AI systems can inform doctors in 'real time' when a patient’s treatment is no longer effective.
AI systems can inform doctors in 'real time' when a patient’s treatment is no longer effective.
AI systems can inform doctors in 'real time' when a patient’s treatment is no longer effective.
AI systems can inform doctors in 'real time' when a patient’s treatment is no longer effective.


How AI can become a doctor's companion


Chen Zhi Xiong
Tikki Pangestu
  • English
  • Arabic

December 27, 2024

Imagine 2027, a time when AI is expected to outperform doctors. A patient walks into a clinic. The doctor learns their history, performs an examination and orders tests. He or she feeds the data into an AI system that creates a diagnosis and a treatment plan. The doctor uses both to treat the patient.

We return to 2024. A doctor reviews the diagnosis and plan from the AI system before treating the patient because the AI-generated output is not as accurate or reliable as the human output.

In 2027, will a doctor review the AI-generated diagnosis and management plan before treatment? Would human intervention be unethical when we might worsen the AI output? A doctor’s fundamental ethical obligation is “first, do no harm”.

It is important to consider AI’s performance of a doctor’s five key roles.

First and foremost, doctors diagnose – and recent evidence shows that AI’s diagnostic effectiveness is improving.

A 2023 Harvard Medical School study demonstrated a vision-language model that outperformed doctors with challenging medical cases. A study this year at the University of California, Los Angeles demonstrated that when diagnosing prostate cancer, AI was 17 per cent more accurate than doctors. These are a few examples of AI’s improving diagnostic success.

In 2027, will we view using AI to diagnose a disease the same way we view using a calculator to subtract? When that day comes, what will the role of a doctor be? Perhaps we should see this future as an opportunity to use this new “calculator” to be better doctors.

Next, doctors are supposed to be carers. In the 1800s, Dr Edward Livingston Trudeau described their mission as: “To cure sometimes, to relieve often, to comfort always.” Today, patients are more likely to see doctors’ mission as: “To cure and relieve often, to comfort always.”

First and foremost, doctors diagnose – and recent evidence shows that AI’s diagnostic effectiveness is improving. Getty
First and foremost, doctors diagnose – and recent evidence shows that AI’s diagnostic effectiveness is improving. Getty

Can technology help doctors “comfort always”? The answer depends on whether technology is capable of sentience and sapience, and whether humans can accept care from amoral machines.

Today, scientists continue to develop AI with self-awareness, but their success has so far been limited. There are precedents for using robots for companionship, comfort and cognitive support. But what is the doctor’s role in these scenarios? How do educators prepare medical students? The hope is that AI will enhance the value of the humanistic aspects of medicine.

AI systems assist with the implementation of evidence-based treatments that increase safety and effectiveness. For example, AI systems can inform doctors in “real time” when a patient’s treatment is no longer effective. These doctors can then encourage patients to, for instance, make healthy-eating decisions.

Beyond individual patients, doctors advocate for the improvement of the health of entire communities. During pandemics, doctors mobilise populations to increase vaccination adoption with readily accessible data. Their intervention supports the integrity and authenticity of AI-generated data, as well as the detection and prevention of bias.

Doctors are also educators, and they educate medical students by sharing their skills and knowledge. But skills are constantly changing, and knowledge is increasingly interdisciplinary and includes non-medical disciplines. Few of today’s educators have knowledge of every medical specialty or those disciplines outside of medicine. AI systems can be valuable learning companions supporting multi-disciplinary learning.

With competing search engines and an information explosion, students will need to quickly analyse complex data. Doctor-educators must shift from being professors to “pathfinders” to show students how to find the path to the optimum medical and ethical answer. That way, doctors will remain central to the transformation of aptitudes and mindsets to avoid the dehumanisation of care and education.

Another role of doctors is to generate medical improvements from patient data. As AI collects large datasets and subjects them to powerful algorithms, information is collected, synthesised and disseminated instantly.

Even with AI as a knowledge-generation catalyst, doctors will remain essential for research and data collection. The majority of doctors will increasingly take on the researcher role in the AI context. It will be vital, then, for developers to mitigate the risk of humans tampering with AI-generated data. They must be aware of the ethical principles that guide doctors, including beneficence, non-maleficence, autonomy and confidentiality, which are especially relevant to the use of generative AI.

Humans cannot compete with AI’s capacity and speed. This means that AI is likely to replace humans in jobs faster than humans can transition between jobs. This is not a moment to fear. Instead, doctor-educators must embrace this freedom to discover opportunities and for students to learn, not for the sake of doing, but for the sake of understanding.

While guided by data, doctors in the AI world will solve complex problems by asking, not answering. Harnessing AI, doctors will have the freedom to ask effective questions and the time to identify the best answers, scientifically and morally. When asking these questions, the values of equity, social justice and human rights will guide them and they will become effective scientists, data guardians and vigilant protectors of humanity.

There is no need to fear 2027.

Chen Zhi Xiong is assistant dean in the Yong Loo Lin School of Medicine at the National University of Singapore

Tikki Pangestu is a visiting professor in the Yong Loo Lin School of Medicine at the National University of Singapore

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The Emirates Charity Portal

You can donate to several registered charities through a “donation catalogue”. The use of the donation is quite specific, such as buying a fan for a poor family in Niger for Dh130.

The General Authority of Islamic Affairs & Endowments

The site has an e-donation service accepting debit card, credit card or e-Dirham, an electronic payment tool developed by the Ministry of Finance and First Abu Dhabi Bank.

