Comment by bigmattystyles
7 days ago
I agree with almost everything you said - especially, about LLMs not being nearly ready yet. I didn't phrase that very well. The practicum and supervision, did seem very intense and thorough and I will admit that since that involved actual clients, what my wife could/should/did share about it was nearly nil so my visibility into it was just as nil.
The part I disagree with is:
>> Feeding patient files and clinical notes into a training set violates so many ethical and legal rules
I know it's unrealistic but I wonder if completely anonymized records would help or if that would remove so much context as to be useless. I guess I would allow for my anonymized enough medical records to be available for training 100 years after my death, though I get that even that is a timebomb with genetics.
And yes, obviously my comment was a personal anecdote.
i am still under the learning that it is impossible to anonymize data to the extent necessary for law enforcement and the judiciary to not be able to pierce. Furthermore, the implication here is that we'd use old notes of people long since dead to train the LLMs necessary to do this work.
Since this is a soft science, trends, names, and diagnostics have radically changed. To paraphrase Carlin: "Used to be 'shell shocked', then came 'battle fatigue', then came 'post-traumatic stress disorder'; we went from 2 syllables that accurately described it to eight syllables and we've added a dash and completely removed the humanity that may have helped these people get the attention and care they deserved."
I don't comment that flippantly.
And i wasn't really speaking to you, i didn't want to top comment, and i didn't want to read past your top comment to find a more appropriate place because i was already getting eye-twitches from all of the hot takes above your comment.