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digipres.html
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<!DOCTYPE html>
<html lang="en"><head>
<script src="digipres_files/libs/clipboard/clipboard.min.js"></script>
<script src="digipres_files/libs/quarto-html/tabby.min.js"></script>
<script src="digipres_files/libs/quarto-html/popper.min.js"></script>
<script src="digipres_files/libs/quarto-html/tippy.umd.min.js"></script>
<link href="digipres_files/libs/quarto-html/tippy.css" rel="stylesheet">
<link href="digipres_files/libs/quarto-html/light-border.css" rel="stylesheet">
<link href="digipres_files/libs/quarto-html/quarto-html.min.css" rel="stylesheet" data-mode="light">
<link href="digipres_files/libs/quarto-html/quarto-syntax-highlighting.css" rel="stylesheet" id="quarto-text-highlighting-styles"><meta charset="utf-8">
<meta name="generator" content="quarto-1.5.57">
<meta name="author" content="Christopher Snyder, MD, PhD">
<meta name="dcterms.date" content="2024-10-02">
<title>Empowering Medical Professionals</title>
<meta name="apple-mobile-web-app-capable" content="yes">
<meta name="apple-mobile-web-app-status-bar-style" content="black-translucent">
<meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=no, minimal-ui">
<link rel="stylesheet" href="digipres_files/libs/revealjs/dist/reset.css">
<link rel="stylesheet" href="digipres_files/libs/revealjs/dist/reveal.css">
<style>
code{white-space: pre-wrap;}
span.smallcaps{font-variant: small-caps;}
div.columns{display: flex; gap: min(4vw, 1.5em);}
div.column{flex: auto; overflow-x: auto;}
div.hanging-indent{margin-left: 1.5em; text-indent: -1.5em;}
ul.task-list{list-style: none;}
ul.task-list li input[type="checkbox"] {
width: 0.8em;
margin: 0 0.8em 0.2em -1em; /* quarto-specific, see https://github.com/quarto-dev/quarto-cli/issues/4556 */
vertical-align: middle;
}
/* CSS for syntax highlighting */
pre > code.sourceCode { white-space: pre; position: relative; }
pre > code.sourceCode > span { line-height: 1.25; }
pre > code.sourceCode > span:empty { height: 1.2em; }
.sourceCode { overflow: visible; }
code.sourceCode > span { color: inherit; text-decoration: inherit; }
div.sourceCode { margin: 1em 0; }
pre.sourceCode { margin: 0; }
@media screen {
div.sourceCode { overflow: auto; }
}
@media print {
pre > code.sourceCode { white-space: pre-wrap; }
pre > code.sourceCode > span { display: inline-block; text-indent: -5em; padding-left: 5em; }
}
pre.numberSource code
{ counter-reset: source-line 0; }
pre.numberSource code > span
{ position: relative; left: -4em; counter-increment: source-line; }
pre.numberSource code > span > a:first-child::before
{ content: counter(source-line);
position: relative; left: -1em; text-align: right; vertical-align: baseline;
border: none; display: inline-block;
-webkit-touch-callout: none; -webkit-user-select: none;
-khtml-user-select: none; -moz-user-select: none;
-ms-user-select: none; user-select: none;
padding: 0 4px; width: 4em;
color: #aaaaaa;
}
pre.numberSource { margin-left: 3em; border-left: 1px solid #aaaaaa; padding-left: 4px; }
div.sourceCode
{ color: #003b4f; background-color: #f1f3f5; }
@media screen {
pre > code.sourceCode > span > a:first-child::before { text-decoration: underline; }
}
code span { color: #003b4f; } /* Normal */
code span.al { color: #ad0000; } /* Alert */
code span.an { color: #5e5e5e; } /* Annotation */
code span.at { color: #657422; } /* Attribute */
code span.bn { color: #ad0000; } /* BaseN */
code span.bu { } /* BuiltIn */
code span.cf { color: #003b4f; font-weight: bold; } /* ControlFlow */
code span.ch { color: #20794d; } /* Char */
code span.cn { color: #8f5902; } /* Constant */
code span.co { color: #5e5e5e; } /* Comment */
code span.cv { color: #5e5e5e; font-style: italic; } /* CommentVar */
code span.do { color: #5e5e5e; font-style: italic; } /* Documentation */
code span.dt { color: #ad0000; } /* DataType */
code span.dv { color: #ad0000; } /* DecVal */
code span.er { color: #ad0000; } /* Error */
code span.ex { } /* Extension */
code span.fl { color: #ad0000; } /* Float */
code span.fu { color: #4758ab; } /* Function */
code span.im { color: #00769e; } /* Import */
code span.in { color: #5e5e5e; } /* Information */
code span.kw { color: #003b4f; font-weight: bold; } /* Keyword */
code span.op { color: #5e5e5e; } /* Operator */
code span.ot { color: #003b4f; } /* Other */
code span.pp { color: #ad0000; } /* Preprocessor */
code span.sc { color: #5e5e5e; } /* SpecialChar */
