1. AI gets data about the patient and makes a diagnosis. This is NOT shown to doctor yet.
2. Doctor does their stuff, writes down their diagnosis. This diagnosis is locked down and versioned.
3. Doctor sees AI's diagnosis
4. Doctor can adjust their diagnosis, BUT the original stays in the system.
This way the AI stays as the assistant and won't affect the doctor's decision, but they can change their mind after getting the extra data.
An AI and a pair of human doctors were each given the same standard electronic health record to read – typically including vital sign data, demographic information and a few sentences from a nurse about why the patient was there. The AI identified the exact or very close diagnosis in 67% of cases, beating the human doctors, who were right only 50%-55% of the time.... The study only tested humans against AIs looking at patient data that can be communicated via text. The AI’s reading of signals, such as the patient’s level of distress and their visual appearance, were not tested. That means the AI was performing more like a clinician producing a second opinion based on paperwork.
"I don't know, let's run more tests" is also a very important ability of doctors that was apparently not tested here. In addition to all the normal methodological problems with overinterpreting results in AI/LLMs/ML/etc. Sadly I do think part of the problem here is cynical (even maniacal) careerist doctors who really shouldn't be working at hospitals. This means that even though I am generally quite anti-LLM, and really don't like the idea of patients interacting with them directly, I am a little optimistic about these being sanity/laziness checkers for health professionals.While I’m sure there can be ways in which such studies are wrong, it’s very obvious that AI can accelerate work in many of these areas where we seek out professional help - doctors, lawyers, etc.
If you have string of issues with 10 last doctors though, then issue is, most probably, you...
My wife is a GP, and easily 1/3 of her patients have also some minor-but-visible mental issue. 1-2 out of 10 scale. Makes them still functional in society but... often very hard to be around with.
That doesn't mean I don't trust your words, there are tons of people with either rare issues or even fairly common ones but manifesting in non-standard way (or mixed with some other issue). These folks suffer a lot to find a doctor who doesn't bunch them up in some general state with generic treatment. There are those, but not that often.
It helps both sides tremendously if patient is not above or arrogant know-it-all waving with chatgpt into doctor's face and basically just coming for prescription after self-diagnosis. Then, help is sometimes proportional to situation and lawful obligations.
They aren't going to take a stab at an uncommon diagnosis even if it occurs to them, if they might get sued if they're wrong.
Edit: I'm not trying to say Doctors deliberately diagnose wrong. Just that if there are two possible diagnoses, one common that matches some of the symptoms and one rare that matches all symptoms, doctors are still much more likely to diagnose the common one. Hoofbeats, horses, zebras, etc
See for example this recent paper where AI managed to beat radiologists on interpreting x-rays... when the AI didn't even have access to the x-rays: https://arxiv.org/pdf/2603.21687 (on a pre existing "large scale visual question answering benchmark for generalist chest x-ray understanding" that wasn't intentionally messed up).
And in interpreting x-ray's human radiologists actually do just look at the x-rays. In the context the article is discussing the human doctors don't just look at the notes to diagnose the ER patient. You're asking them to perform a task that isn't necessary, that they aren't experienced in, or trained in, and then saying "the AI outperforms them". Even if the notes aren't accidentally giving away the answer through some weird side channel, that's not that surprising.
Which isn't to say that I think the study is either definitely wrong, or intentionally deceptive. Just that I wouldn't draw strong conclusions from a single study here.
So I’m genuinely curious:
What is the specific capability (or combination of capabilities) that people believe will remain permanently (or at least for decades) where a top medical AI cannot match or exceed the performance of a good human doctor? Let's put liability and ethics aside, let's be purely objective about it.
Medicine is so much more than "knowledge, experience, and pattern matching", as any patient ever can attest to. Why is it so hard for some people to understand that humans need other humans and human problems can't be solved with technology?
Being a human when a patient is experiencing what is potentially one of the worst moments of their life. AI could be a tool doctors use, but let’s not dehumanize health care further, it is one of the most human professions that crosses about every division you can think of.
I would not want to receive a cancer diagnosis from a fucking AI doctor.
Nobody said that though?
If the current trajectory continues and if advancements are made regarding automated data collection about patients and if those advancements are adopted in the clinic then presumably specialized medical models will exceed human performance at the task of diagnosis at some point in the future. Clearly that hasn't happened yet.