I am experiencing some of the fighting at USAID where I am doing work in assistance in global health. But nowadays, there are chess competitions where it's the laptop computer plus the human being together that beat any computer on its own, because of the combination of a human being learning how to work with the strengths and the weaknesses of the algorithm.
Now, laptop-level computers are beating him at his game. Gary Kasparov has written beautifully about getting beaten by IBM Deep Blue as a world champion chess player and being humbled by a computer. I can get from AI the treatment algorithm, I can get the perspective and the diagnosis, but the combination of the two together is what the magic is. That whole conversation we just had about mortality is a conversation about something only a doctor can do, which is having a conversation with someone about what their goals are for their care and how to match the treatment algorithm to their goals. If we use them in ways that turn off our brains for the spaces where we can add value, then we're in trouble.
In the world of AI, we are now entering a space where we have more and more tools that can enable us to be performing at a higher level than we would otherwise perform. The safe surgery checklist, the story I described of applying it in that context, in a way that has reduced mortality from surgery, it's designed to turn everyone's brain on by saying, "Have you discussed in the room the goals of the patient and anything non-routine about this patient's past medical history before you proceed? Have you made sure that your team tells you the instruments that you need and anticipate are ready? That you've addressed how much blood volume and blood loss everyone should be prepared for?" So, it's turning everyone's brain on instead of turning them off. Some checklists turn off your brain and some checklists turn on your brain.
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