code span.ss { color: #20794d; } /* SpecialString */
code span.st { color: #20794d; } /* String */
code span.va { color: #111111; } /* Variable */
code span.vs { color: #20794d; } /* VerbatimString */
code span.wa { color: #5e5e5e; font-style: italic; } /* Warning */
</style>
<link rel="stylesheet" href="digipres_files/libs/revealjs/dist/theme/quarto.css">
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/6.1.1/css/all.min.css">
<link href="digipres_files/libs/revealjs/plugin/quarto-line-highlight/line-highlight.css" rel="stylesheet">
<link href="digipres_files/libs/revealjs/plugin/reveal-menu/menu.css" rel="stylesheet">
<link href="digipres_files/libs/revealjs/plugin/reveal-menu/quarto-menu.css" rel="stylesheet">
<link href="digipres_files/libs/revealjs/plugin/quarto-support/footer.css" rel="stylesheet">
<style type="text/css">
.callout {
margin-top: 1em;
margin-bottom: 1em;
border-radius: .25rem;
}
.callout.callout-style-simple {
padding: 0em 0.5em;
border-left: solid #acacac .3rem;
border-right: solid 1px silver;
border-top: solid 1px silver;
border-bottom: solid 1px silver;
display: flex;
}
.callout.callout-style-default {
border-left: solid #acacac .3rem;
border-right: solid 1px silver;
border-top: solid 1px silver;
border-bottom: solid 1px silver;
}
.callout .callout-body-container {
flex-grow: 1;
}
.callout.callout-style-simple .callout-body {
font-size: 1rem;
font-weight: 400;
}
.callout.callout-style-default .callout-body {
font-size: 0.9rem;
font-weight: 400;
}
.callout.callout-titled.callout-style-simple .callout-body {
margin-top: 0.2em;
}
.callout:not(.callout-titled) .callout-body {
display: flex;
}
.callout:not(.no-icon).callout-titled.callout-style-simple .callout-content {
padding-left: 1.6em;
}
.callout.callout-titled .callout-header {
padding-top: 0.2em;
margin-bottom: -0.2em;
}
.callout.callout-titled .callout-title p {
margin-top: 0.5em;
margin-bottom: 0.5em;
}
.callout.callout-titled.callout-style-simple .callout-content p {
margin-top: 0;
}
.callout.callout-titled.callout-style-default .callout-content p {
margin-top: 0.7em;
}
.callout.callout-style-simple div.callout-title {
border-bottom: none;
font-size: .9rem;
font-weight: 600;
opacity: 75%;
}
.callout.callout-style-default div.callout-title {
border-bottom: none;
font-weight: 600;
opacity: 85%;
font-size: 0.9rem;
padding-left: 0.5em;
padding-right: 0.5em;
}
.callout.callout-style-default div.callout-content {
padding-left: 0.5em;
padding-right: 0.5em;
}
.callout.callout-style-simple .callout-icon::before {
height: 1rem;
width: 1rem;
display: inline-block;
content: "";
background-repeat: no-repeat;
background-size: 1rem 1rem;
}
.callout.callout-style-default .callout-icon::before {
height: 0.9rem;
width: 0.9rem;
display: inline-block;
content: "";
background-repeat: no-repeat;
background-size: 0.9rem 0.9rem;
}
.callout-title {
display: flex
}
.callout-icon::before {
margin-top: 1rem;
padding-right: .5rem;
}
.callout.no-icon::before {
display: none !important;
}
.callout.callout-titled .callout-body > .callout-content > :last-child {
padding-bottom: 0.5rem;
margin-bottom: 0;
}
.callout.callout-titled .callout-icon::before {
margin-top: .5rem;
padding-right: .5rem;
}
.callout:not(.callout-titled) .callout-icon::before {
margin-top: 1rem;
padding-right: .5rem;
}
/* Callout Types */
div.callout-note {
border-left-color: #4582ec !important;
}
div.callout-note .callout-icon::before {
background-image: url('data:image/png;base64,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');
}
div.callout-note.callout-style-default .callout-title {
background-color: #dae6fb
}
div.callout-important {
border-left-color: #d9534f !important;
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<body class="quarto-light">
<div class="reveal">
<div class="slides">
<section id="title-slide" class="quarto-title-block center">
<h1 class="title">Empowering Medical Professionals</h1>
<p class="subtitle">Leveraging GPT Models for Informatics Solutions</p>
<div class="quarto-title-authors">
<div class="quarto-title-author">
<div class="quarto-title-author-name">
Christopher Snyder, MD, PhD
</div>
</div>
</div>
<p class="date">2024-10-02</p>
</section>
<section class="slide level2">
<style>
.blue {
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}
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<style>
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</section>
<section id="financial-diclosures" class="slide level2">
<h2>Financial Diclosures</h2>
