj.com/content/11/6/e…

@TChanMD @erikwdriessen @mededdoc I feel like we need someone with a little more background in LLMs to be the insider? I’ve done a lot of skeptical reading, but we probably need a counterpoint

@TChanMD @erikwdriessen @mededdoc The original tweet was more a request to the #meded world, but if a team is assembling we might just have to go ahead and do it.

@EmpiricGame Gotcha, and heart player gets stuck with all the fluid cards even though their hand is too full

@docbjorn Totally. Kidney player keeps asking brain player to pass more hormones.

In an attempt to use social media more productively I am going to go through this book and brainstorm how a board game mechanic would fit an educational goal. Once a day or so. #BBTGD

@EmpiricGame Could also develop objectives that can’t be completed individually to reflect interdependence

Cooperative game. This one pops up in articles about teaching atitudes about interprofessionalism or skills for communication. Maybe we could make something about homeostasis. Mini games for player as kidney, guy and brain. If the sodium drops under 130 you lose.