Yeah, no privacy or security there. There are some tools explicitly designed at helping healthcare providers produce better notes faster, and a couple of them are AMAZING. I'm an AI-half-empty guy, I'm keenly aware of its shortcomings and deploy it thoughtfully, and even with my skepticism there are a couple of tools that are just plain great. I think using LLMs to create overviews and summaries is a great use of the tech.

Meanwhile they are pushing AI transcription and note taking solutions hard.

Patients are guilted into allowing the doctors to use it. I have gotten pushback when asked to have it turned off.

The messaging is that it all stays local. In reality it’s not and when I last looked it was running on Azure OpenAI in Australia.

I spoke to a practice nurse a few days ago to discuss this.

She said she didn’t think patients would care if they knew the data would be shipped off site. She said people’s problems are not that confidential and their heath data is probably online anyway so who cares.