<p>I have no financial disclosures and no conflicts of interest to declare.</p>
</section>
<section id="ai-hootenanny" class="slide level2">
<h2>AI Hootenanny</h2>
<div class="columns">
<div class="column" style="width:50%;">
<h3 id="pervasive-hype">Pervasive Hype</h3>
<ul>
<li>focus is on heralding future innovation</li>
<li>my Natural Language Processing(NLP) professor around 2018 lamented that his work seems to follow him home in the news</li>
<li>will reshape our daily lives - similar to industrial revolution - eventually reaches “Singularity” - potential to “transform healthcare”</li>
</ul>
</div><div class="column" style="width:50%;">
<h3 id="sparse-real-world-problem-solving">Sparse Real-World Problem Solving</h3>
<ul>
<li>“in the wild” either doesn’t happen or isn’t talked about</li>
<li><span class="blue"><strong>Can anyone think of any examples where AI could <em>maybe</em> be applied?</strong></span></li>
</ul>
</div></div>
</section>
<section id="like-most-prophecies-ai-forcasts-are-hardly-actionable" class="slide level2">
<h2>Like Most Prophecies, ‘AI Forcasts’ are Hardly Actionable</h2>
<ul>
<li>What should I do?</li>
<li>When should I do it?</li>
</ul>
<aside class="notes">
<p>what constitutes an adaptive response depends on your assesment of Two Variables</p>
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</section>
<section id="a-timeline-for-ai" class="slide level2">
<h2>A Timeline for AI</h2>
<div class="r-stack">
<p><img data-src="src/intro/ai-hype01_boombust.jpg" class="fragment fade-in-then-out"></p>
<p><img data-src="src/intro/ai-hype02_nextbigthing.jpg" class="fragment fade-in-then-out"></p>
<p><img data-src="src/intro/ss-punnet-fragile0.png" class="fragment fade-in-then-out"></p>
<p><img data-src="src/intro/ss-punnet-fragile1.png" class="fragment fade-in-then-out"></p>
<p><img data-src="src/intro/ai-hype03_colorfultimeline.png" class="fragment fade-in-then-out"></p>
</div>
</section>
<section id="objectives" class="slide level2 scrollable">
<h2>Objectives</h2>
<ol type="1">
<li>Formative experience applying AI to pathology call</li>
<li>Why AI will let anyone do informatics</li>
<li>Demos applying AI to problems from real-world resident tenure</li>
<li>Classification System for AI application</li>
<li>A few suggestions about the future</li>
</ol>
<!--
### outline
1. Outline the mechanisms by which AI adapts and accelerates real world workflows *today* (from my tenor as a pathology resident)
2. Explain conceptually: how to anticipate when AI will be useful to apply to a particualr circumstance.
3. Demonstrate "hands-off" informatics implementation of AI solutions, also made possible by AI.
4. Give a Theoretical Basis: why proficiency in ai-tools (in-principle) should be (a) empowering and (b) eventually universal, vis-a-vis literacy
5. Introduce Diagramatically a classification system for AI-Application facilitating computer-tasks.
6. Automate Call Log Entry via an AI Application. <!-- - entry of call metadata into the pathology resident call-log form from simulated call audio. -->
<p>::: { .smaller .indent=2em} - if time, show how an AI agent can be used to append, modify, save, query, analyze past log-entries. - if time, show easy integration with downstream informatic-endpoints e.g. email notification for impending sample expiration, ai entry summarization and report generation. –></p>
</section>
<section id="calibrating-perceptions-of-informatics-a-prerequisite-to-discussing-change" class="slide level2">
<h2>Calibrating Perceptions of Informatics: <em>a prerequisite to discussing change</em></h2>
<div class="columns">
<div class="column" style="width:50%;">
<h4 id="what-is-informatics-to-you">What is Informatics to <em>You</em></h4>
<ul>
<li>baseline <em>status quo ante</em> AI</li>
<li>perceptions vary</li>
</ul>
</div><div class="column" style="width:50%;">
<img src="src/intro/aram-mojtabai-hacking.gif" alt="Hacking GIF" style="width:100%;max-width:100%;">
<p style="margin-top:10px;font-weight:bold;">
honest impressions, 2012
</p>
</div></div>
<aside class="notes">
<p>Truth -No one ever gets dramatically more efficient than a beginner Truth- No one is naturally advantaged or inclined. Informatics is naturally inclusive</p>
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</section>
<section id="informatics-is-hard-for-everyone" class="slide level2">
<h2>Informatics is Hard for Everyone</h2>
<p>Always has been <!-- , \[~~Always will be~~\] --></p>
<!-- {width="50%" max-width="50%"} -->
