Context: I’m a second year medical student and currently residing in the deepest pit in the valley of the Dunning-Kruger graph, but am still constantly frustrated and infuriated with the push for introducing AI for quasi-self-diagnosis and loosening restrictions on inadequately educated providers like NP’s from the for-profit “schools”.
So, anyone else in a similar spot where you think you’re kinda dumb, but you know you’re still smarter than robots and people at the peak of the Dunning-Kruger graph in your field?
infuriated with the push for introducing AI for quasi-self-diagnosis and loosening restrictions on inadequately educated providers like NP’s from the for-profit “schools”.
That’s because these decisions are not being made with data, considerations for patient safety, and so on.
It has everything to do with bloated hospital administrations who eat up all the money and spend pennies on actually helping patients. It’s usually not fucking doctors who are like “you know what would be cool, if I could replace half my nurses with an AI in my phone. I would save so much money!”
It’s just one more pot to piss money away into while saying it improves something.
CEO’s and other business leaders regularly ignore data and evidence they don’t like. Look at the Return to Office fight, they don’t care about the data, they don’t care about employee satisfaction or retention, or savings in real estate. They are miserable and they want you to be miserable, too. They have more than enough money for them to weather all the bad decisions they make, because the worst parts of their bad decisions fall on the weakest and poorest in society, as usual. So they could give a damn what anyone thinks of their shitty ideas: their shitty ideas are going to happen, because they’ve got the purse-strings.
These ideas don’t come from regular people. They come from an entire class of people who is completely disconnected from what any of these decisions do. They are only making decisions for a number on a spreadsheet, and sometimes they don’t actually give a shit if the number goes down as long as they get to continue feeling in control of other people. They literally don’t care that their decisions are dumb and will hurt people, they’re going to do them anyway.
IMHO, this has fuck-nothing to do with Dunning-Krueger and everything to do with decisions made by rich out of touch twats.
We use our NPs like project managers; or, in a way that is progressive and not a death panel, a health manager. Get tests, pass results and ideas back to the GP who signs off on them, go get more tests, book a surgery, line up everything for a referral, suggest drug mods and swaps, etc. My mom just got one and she’s finally sorting her shit out. It’s so great to have like a tiger parent running your medical life.
NPs working under a physician with actual oversight is fine. The ones I have problems with are the ones that have a physician sign the hundreds of notes a month while maybe reviewing a handful, and worse, the ones pushing for independent practice without even that sham of oversight involved.
