I guess I don’t really understand where they might fit in to an emergency room scenario. My experience with Nurse Practitioners is as a person that can take on some basic GP tasks to lighten the load.

For example, on of my kids has asthma and uses a regular inhaler. Instead of taking doctors time, they can book you in with the Nurse Practitioner to get a new prescription. That makes sense to me.

I do see that here, Nurse Practitioners are given a much wider scope including being able to assess test results and make a diagnosis, though I didn’t exactly read all the material thoroughly (heaps on info in the downloads on the right on this page, in case someone reading is interested).

It does say they need 4 years of experience and 300 hours of clinical learning (from what I can tell, they decide they want to be a Nurse Practitioner and they enter a programme of focused learning in a clinical setting). This seems at least more than what is required where the other user lives so I feel a little better, even if 300 hours is only like 7 weeks, at least they need that 4 years of experience 😅

I think we might overestimate how qualified a junior doctor is after doing all the exams. This article (from 2009, well before LLMs) says junior doctors screw up in 8% of prescriptions they write, with half of the mistakes “potentially significant”. This is after any chance at having a supervising doctor review. It says pharmacists generally save the day by spotting the errors.

I also found local numbers showing about 16% of junior doctors never make it through training (the article is saying it’s actually 40%, but 16% is their “normal”). That will include burnout and other reasons for not continuing, but I’m pretty sure with such a decent proportion of people dropping out you can expect the ones that haven’t taken in enough understanding despite passing their exams are commonly dropping out as part of that group, and though LLMs may have increased the pool I doubt we can assume these people make it through training without learning what they need to know. Becoming a doctor is just so intense that it doesn’t seem likely.

As has been pointed out by someone else, our concern should probably lie in those that pass exams then go on to do medical (or other) roles without any supervision period.

I don’t think I’ve ever been to a Nurse Practitioner without knowing exactly what the outcome would be, and realistically that does take a lot of burden off doctors so long as they correctly recognise what they should and shouldn’t do.

I expect that rules will catch up with the existence of LLMs, the problem is for those few generations that have to live through the transition period…

Oh great. Just what I wanted to hear.

These Nurse Practitioners are presumably already required to be highly skilled nurses? Please tell me that’s true 😑

It’s not but the linked paper I responded to doesn’t mention LLMs?

Doctors spend months or years being supervised. If a doctor cheated on one test then maybe it would slip through, but I see this as no different to just forgetting some part of some learning from years ago, which surely happens.

If a doctor cheated on every exam, their supervisor is going to notice really quickly.

Ah this is a different risk than I thought was being implied.

This is saying if a doctor relies on AI to assess results, they lose their skill in finding them by themselves.

Honestly this could go either way. Maybe it’s bad, but if machine learning can outperform doctors, then it could just be a “you won’t be carrying a calculator around with you your whole life” type situation.

ETA: there’s a book Noise: A flaw in human judgement, that details how whenever you have human judgement you have a wide range of results for the same thing, and generally this is bad. If machine learning is more consistent, the standard of care is likely to rise on average.

I find it unlikely that this will happen for roles like doctors and nurses. There are large practical components of training, if they didn’t have the basic knowledge needed it would show through pretty quickly.

The first line says the boss lives across the street

Inb4 “that’s the message behind monopoly, it’s the whole point”

Oh sorry, was talking about guzzler. Pretty sure that pen and paper will refer to a Dungeons and Dragons style tabletop RPG.

He wants to be the guy getting paid to put stuff in the microwave.

You could use lemmy.world. They allow creating communities and if you follow the instructions your account will be auto-approved instantly.

Another is https://sh.itjust.works/ which is another general audience instance that allows creating communities.

For reference you can get the default lemmy experience at https://l.lemdro.id/

However, Lemmy allows admins to disable the ability to create communities. It looks like they have used this option.

You could always create a community somewhere that does allow it by signing up for a new account there, then appoint your original account as moderator. You should be able to continue from there as if it was on your own instance.

And just for the record, you don’t have to memorise this. The lemmy website has a spoiler button, and most apps will have it too. Voyager has it in the … menu when replying.

Looked it up, it’s that hat she’s wearing with the drinks in it.

Brand recognition is important. I have heard for many ads they don’t care if you pay attention so long as you hear/see it briefly, because you will be more likely to pick their product later when it’s the name you recognise even (especially) if you don’t remember why you know it.

Oh boy.

So myself (and others) use Nextcloud to back photos up to my self-hosted Nextcloud instance.

This creates it’s own incremental backups on a backup drive on the same server as the actual installation. I also sync the files to another drive just using the Nextcloud sync client, and these can then be read cleanly by Immich, Photoprism, whatever else I’m running that day.

I sync the photos into a paid Ente plan that I got cheap paying for 2 years to get a 5 year plan in what they said was their last ever black friday sale. End to end encrypted but hosted by them.

I then have a borg backup of all files across all the Nextcloud accounts as well as all my other self hosted stuff. This is stored on a backup disk but is also synced to Backblaze B2 storage for offsite.

I then also burned all files to Mdisc 100GB disks including a duplicate copy stored offsite.

The photos and videos I have collected over my life are very important to me, as you might be able to tell.

How many Half-Life games have we had since HL2? Like 6? 😅

They will probably do a microsoft and jump straight to HL10.