<h4 id="the-terminal"><strong>the terminal</strong></h4>
<ul>
<li>intimidating, unforgiving, powerful</li>
</ul>
<h5 id="previous-approach">Previous approach</h5>
<div class="sourceCode" id="cb1"><pre class="sourceCode numberSource {bash} number-lines code-with-copy"><code class="sourceCode"><span id="cb1-1"><a href=""></a>tar -czvf file.tar.gz mydata.csv </span></code><button title="Copy to Clipboard" class="code-copy-button"><i class="bi"></i></button></pre></div>
<h5 id="ai-aided-approach">AI aided approach</h5>
<div class="sourceCode" id="cb2"><pre class="sourceCode numberSource {bash} number-lines code-with-copy"><code class="sourceCode"><span id="cb2-1"><a href=""></a>gh copilot suggest "please compress my file with `tar` command</span>
<span id="cb2-2"><a href=""></a> Use the most common, generic approach.</span>
<span id="cb2-3"><a href=""></a> You know what I want...Just do the thing, please."</span></code><button title="Copy to Clipboard" class="code-copy-button"><i class="bi"></i></button></pre></div>
</section>
<section id="gene-panels-spot-the-difference" class="slide level2">
<h2>Gene Panels, Spot the Difference</h2>
<p><img data-src="src/gene-panels-03.png" style="width:30.0%"></p>
<img data-src="src/gene-panels-02.png" class="r-stretch">
</section>
<section id="gene-panels-spot-the-difference-1" class="slide level2">
<h2>Gene Panels, Spot the Difference</h2>
<div class="columns">
<div class="column" style="width:25%;">
<p><a href="https://chatgpt.com/share/66f2e625-ab44-8005-a883-686a92017a51">chatgpt thread</a></p>
</div><div class="column" style="width:75%;">
<p><img data-src="src/gene-panels-01.png"></p>
</div></div>
</section>
<section id="just-autocomplete" class="slide level2">
<h2>“Just Autocomplete”</h2>
<h4 id="a-slippery-slope"><span style="color: blue;">A Slippery Slope</span></h4>
<table class="caption-top">
<colgroup>
<col style="width: 50%">
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</colgroup>
<tbody>
<tr class="odd">
<td><strong>Text</strong> Autocomplete</td>
<td>-> next word</td>
</tr>
<tr class="even">
<td><strong>Language</strong> Translation</td>
<td><x> in Spanish would be -></x></td>
</tr>
<tr class="odd">
<td><strong>Information</strong> Transformation</td>
<td>- data representation <-> (img, txt, code.py)</td>
</tr>
<tr class="even">
<td></td>
<td>-> board material -> podcast discussing it</td>
</tr>
<tr class="odd">
<td><strong>Instruction</strong> Implementation</td>
<td>goal -> code achieving goal</td>
</tr>
</tbody>
</table>
</section>
<section>
<section id="wustl-weekly-biogram-report-analysis" class="title-slide slide level1 center">
<h1>WUSTL Weekly Biogram Report Analysis</h1>
<p>data from <a href="https://diorama.wustl.edu/weekly-report" class="uri">https://diorama.wustl.edu/weekly-report</a></p>
</section>
<section id="weekly-wustl-biogram" class="slide level2">
<h2>Weekly WUSTL Biogram</h2>
<img data-src="src/biogram-01.png" class="r-stretch"></section>
<section id="llm-driven-data-slicing-13" class="slide level2">
<h2>LLM-Driven Data Slicing (1/3)</h2>
<img data-src="src/biogram-alldata.png" class="r-stretch"></section>
<section id="llm-driven-slicing-23" class="slide level2">
<h2>LLM-Driven Slicing (2/3)</h2>
<img data-src="src/biogram-justviruses.png" class="r-stretch"></section>
<section id="llm-driven-slicing-33" class="slide level2">
<h2>LLM-Driven Slicing (3/3)</h2>
<img data-src="src/biogram-gettingworse.png" class="r-stretch"></section>
<section id="llm-driven-data-dicing" class="slide level2">
<h2>LLM-Driven Data (?)Dicing</h2>
<img data-src="src/biogram-piegraph.png" class="r-stretch"></section></section>
<section id="intermission" class="title-slide slide level1 center">
<h1>Intermission</h1>
<!-- ## Progress Outline
- [x] Introduction to "Computers that Know What You Mean"
- [ ] Why would anyone want to "talk to computers"?
- [ ] Overview of current tools and methologies
- [ ] Example walkthrough of a simple informatics task
- [ ] Recommendations for leveraging this and future transformative technologies -->
</section>
<section>
<section id="why-should-i-talk-to-computers-how-is-that-empowering" class="title-slide slide level1 center">
<h1>Why Should I Talk to Computers? How is that empowering?</h1>
</section>
<section id="communication-critical-for-humans" class="slide level2">
<h2>Communication Critical for Humans</h2>
<div class="columns">
<div class="column" style="width:50%;">
<ul>
<li>Children Universally Geared toward learning language</li>
<li>Why?
