Podcast Transcript
02:30 How “Chat GPT, MD” follows builds upon Dr. Pearl’s two earlier books in the pursuit of healthcare transformation.
04:00 Care continues to be transactional and fragmented. Can Generative AI move the industry forward?
06:00 Generative AI differs from other types of artificial intelligence.
07:00 Neural networks and deep learning support “narrow AI” models that exceed human intelligence in specific clinical use cases.
08:30 “My hope right now is to open people’s eyes to the power of generative AI to transform the healthcare system.”
10:00 How can we avoid the pitfalls of past healthcare technologies with generative AI?
10:30 The rapid advancement of AI (doubling in power every year!)
11:15 Healthcare 4.0—marked by Generative AI-enabled value-based care—will reshape the doctor-patient dynamic.
13:00 The failure of EHRs to transform healthcare. (Can we avoid the same mistakes with Generative AI?)
14:00 “Generative AI can empower patients to do 20-30% of what doctors already do in office with higher quality, increased convenience, and lower cost.”
14:30 Transitioning from fee-for-service to value-based medicine (and how that will happen in parallel with Generative AI)
15:30 Generative AI models will become at least 30X more powerful in just five years and 1,000X more powerful a mere decade from now!
17:30 Physician fears of job displacement or income loss with generative AI — are they overshadowed by the potential benefits that AI can bring to a value-based model?
19:00 The massive shortage of clinicians contributes to our failures in managing chronic diseases. (Generative AI can provide a reversal!)
21:00 How generative AI will address the extreme burnout, dissatisfaction, and fatigue experienced by physicians.
21:30 What is the problem with seeing fewer patients (and spending more time with them) if physicians are reimbursed differently?
22:30 Increasing workforce supply is not a viable option. The only solution to address a physician shortage is through technology!
23:30 Comparing the future of AI in our lives to the ubiquitous nature of the iPhone.
24:30 Reimagining chronic disease care through the triad relationship of Doctor, Patient, and Generative AI.
27:00 Health data from wearables will continue to be underutilized (and ignored) without interpretative capabilities of generative AI.
29:30 Comparing the onset of AI with other technological advancements throughout history.
31:30 Examples of how generative AI can be utilized in emergent situations to triage acute care needs.
34:30 How generative AI can support “hospital at home” models through continuous remote monitoring and health surveillance.
39:00 Potential risks of AI in healthcare (e.g. errors, privacy and security breaches, ethical dilemmas, algorithmic biases)
40:00 “With the risks of AI, is it still better than what we have in healthcare today where 400,000 people die each year from misdiagnosis?”
42:30 What revenue models will support future Generative AI platforms – subscription-based or advertising-based?
43:00 Racial disparities in care are the result of implicit human biases (not the technology of AI itself).
45:00 The scenario of generative AI making healthcare worse does not exist!
45:30 Getting the best results from generative AI by providing it the optimal prompts to improve health equity.
46:15 Dr. Pearl explains his experience in using ChatGPT as a co-author of his new book.
47:30 Now is the time for clinicians to experiment with Generative AI (it is not yet ready for prime time in the clinical domain.)
50:30 Leadership for the future of generative AI in value-based health care.
51:00 Behavioral economics and the fear of loss associated with change.
52:00 A leader’s responsibility to create an aspirational vision that instills courage to embrace change!
53:15 Moving from FFS to capitation (coupled with AI) – a remarkable opportunity for American medicine.
54:30 The elusive definition of value-based care – simplifying our understanding by focusing on terms like quality, convenience, satisfaction, and affordability.
56:00 Learn more about Dr. Pearl’s vision for healthcare transformation at www.robertpearlmd.com