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You can donate online or order Smiles n’ Stuff products handcrafted by Al Noor students. The centre publishes a wish list of extras needed, starting at Dh500.

Beit Al Khair Society

Beit Al Khair Society has the motto “From – and to – the UAE,” with donations going towards the neediest in the country. Its website has a list of physical donation sites, but people can also contribute money by SMS, bank transfer and through the hotline 800-22554.

Dar Al Ber Society

Dar Al Ber Society, which has charity projects in 39 countries, accept cash payments, money transfers or SMS donations. Its donation hotline is 800-79.

Dubai Cares

Dubai Cares provides several options for individuals and companies to donate, including online, through banks, at retail outlets, via phone and by purchasing Dubai Cares branded merchandise. It is currently running a campaign called Bookings 2030, which allows people to help change the future of six underprivileged children and young people.

Emirates Airline Foundation

Those who travel on Emirates have undoubtedly seen the little donation envelopes in the seat pockets. But the foundation also accepts donations online and in the form of Skywards Miles. Donated miles are used to sponsor travel for doctors, surgeons, engineers and other professionals volunteering on humanitarian missions around the world.

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On the Emirates Red Crescent website you can choose between 35 different purposes for your donation, such as providing food for fasters, supporting debtors and contributing to a refugee women fund. It also has a list of bank accounts for each donation type.

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Noor Dubai Foundation

Sheikh Mohammed bin Rashid Al Maktoum launched the Noor Dubai Foundation a decade ago with the aim of eliminating all forms of preventable blindness globally. You can donate Dh50 to support mobile eye camps by texting the word “Noor” to 4565 (Etisalat) or 4849 (du).

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How to keep control of your emotions

If your investment decisions are being dictated by emotions such as fear, greed, hope, frustration and boredom, it is time for a rethink, Chris Beauchamp, chief market analyst at online trading platform IG, says.

Greed

Greedy investors trade beyond their means, open more positions than usual or hold on to positions too long to chase an even greater gain. “All too often, they incur a heavy loss and may even wipe out the profit already made.

Tip: Ignore the short-term hype, noise and froth and invest for the long-term plan, based on sound fundamentals.

Fear

The risk of making a loss can cloud decision-making. “This can cause you to close out a position too early, or miss out on a profit by being too afraid to open a trade,” he says.

Tip: Start with a plan, and stick to it. For added security, consider placing stops to reduce any losses and limits to lock in profits.

Hope

While all traders need hope to start trading, excessive optimism can backfire. Too many traders hold on to a losing trade because they believe that it will reverse its trend and become profitable.

Tip: Set realistic goals. Be happy with what you have earned, rather than frustrated by what you could have earned.

Frustration

Traders can get annoyed when the markets have behaved in unexpected ways and generates losses or fails to deliver anticipated gains.

Tip: Accept in advance that asset price movements are completely unpredictable and you will suffer losses at some point. These can be managed, say, by attaching stops and limits to your trades.

Boredom

Too many investors buy and sell because they want something to do. They are trading as entertainment, rather than in the hope of making money. As well as making bad decisions, the extra dealing charges eat into returns.

Tip: Open an online demo account and get your thrills without risking real money.

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Iftar programme at the Sheikh Mohammed Centre for Cultural Understanding

Established in 1998, the Sheikh Mohammed Centre for Cultural Understanding was created with a vision to teach residents about the traditions and customs of the UAE. Its motto is ‘open doors, open minds’. All year-round, visitors can sign up for a traditional Emirati breakfast, lunch or dinner meal, as well as a range of walking tours, including ones to sites such as the Jumeirah Mosque or Al Fahidi Historical Neighbourhood.

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Until the end of Ramadan, the iftar events take place from 7pm until 9pm, from Saturday to Thursday. Advanced booking is required.

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Match info

Uefa Champions League Group C

Liverpool v Napoli, midnight

UAE players with central contracts

Rohan Mustafa, Ashfaq Ahmed, Chirag Suri, Rameez Shahzad, Shaiman Anwar, Adnan Mufti, Mohammed Usman, Ghulam Shabbir, Ahmed Raza, Qadeer Ahmed, Amir Hayat, Mohammed Naveed and Imran Haider.

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Price: From Dh149,900

The burning issue

The internal combustion engine is facing a watershed moment – major manufacturer Volvo is to stop producing petroleum-powered vehicles by 2021 and countries in Europe, including the UK, have vowed to ban their sale before 2040. The National takes a look at the story of one of the most successful technologies of the last 100 years and how it has impacted life in the UAE.

Part three: an affection for classic cars lives on

Read part two: how climate change drove the race for an alternative 

Read part one: how cars came to the UAE

The specs: 2018 Bentley Bentayga V8

Price, base: Dh853,226

Engine: 4.0-litre twin-turbo V8

Transmission: Eight-speed automatic

Power: 550hp @ 6,000pm

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  • If you decide to be brave and go for it, seek professional advice and use a semi-permanent colour
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Online: The match will be broadcast live on Dubai Exiles’ Facebook page

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Date started: January 2017, app launched November 2017

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Sector: Private/Retail/Leisure

Number of Employees: 18 employees, including full-time and flexible workers

Funding stage and size: Seed round completed Q4 2019 - $1m raised

Funders: Oman Technology Fund, 500 Startups, Vision Ventures, Seedstars, Mindshift Capital, Delta Partners Ventures, with support from the OQAL Angel Investor Network and UAE Business Angels

Updated: December 27, 2024, 7:00 AM