<ul>
<li>tool for learning</li>
<li>exploring feasibility</li>
<li>coordinating resources</li>
<li>accomplishing goals</li>
</ul></li>
</ul>
</div><div class="column" style="width:50%;">
<div class="quarto-figure quarto-figure-center">
<figure>
<p><img data-src="src/language/charlie01.png"></p>
<figcaption>Charlie ~ 6 weeks</figcaption>
</figure>
</div>
</div></div>
</section>
<section id="communication-critical-in-the-workplace" class="slide level2">
<h2>Communication Critical in the Workplace</h2>
<div class="columns">
<div class="column" style="width:50%;">
<ul>
<li>Doctors - Patient Bedside <!-- - Describing symptoms --> <!-- - Understanding treatment options --></li>
<li>Multi-Diciplinary Care Teams <!-- - Discussing prognosis --> <!-- - Coordinating care --></li>
<li>Blood Bank <!-- - Requires >1 person --></li>
</ul>
</div><div class="column" style="width:50%;">
<!--  -->
<p><img data-src="src/language/meeting_skinny.png"></p>
</div></div>
</section>
<section id="communication-is-empowering" class="slide level2">
<h2>Communication is Empowering</h2>
<div class="line-block"><br>
</div>
<!-- |--------------------|------------------------| -->
<table class="caption-top">
<colgroup>
<col style="width: 50%">
<col style="width: 50%">
</colgroup>
<thead>
<tr class="header">
<th>Benefit</th>
<th>Communication Example</th>
</tr>
</thead>
<tbody>
<tr class="odd">
<td>Economies of Scope</td>
<td>- enlisting adults<br>- Multi-disciplinary <br><span class="fragment" data-fragment-index="1">- <strong>learning from data</strong></span></td>
</tr>
<tr class="even">
<td>Economies of Scale</td>
<td>- cooperation <br>- minimum staffing, redundancy <br><span class="fragment" data-fragment-index="1">- <strong>automating tasks</strong></span></td>
</tr>
</tbody>
</table>
</section>
<section id="ai-key-to-efficiency" class="slide level2">
<h2>AI: Key to Efficiency</h2>
<ul>
<li>By lowering the barrier working with computers, and by expanding the pool of practitioners who can do so…</li>
<li>AI most likely <strong>will remove essentially all present operational inefficiencies</strong> of today</li>
<li>everything is worth the squeeze when you have a juicer</li>
</ul>
</section>
<section id="ai-informatic-approaches" class="slide level2 scrollable">
<h2>AI-Informatic Approaches</h2>
<ol start="0" type="1">
<li><p>task to code (by hand)</p></li>
<li><p>task as prompt</p></li>
<li><p>task to code</p></li>
<li><p>code as prompt</p></li>
</ol>
<img data-src="src/tools/aitools-flowchart-byhand.png" style="width:100.0%" class="r-stretch"></section>
<section id="ai-informatic-approaches-1" class="slide level2 scrollable">
<h2>AI-Informatic Approaches</h2>
<ol start="0" type="1">
<li>task to code (by hand)</li>
</ol>
<ul>
<li>tedious, “too literal”: always requires 100% specification</li>
</ul>
<ol type="1">
<li>task as prompt</li>
</ol>
<ul>
<li>easy, difficult to specify what you mean precisely enough</li>
</ul>
<ol start="2" type="1">
<li>task to code</li>
</ol>
<ul>
<li>Can jumpstart coding, modifying easier than writing</li>
</ul>
<ol start="3" type="1">
<li>code as prompt</li>
</ol>
<ul>
<li>sweet spot: clearly specifies what you want the output to “look like” while leaving the details to the model</li>
</ul>
</section>
<section id="uds-parse" class="slide level2 scrollable">
<h2>UDS Parse</h2>
<h4 id="task-parse-uds-screen-results-for-positive-patientdrugs-resulted">Task: parse UDS screen results for positive patient+drugs resulted</h4>
<!-- [uds_notebook](http://localhost:8888/doc/tree/drugscreen_result_parsing.ipynb){preview-links=true} -->
<p><a href="file:///Users/christophersnyder/Projects/digital-path-talk-2024/uds_parse/drugscreen_result_parsing.html" data-preview-links="true">uds_notebook</a></p>
<p>SCREEN_RESULT_COMMENT</p>
<p>“The following compounds were detected:</p>
<p>Tetrahydrocannabinol (THC)</p>
<p>Repeated and verified. Medical Director review to follow.” “The following compounds were detected:</p>
<p>Tetrahydrocannabinol (THC)</p>
<p>Repeated and verified. Medical Director review to follow.”</p>
<p>“The following compounds were detected:<br>
Benzoylecgonine (BEG) Fentanyl Tramadol O-Desmethyl tramadol Repeated and verified. Medical Director review to follow.”</p>
<p>“The following compounds were detected:</p>
<p>Amphetamine Methamphetamine Alprazolam (Xanax) Lorazepam-glucuronide</p>
<p>Repeated and verified. Medical Director review to follow.”</p>
<p>“The following compounds were detected:</p>
<p>Morphine Morphine-3-glucuronide Fentanyl</p>
<p>Repeated and verified. Medical Director review to follow.” “The following compounds were detected:</p>
<p>Tetrahydrocannabinol (THC),</p>
<p>Repeated and verified. Medical Director review to follow.” “The following compounds were detected:</p>
