Jonathan Kentley, MBBS, MSc, research fellow at Memorial Sloan Kettering Cancer Center, talks about how dermatologists are working with artificial intelligence (AI) while ensuring patients’ voices are heard.
For physicians, patients are the number one priority, and something as revolutionary as bringing artificial intelligence (AI) into healthcare should take their perspectives into account, said Jonathan Kentley, MBBS, MSc, research fellow at Memorial Sloan Kettering Cancer Center.
How can dermatologists integrate AI into healthcare without becoming too dependent on it?
I think it’s very unlikely that AI will take over someone’s job in the near future. We are all doctors, we work as doctors. Patients want to be treated by a doctor. But I think AI will have a place in healthcare, really if it takes over the kind of mundane, day-to-day tasks, as well as a triage tool. In radiology, many AI tools are now FDA approved, [and there are] triage scans to be viewed by radiologists first. I think this will be similar for dermatology, and the pigmented lesions that need to be seen by a dermatologist soon will be the ones that will be at the top of the list especially in poor areas where people have a lot more teledermatology and less access to dermatologists .
There is also the concept of augmented intelligence, where doctors work alongside artificial intelligence. I think this is the place that’s going to play a part as well. It has been shown to be useful for primary care, as well as for training residents and aiding decisions. There is a research paper that showed that when people make their decisions with relatively low confidence, this is where augmented intelligence can help us create management plans for our patients.
With the popularization of AI, how can patients ensure that their voices are still heard?
This is a very important point. I mean, we’re doctors, and patients are the first thing that should be important to us. So we really can’t bring anything revolutionary like AI into healthcare without taking the perspective of patients into account. There has been research on patients’ opinions on AI, which are very mixed: people tend to support it, but they really don’t want to lose that personal aspect of medicine. And very worryingly, research has shown that it’s the people with higher education and higher income levels who will be more accepting of AI, and that’s a concern because we really don’t want to introduce anything that perpetuates health inequalities. . So I think before anyone really develops tools that will be rolled out to the public or implemented in healthcare systems, we really need to make sure there’s some public involvement of patients before we do that.