Viewpoint: The sudden removal of all Advisory Committee on Immunization Practices (ACIP) members and changes to #COVID19 vaccine policy have critically weakened the US vaccine program. #MedSky https://ja.ma/43MpHvd

"All the data in the world will not make a difference, unless there are people ready to use it." — Atul Butte, MD, PHD, FACMI 2024 Morris F. Collen Award Winner

I like these papers where the risk from subtle patterns we pick up on clinically can be somewhat quantified: pubmed.ncbi.nlm.nih.gov/40345937/ #MedicalAI #MedSky #MLSky #DigitalHealth #AIinHealthcare

Can #LLMs introspect? Can they do maths? We're back (again) busting myths about #LLMs and #AIinmedicine! Listen now: podcasts.apple.com/au/podcast/m... #MedicalAI #MedSky #FOAMed #digitalhealth

NEW: Pregnancy became far more dangerous in Texas after the state banned abortion, according to ProPublica’s first-of-its-kind analysis, which found the sepsis rate for women hospitalized as they miscarried in the 2nd trimester shot up by more than 50%. https://propub.li/43487Tj

#GPT-4 generated plain language notes improved comprehension of discharge notes, particularly in Black and Hispanic patients and those with decreased #healthliteracy. Very cool to see the practical effect of this work #MedicalAI #digitalhealth #MedSky #AI ai.nejm.org/doi/full/10....

Interesting discussion with Hoffman, ft. some concerning sidestepping about regulation, conflating any guardrails with stifling innovation. Also interesting to see the anxiety around #DeepSeek immediately leading to justification / apology for tech billionaires.. #MLSky #digitalhealth #AI

I really like the detail in this paper! Exploring the bias in #LLM responses through counterfactuals, SHAP, embeddings (oh my) and looking at intersections of gender x ethnicity 😍 TLDR: #Algorithmicbias runs deep #MedSky #MLSky #digitalhealth #healthequity arxiv.org/abs/2410.16574

This is an interesting question but does the methodology address whether an LLM is "uncertain"? It would be interesting to see how the LLM reports of confidence in an answer correspond to probability of the token for that answer... #MLSky #medsky #healthcareAI www.nature.com/articles/s41...

Ever wondered what it’s like being stuck talking to me at a party? Look no further. #MedSky #MLSky #algorithmicbias #healthcareAI

"Replacement of just 0.001% of training tokens with medical misinformation results in harmful models more likely to propagate medical errors.... Corrupted models match the performance of their corruption-free counterparts on open-source benchmarks routinely used to evaluate medical LLMs."

If RFK Jr. is confirmed. @donttreadonkids.bsky.social

Interested to see what people's thoughts are regarding this #NEJMAI perspective 🧵 #MedSky #MLSky #algorithmicbias #healthcareAI #healthequity ai.nejm.org/doi/full/10....

Great to see "TRIPOD+AI and DECIDE-AI are the highest quality guidelines with respect to rigor of development and the involvement of the stakeholders" 😄 in academic.oup.com/jamiaopen/ar... Get TRIPOD+AI from www.bmj.com/content/385/... #MLSky #StatsSky #MedSky

Check out our new paper "Tackling Algorithmic Bias and Promoting Transparency in Health Datasets: The STANDING Together Consensus Recommendations" jointly published in NEJM AI and The Lancet Digital Health, led by @jaldmn.bsky.social @xiaoliu.bsky.social

I agree with this Lancet Digital Health viewpoint that data harmonisation and funding for microbiology reference labs is a public health issue. Investment in the expertise to standardise and analyse this data in real time is also needed @thelancet.bsky.social www.thelancet.com/journals/lan...

Move over Spotify wrapped, it's time for 49 minutes of us chatting about the trends in #healthcareAI for 2024! #MLSky #MedSky #MedEd #Podcast

A cool illustration of the richness of routine laboratory data. In all the hype of #healthcareAI, this use to unveil patterns we can't perceive is particularly powerful. #MedSky #MLSky www.nature.com/articles/s41...