<p>Oxycodone,</p>
<p>Repeated and verified. Medical Director review to follow.”</p>
<p>“The following compounds were detected:</p>
<p>Amphetamine</p>
<p>Methamphetamine . . .</p>
</section>
<section id="task-as-prompt" class="slide level2">
<h2>1. Task as Prompt</h2>
<div class="columns">
<div class="column" style="width:50%;">
<ul>
<li>try <a href="https://chatgpt.com/share/66faa53f-91fc-8005-b9a6-243465db3d1d">chatgpt</a> directly</li>
<li>clearly feasible</li>
<li>difficult to specify what I mean precisely enough</li>
</ul>
</div><div class="column" style="width:50%;">
<div class="quarto-figure quarto-figure-center">
<figure>
<p><img data-src="src/tools/uds-chatgpt-01.png"></p>
<figcaption>caption: screenshot of thread with chatgpt</figcaption>
</figure>
</div>
</div></div>
</section>
<section id="task-to-code-by-hand" class="slide level2">
<h2>0. Task to Code (by hand)</h2>
<!-- ```{python} -->
<h4 id="code-to-parse-uds-screen-results-for-positive-patientdrugs">code to parse UDS screen results for positive patient+drugs</h4>
<div class="sourceCode" id="cb3" data-code-line-numbers="3-5|11|1-100"><pre class="sourceCode numberSource python number-lines code-with-copy"><code class="sourceCode python"><span id="cb3-1"><a href=""></a><span class="kw">def</span> parse_section(section: <span class="bu">str</span>) <span class="op">-></span> <span class="bu">list</span>[<span class="bu">str</span>]:</span>
<span id="cb3-2"><a href=""></a> <span class="co">"""Parses a section of the screen result for detected compounds."""</span></span>
<span id="cb3-3"><a href=""></a> start <span class="op">=</span> section.find(<span class="st">"detected:"</span>)</span>
<span id="cb3-4"><a href=""></a> end <span class="op">=</span> section.rfind(<span class="st">"Repeated"</span>)</span>
<span id="cb3-5"><a href=""></a> lines <span class="op">=</span> section[start <span class="op">+</span> <span class="bu">len</span>(<span class="st">"detected:"</span>) : end].strip().split(<span class="st">"</span><span class="ch">\n</span><span class="st">"</span>)</span>
<span id="cb3-6"><a href=""></a> compounds <span class="op">=</span> [l.strip() <span class="cf">for</span> l <span class="kw">in</span> lines <span class="cf">if</span> l.strip()]</span>
<span id="cb3-7"><a href=""></a> <span class="cf">return</span> compounds</span>
<span id="cb3-8"><a href=""></a></span>
<span id="cb3-9"><a href=""></a>results_file <span class="op">=</span> Path( <span class="st">"screen_result.txt"</span> )</span>
<span id="cb3-10"><a href=""></a>result_text <span class="op">=</span> results_file.read_text()</span>
<span id="cb3-11"><a href=""></a>sections <span class="op">=</span> result_text.split(<span class="st">'"'</span>)[<span class="dv">1</span>::<span class="dv">2</span>]</span>
<span id="cb3-12"><a href=""></a>parsed_sections <span class="op">=</span> [parse_section(section) <span class="cf">for</span> section <span class="kw">in</span> sections]</span>
<span id="cb3-13"><a href=""></a><span class="bu">print</span>(<span class="op">*</span>parsed_sections, sep<span class="op">=</span><span class="st">'</span><span class="ch">\n</span><span class="st">--------------------</span><span class="ch">\n</span><span class="st">'</span>)</span></code><button title="Copy to Clipboard" class="code-copy-button"><i class="bi"></i></button></pre></div>
<h4 id="overly-specific-hyper-granular-brittle">!“overly specific”, hyper granular, brittle</h4>
<div class="sourceCode" id="cb4"><pre class="sourceCode numberSource text scrollable number-lines code-with-copy"><code class="sourceCode"><span id="cb4-1"><a href=""></a>['Tetrahydrocannabinol (THC)']</span>
<span id="cb4-2"><a href=""></a>--------------------</span>
<span id="cb4-3"><a href=""></a>['Tetrahydrocannabinol (THC)']</span>
<span id="cb4-4"><a href=""></a>--------------------</span>
<span id="cb4-5"><a href=""></a>['Benzoylecgonine (BEG)', 'Fentanyl', 'Tramadol', 'O-Desmethyl tramadol']</span>
<span id="cb4-6"><a href=""></a>--------------------</span>
<span id="cb4-7"><a href=""></a>['Amphetamine', 'Methamphetamine', 'Alprazolam (Xanax)', 'Lorazepam-glucuronide']</span>
<span id="cb4-8"><a href=""></a>--------------------</span>
<span id="cb4-9"><a href=""></a>['Morphine', 'Morphine-3-glucuronide', 'Fentanyl']</span>
<span id="cb4-10"><a href=""></a>--------------------</span>
<span id="cb4-11"><a href=""></a>['Tetrahydrocannabinol (THC),']</span>
<span id="cb4-12"><a href=""></a>--------------------</span>
<span id="cb4-13"><a href=""></a>['Oxycodone,']</span>
<span id="cb4-14"><a href=""></a>--------------------</span>
<span id="cb4-15"><a href=""></a>['Amphetamine', 'Methamphetamine']</span>
