Eric Yamga

GIM doc @chumontreal
current research fellow @crdm_ul
clinical informatics via @HarvardDBMI

[Eric Yamga @EricYamga]

@LouisMullie 😭

[Isaac Kohane @zakkohane]

AI + expertise paradox. More technical and specialized medical tasks -> easier for AI to substitute & outperform _average_ human experts. Case in point is echocardiogram interpretation. Yet it is those tasks that are better paid/reimbursed vs general primary care. HT @venkmurthy

[Cory Doctorow NO LONGER ON TWIT TER @doctorow]

Epic Systems makes the dominant electronic health record (EHR) system in America; if you're a doctor, chances are you're *required* to use it. For each hour a doctor spends with a patient, they spend *two* hours on clinically useless bureaucratic data-entry on an Epic EHR.

1/

[Ziad Obermeyer @oziadias]

Interested in using LLMs to automate writing clinical notes?

Remember stories like this, which happen all the time.

Writing = thinking. LLMs can and do help us think, but not if they are implemented thoughtlessly.

[Eric Yamga @EricYamga]

@ross_prager @VeinVidiVicid @ArgaizR Would love to see this too!

[Adam Rodman @AdamRodmanMD]

We write so much useless research that no one reads that we now have invented a new type of useless research that no one reads -- the "scoping review".

[MIT Jameel Clinic for AI & Health @AIHealthMIT]

As clinicians spend more time reading/writing notes, Sharon Jiang, Barbara Lam, @MonicaNAgrawal, @shannonzshen, Nicholas Kurtzman, Steven Horng, @karger, & @david_sontag propose an ML approach that predicts relevant clinical notes in @JAMIA_Journal https://t.co/OnXCwfIzUm

[Yann LeCun @ylecun]

How to be as "smart" as Auto-Regressive LLMs:
- memorize lots of problem statements together with recipes on how to solve them.
- to solve a new problem, retrieve the recipe whose problem statement superficially matches the new problem.
- apply the recipe blindly and declare victory.
- do not use basic logic.
- do not use common sense to check your solution.
- do not use a mental model of the situation as a sanity check.
- do not simulate the scenario in your mind using your world model.
- when someone tells you your solution is wrong, reply "I'm sorry, you are right" and apply another irrelevant recipe.

Knowledge accumulation is not a substitute for actual understanding.

[Jon Hershon @jonathanhershon]

Pathway now ranking higher than UpToDate and Medscape in the US App Store by a large margin.

Only 1 of us is top 100.

[Jon Hershon @jonathanhershon]

Very proud of the @PathwayMedical team for this one.

Explored every drug API to build this, but nothing was quite labeled and granular enough for our needs.

Built a drug database from scratch - a monumental task, unlike any other challenge we've tackled.

More to come!

[Louis Mullie, MD @LouisMullie]

@DrToddLee @AlexLawandi @nickmmark Good summary of current evidence: https://t.co/69c97um2zT

[Mintu Turakhia, MD MS @leftbundle]

This is still one of my favorites.

[DeepSeek @deepseek_ai]

🚀 DeepSeekMath: Approaching Mathematical Reasoning Capability of GPT-4 with a 7B Model.

Highlights:
- Continue pre-training DeepSeek-Coder-Base-v1.5 7B with 120B math tokens from Common Crawl.
- Introduce GRPO, a variant of PPO, that enhances mathematical reasoning and reduces training resources.

More Details：https://t.co/lw5u1BWK3U
Model Download：https://t.co/d06dFvQp8r
GitHub Repo：https://t.co/0FQdIuPLNW

#DeepSeek #DeepSeekMath

[Eric Yamga @EricYamga]

@jonathanhershon Agreed with all the points made! I would also add that it is essential that whatever the solution is, it needs to integrate seamlessly into physicians workflow.

[Jon Hershon @jonathanhershon]

@itsdrhartmann @naval We do this at @PathwayMedical

Our AI generates answers based on high-yield, evidence-based literature and our structured medical knowledge graph.

Physicians love it so far.

[Eric Yamga @EricYamga]

The LLM-augmented doctor is indeed safer, better and more reliable. @PathwayMedical is showing early signs of this!

[Jon Hershon @jonathanhershon]

@naval AI will not replace docs, but it will augment them. We're already doing this at @PathwayMedical - our AI searches across all high-yield medical literature and gives fast, concise, and reference-backed answers to clinical questions in seconds.

[Eric Yamga @EricYamga]

@khudhur_moh @drewskiMD @zakkohane @GauravSingalMD let me know your thoughts!

[Ghassan Abu Sitta, Chair of Conflict Medicine AUB @GhassanAbuSitt1]

I left Gaza yesturday.
My heart and my soul are still there with my patients. I remember their names and their wounds. I will fight until they receive the treatment they need and the justice they deserve.
My heart is broken in ways I never knew was possible.

[Eric Yamga @EricYamga]

La désillusions en IA est évitable en mettant en place des équipes multidisciplinaires qui sauront identifier des projets prometteurs.

[Eric Yamga @EricYamga]

Triste constat qui rappelle l'aspect clé de l'IA en santé : définir des problèmes réels pour lesquels des solutions sont implémentables. #polqc
https://t.co/SeOQC5xe4L