Nice paper - tricky case. Patient w COVID-19 isolated for 7 months, impacting rehab. Rules and interpretation of tests were too rigid for lung Tx patient, long after IPC threat had passed. Authors @priyagargiddoc.bsky.social @alyssapradhan.bsky.social et al offer some solutions!

Tagging 🩺🖥️

The opportunities, challenges and outlook for LLM-based agents in medicine and healthcare—our paper published today nature.com/articles/s42...

Welcome to bsky @jenniferdmotter.bsky.social whose work on HIV+ to HIV+ transplant contributed to this policy change 😍👏🏽 www.hhs.gov/about/news/2... #IDSky #TxID #Medsky

The ID march of shorter treatment is ok continues, this time for bacteremia (not including S. aureus). FYI, E. coli, Klebsiella, Enterococcus, and CoNS made up > 70% of organisms. By pathogen breakdown of risk difference emphasizes applicability of these results for GN bacteremia.

idsociety.quorum.us/campaign/811... #idsky #hivsky #idadvocacy #advocacy #idfellows #idfellowship Congress Is Making Funding Decisions Now: Urge Them to Protect ID/HIV Funding @idsainfo.bsky.social town hall

Getting my predictions in early 😭 #IDSky

🩺💡The Bitterman lab has spent much of the past year researching #LLMs for healthcare. This post summarizes our inroads into making LLMs safer and reliable for clinicians and patients: huggingface.co/blog/shanche.... We'll be at #EMNLP2024 - come chat if you have similar interests!

I lack the words to fully express how utterly devastating will be for public health and vaccines. The consequences will last for years and we may never fully recover. www.politico.com/news/2024/11...

One of the things I’ve really enjoyed about #AMIA2024 has been the thoughtful discussion about strategies to mitigate #algorithmicbias and promote #healthequity🧵

Hey #IDsky #MedSky 👋 Do you know your Evans-based Medicine Rules ? You can now learn them with @skepticaliddoc.bsky.social on 🦋! Welcome 🤗

A great poster from both a content and user engagement perspective! #AMIA24 #indigenoushealth

Examples of how, potentially, the routine maintenance of predictive models could allow bad actors to systematically insert trigger tokens to maliciously output an erroneous target state based on user inputs. #AMIA2024

Lots of discussion about #NLP for unstructured clinical notes over the past few days. Data from UTHealth in suicide risk detection demonstrates fine tuned #LLM > in context learning > BERT models with significant caveats of cost and training corpus size. #AMIA24 #MLSky #MedSky

Joining @smcgrath.phd on his quest to make #AMIA24 happen. Some sobering results on the very high hallucination rates of GPT-4 use for ED discharge summaries by UCSF.

Creative AIES 2024 paper by andreawwenyi.bsky.social that uses NLP to help uncover gender bias for men/women defendants. Legal experts used NLP to build consensus and evidence on annotation rules. Could have relevant tie-ins to healthcare and bias in clinical notes

Time for some shameless self promotion! If you're interested in learning more about the impacts, implementation and ethics of AI in healthcare, listen to my podcast 🤖

Celebrating joining bksy by reposting my favourite paper reviewing tip. I can’t recall the OP but this is how I use RSS feeds to game-ify looking at abstracts, hope it’s handy 🧵 #medsky #medtwitter #idtwitter #foamed #academictwitter #IDsky #academicsky

IDSky continues to grow rapidly We are now >300 users, which means we are on a third Starter Pack IDSky Starter Pack 1 go.bsky.app/LnAQjdq IDSky Starter Pack 2 go.bsky.app/JNfSvQT ID Starter Pack 3 go.bsky.app/FeogT7o Check back on the most recent one often as it is updated frequently

I’ve started an AI in healthcare starter pack! Let me know who is missing. go.bsky.app/7PeNwep

I created a starter pack for Health AI and Informatics. Mix of folks (reporters and researchers) that I think you should follow. I've got room to include more, so please tag anyone you think I should add! 🧪🩺 🤖 🛟

First day at #AMIA24, some great insights about evaluation of #LLM in healthcare. Also an apt time to scream into the #Medsky void, if you’re part of the #IDtwitter #Medtwitter #healthcareAI exodus, hmu