<span id="cb4-16"><a href=""></a>--------------------</span>
<span id="cb4-17"><a href=""></a>['Amphetamine', 'Methamphetamine']</span>
<span id="cb4-18"><a href=""></a>--------------------</span>
<span id="cb4-19"><a href=""></a>['Cocaine', 'Benzoylecgonine (BEG)', 'Fentanyl', 'Ketamine']</span>
<span id="cb4-20"><a href=""></a>--------------------</span>
<span id="cb4-21"><a href=""></a>['Nordiazepam,']</span>
<span id="cb4-22"><a href=""></a>--------------------</span>
<span id="cb4-23"><a href=""></a>['Oxycodone', 'Lorazepam-glucuronide', 'Tetrahydrocannabinol (THC)', 'Fentanyl']</span>
<span id="cb4-24"><a href=""></a>--------------------</span>
<span id="cb4-25"><a href=""></a>['Methadone', 'Fentanyl']</span>
<span id="cb4-26"><a href=""></a>--------------------</span>
<span id="cb4-27"><a href=""></a>['Tetrahydrocannabinol (THC)', 'Fentanyl']</span>
<span id="cb4-28"><a href=""></a>--------------------</span>
<span id="cb4-29"><a href=""></a>['Tetrahydrocannabinol (THC)']</span>
<span id="cb4-30"><a href=""></a>--------------------</span>
<span id="cb4-31"><a href=""></a>['Hydrocodone']</span>
<span id="cb4-32"><a href=""></a>--------------------</span>
<span id="cb4-33"><a href=""></a>['Oxycodone']</span>
<span id="cb4-34"><a href=""></a>--------------------</span>
<span id="cb4-35"><a href=""></a>['Methadone,', 'EDDP (Methadone Metabolite),', 'Fentanyl,']</span>
<span id="cb4-36"><a href=""></a>--------------------</span>
<span id="cb4-37"><a href=""></a>['Tetrahydrocannabinol (THC),']</span>
<span id="cb4-38"><a href=""></a>--------------------</span>
<span id="cb4-39"><a href=""></a>['Amphetamine,']</span>
<span id="cb4-40"><a href=""></a>--------------------</span>
<span id="cb4-41"><a href=""></a>['Benzoylecgonine (BEG)', 'Tetrahydrocannabinol (THC)']</span>
<span id="cb4-42"><a href=""></a>--------------------</span>
<span id="cb4-43"><a href=""></a>['Methadone', 'EDDP (Methadone Metabolite)', 'Fentanyl']</span>
<span id="cb4-44"><a href=""></a>--------------------</span>
<span id="cb4-45"><a href=""></a>['Tetrahydrocannabinol (THC)', 'Oxycodone', 'Hydrocodone']</span>
<span id="cb4-46"><a href=""></a>--------------------</span>
<span id="cb4-47"><a href=""></a>['Methadone', 'EDDP (Methadone Metabolite)', 'Bupropion', 'Hydroxy-bupropion']</span>
<span id="cb4-48"><a href=""></a>--------------------</span>
<span id="cb4-49"><a href=""></a>['Tetrahydrocannabinol (THC)']</span>
<span id="cb4-50"><a href=""></a>--------------------</span>
<span id="cb4-51"><a href=""></a>['owing compounds were detected', 'Tetrahydrocannabinol (THC)']</span>
<span id="cb4-52"><a href=""></a>--------------------</span>
<span id="cb4-53"><a href=""></a>['7-aminoclonazepam']</span>
<span id="cb4-54"><a href=""></a>--------------------</span>
<span id="cb4-55"><a href=""></a>['Amphetamine,', 'Methamphetamine,', 'Tetrahydrocannabinol (THC),', 'Oxycodone']</span>
<span id="cb4-56"><a href=""></a>--------------------</span>
<span id="cb4-57"><a href=""></a>['Methamphetamine']</span>
<span id="cb4-58"><a href=""></a>--------------------</span>
<span id="cb4-59"><a href=""></a>['Amphetamine,', 'Methamphetamine,', 'Morphine,', 'Morphine-3-glucuronide']</span>
<span id="cb4-60"><a href=""></a>--------------------</span>
<span id="cb4-61"><a href=""></a>['Amphetamine']</span>
<span id="cb4-62"><a href=""></a>--------------------</span>
<span id="cb4-63"><a href=""></a>['Venlafaxine(Effexor)']</span>
<span id="cb4-64"><a href=""></a>--------------------</span>
<span id="cb4-65"><a href=""></a>['Cocaine,', 'Benzoylecgonine (BEG),', 'Oxycodone,', 'Fentanyl']</span>
<span id="cb4-66"><a href=""></a>--------------------</span>
<span id="cb4-67"><a href=""></a>['Benzoylecgonine (BEG),', 'Tetrahydrocannabinol (THC),', 'Methadone,', 'EDDP (Methadone Metabolite),', 'Fentanyl']</span>
<span id="cb4-68"><a href=""></a>--------------------</span>
<span id="cb4-69"><a href=""></a>['Amphetamine,', 'Methamphetamine']</span>
<span id="cb4-70"><a href=""></a>--------------------</span>
<span id="cb4-71"><a href=""></a>['Amphetamine,', 'Methamphetamine']</span>
<span id="cb4-72"><a href=""></a>--------------------</span>
<span id="cb4-73"><a href=""></a>['Lorazepam-glucuronide.']</span>
<span id="cb4-74"><a href=""></a>--------------------</span>
<span id="cb4-75"><a href=""></a>['Benzoylecgonine (BEG)']</span>
<span id="cb4-76"><a href=""></a>--------------------</span>
<span id="cb4-77"><a href=""></a>['Lorazepam-glucuronide.']</span>
<span id="cb4-78"><a href=""></a>--------------------</span>
<span id="cb4-79"><a href=""></a>['Methylphenidate (Ritalin)']</span>
<span id="cb4-80"><a href=""></a>--------------------</span>
<span id="cb4-81"><a href=""></a>['Lorazepam-glucuronide.']</span>
<span id="cb4-82"><a href=""></a>--------------------</span>
