TDP 150: Yale’s CHIO Dr. Allen Hsiao: Why AI draft responses to patient portal messages have underwhelmed so far, Using AI scribes in the ED, and How to use MyChart for Equitable Research Participation

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On this episode of The Digital Patient, Dr. Joshua Liu, Co-founder & CEO of SeamlessMD, and marketing colleague, Alan Sardana, chat with Dr. Allen Hsiao, CHIO at Yale New Haven Health System and Yale School of Medicine, about "Why AI draft responses to patient portal messages have underwhelmed so far, Using AI scribes in the ED, How to use MyChart for Equitable Research Participation, and more..." Click the play button to listen or read the show notes below.
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Audio:

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Guest(s):

• Dr. Allen Hsiao, CHIO at Yale New Haven Health System and Yale School of Medicine
• Dr. Joshua Liu (@joshuapliu), Co-founder & CEO at SeamlessMD

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‍Episode 150 - Show Notes:

[00:00:07] Episode preview

[00:04:40] Introducing Dr. Allen Hsiao

[00:04:21] Dr. Hsiao’s Journey in Pediatrics and Emergency Medicine

[00:09:37] A pivotal experience—enabled by the EHR—that helped provide accurate life-saving information and cemented Dr. Hsiao's journey into informatics

[00:13:07] The importance of having more clinicians in informatics to balance technological possibilities with real-world needs

[00:18:54] Dr. Hsiao talks about Yale’s experience using generative AI to help clinicians draft responses to patient messages, emphasizing the mixed adoption rates

[00:24:56] Fine-Tuning AI for Personalization

[00:28:38] The Impact of Ambient AI in Emergency Medicine

[00:32:56] Challenges and Innovations for Ambient AI in Different Settings, including inpatient

[00:41:25] Dr. Hsiao explains Yale’s “opt-out” approach to research participation, allowing patients to receive relevant clinical trial opportunities directly through their patient portal

[00:44:37] Using Community Leaders to Increase Research Diversity

[00:49:16] Balancing Technology and Relationships in Healthcare; the 5 and 95%

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Fast 5 Lightning Round:‍

1. Favorite book or book you've gifted the most:
   Wizard’s First Rule by Terry Goodkind.
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2. Person to Meet—either dead or alive:
   His grandparents, whom he never had the chance to know.
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3. Super strength, super speed, or mind reading:
   Super strength.
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4. Something in Healthcare You Find Insane:
   Denial in patients facing serious health issues—Some patients will convince themselves their symptoms are nothing serious until it’s almost too late.
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5. Last Film/TV Show:
   Outlander.