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Building a Physician Reference for 2023 (tjcx.me)
8 points by kmgrassi on March 9, 2023 | hide | past | favorite | 1 comment



> A better version of UpToDate would integrate answers from new studies and guidelines as soon as they were published.

It should take a preponderance of evidence to update treatments. If a new study challenges current treatment protocols, it should be investigated - not added to the repertoire of treatments for physicians operating outside their specialty.

> Most of the time, doctors are looking for specific answers, not full-length articles. A doctor who searches “amoxicillin dose for 6yo with otitis media” is not trying to read a 10-page article on ear infections—she’s looking for a one-line answer like “the recommended amoxicillin dose is 40-45 mg/kg every 12 hours.”

Answers require nuance, and NLP/LLMs models aren't there yet. Physicians should read the whole article - not just look for a single answer - that's not good medicine. Also, there are apps that will spit out dosage for medications based on pt. characteristics / dx - that's not UpToDate's focus.

> Improvement #3: Allow users to add their own references.

Now this is a big one. Not just for clinic/hospital guidelines - but also insurance guidelines.

Good luck with your new product.




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