<span id="cb4-83"><a href=""></a>['Clonidine']</span>
<span id="cb4-84"><a href=""></a>--------------------</span>
<span id="cb4-85"><a href=""></a>['Tetrahydrocannabinol (THC)', 'Norbuprenorphine']</span>
<span id="cb4-86"><a href=""></a>--------------------</span>
<span id="cb4-87"><a href=""></a>['7-aminoclonazepam']</span></code><button title="Copy to Clipboard" class="code-copy-button"><i class="bi"></i></button></pre></div>
</section>
<section id="task-to-code" class="slide level2">
<h2>2. Task to Code</h2>
<p>uds_parse/drugscreen_result_parsing.ipynb</p>
<img data-src="src/tools/uds-chatgpt-code-02b.png" class="r-stretch"><p><a href="https://chatgpt.com/c/66faa511-42c4-8005-86c0-ae32a866b1b3" data-preview-link="true" style="text-align: center">chatgpt uds task -> code</a></p>
</section>
<section id="code-as-prompt" class="slide level2">
<h2>3. Code as Prompt</h2>
<img data-src="src/tools/uds-marvin-03.png" class="r-stretch quarto-figure-center"><p class="caption">Coding without Rigid Rules</p></section></section>
<section>
<section id="suggestions" class="title-slide slide level1 center">
<h1>Suggestions</h1>
</section>
<section id="low-hanging-fruit-for-ai-application" class="slide level2">
<h2>“low hanging fruit” for AI application</h2>
<ul>
<li>Flow lab dashboard
<ul>
<li>make “pull” processes “push” processes</li>
</ul></li>
<li>Txfsn Service AI Assistant for inpatient
<ul>
<li>logging, updating, retrieving, summarizing log info</li>
<li>“Jarvis-like” interface</li>
<li>addtl functions:
<ul>
<li>notifications</li>
<li>auto rounds printouts</li>
</ul></li>
</ul></li>
</ul>
<!-- ## Pursuit Angle -->
</section>
<section id="scales-of-leadership" class="slide level2 smaller">
<h2>Scales of Leadership</h2>
<div class="columns">
<div class="column" style="width:33%;">
<h3 id="tactical">Tactical</h3>
<ul>
<li>update specific lectures</li>
<li>ai elective</li>
</ul>
</div><div class="column" style="width:33%;">
<h3 id="operational">Operational</h3>
<ul>
<li>gpt-api part of onboarding</li>
<li>safe environment for prototyping and learning</li>
<li>incentivize process improvement</li>
</ul>
</div><div class="column" style="width:33%;">
<h3 id="grand-strategic">Grand-Strategic</h3>
<ul>
<li>what mentality or philosophy is most adaptive in the long-term? <!-- - How to cope with change that is accelerating? --> <!-- - What short term targets keep us relevant in the long-term? --></li>
</ul>
</div></div>
</section>
<section id="trivia-call-back" class="slide level2">
<h2>trivia call-back</h2>
<!-- ["Beast Mode"](src/pusuit_angle/BeastQuake720p.mp4) -->
<video width="100%" height="auto" controls="">
<source src="src/pusuit_angle/BeastQuake720p.mp4" type="video/mp4">
<p>Your browser does not support the video tag. </p>
</video></section>
<section id="section" class="slide level2">
<h2></h2>
<img data-src="src/pusuit_angle/ss_before.png" class="r-stretch"></section>
<section id="section-1" class="slide level2">
<h2></h2>
<img data-src="src/pusuit_angle/ss_after.png" class="r-stretch"></section>
<section id="section-2" class="slide level2">
<h2></h2>
<img data-src="src/pusuit_angle/ss_directly-chasing-the-ball.png" class="r-stretch"></section>
<section id="section-3" class="slide level2">
<h2></h2>
<img data-src="src/pusuit_angle/ss_slower-adopters-must-plan-farther-ahead.png" class="r-stretch"></section>
<section id="gist" class="slide level2">
<h2>Gist</h2>
<ul>
<li><p>We should prepare for the future like it’s already here. And, by the time we are ready, it will be.</p></li>
<li><p>It is exactly because medicine will have the most obstacles to AI adoption that we need to plan the farthest ahead.</p></li>
<li><p>Each <em>future</em> barrier to adoption makes less relevant the <em>present</em> technical limitations of AI</p></li>
</ul>
</section>
<section id="on-free-time" class="slide level2">
<h2>on free time</h2>
<h4 id="the-rate-of-return-on-an-investment-of-your-time-is-perhaps-the-highest-ever">The rate of return on an investment of your time is perhaps the highest ever</h4>
<img data-src="src/conclusion/xkcd_11th_grade.png" class="r-stretch"></section>
<section id="final-remarks" class="slide level2">
<h2>Final Remarks</h2>
<div class="line-block"><br>
</div>
<h3 id="ai---the-peripheral-nervous-system-of-the-laboratory">AI - The Peripheral Nervous System of the Laboratory</h3>
<ul>
<li>AI removes friction in informed decision making
<ul>
<li>ease of information content appreciation</li>
<li>more contextualized and timely process adaptation</li>
</ul></li>
<li>decisions only as informed as access to information</li>
<li>most data not perceptible to the 5 senses</li>
</ul>
</section>
<section id="thank-you" class="slide level2">