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Artificial intelligence not always helpful for reducing doctor burnout, studies suggest

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Artificial intelligence not always helpful for reducing doctor burnout, studies suggest

The use of generative AI may not be helpful in reducing burnout in health care, new research suggests.

Previous research indicated that increased time spent using electronic health record (EHR) systems and handling administrative responsibilities has been a burden on doctors.

So some people had heralded artificial intelligence as a potential solution — yet recent investigations by U.S. health systems found that large language models (LLMs) did not simplify clinicians’ day-to-day responsibilities.

WHAT IS ARTIFICIAL INTELLIGENCE (AI)?

For instance, a 2023 observational study at Brigham and Women’s Hospital in Boston, Massachusetts, examined the impact of using AI for electronic patient messaging.

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Researchers prompted a large language model to respond to simulated questions from cancer patients — then compared its output to responses from six board-certified radiation oncologists.

Medical professionals then edited the AI-generated responses into “clinically acceptable” answers to send to patients.

New studies suggest that generative AI might not help burnout among physicians, as had been previously thought. (iStock)

The study, published in The Lancet Digital Health, found that the LLM drafts posed “a risk of severe harm in 11 of 156 survey responses, and death in one survey response.”

“The majority of harmful responses were due to incorrectly determining or conveying the acuity of the scenario and recommended action,” the researchers wrote.

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The researchers concluded that LLM-assisted results (those edited by physicians) displayed a “best-of-both-worlds scenario” — reducing physician workload while ensuring that patients get accurate information.

“These early findings … indicate the need to thoroughly evaluate LLMs in their intended clinical contexts, reflecting the precise task and level of human oversight,” the study concluded.

Researchers concluded that LLM-assisted results displayed a “best-of-both-worlds scenario,” reducing physician workload while ensuring consistency of responses and improving the education of patients. (iStock)

Medical billing codes 

Another study from New York’s Mount Sinai Health System evaluated four different types of large language models for performance and error patterns when querying medical billing codes.

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The research, published in the journal NEJM AI, found that all tested LLMs performed poorly on medical code querying, “often generating codes conveying imprecise or fabricated information.” 

The study concluded, “LLMs are not appropriate for use on medical coding tasks without additional research.” The study was funded by the AGA Research Foundation and National Institutes of Health (NIH).

One study found that all tested LLMs performed poorly on medical code querying — and that the issue needs further research.  (iStock)

Researchers noted that although these models can “approximate the meaning of many codes,” they also “display an unacceptable lack of precision and a high propensity for falsifying codes.” 

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“This has significant implications for billing, clinical decision-making, quality improvement, research and health policy,” the researchers wrote.

Patient messages and physicians’ time

A third JAMA Network-published study, from the University of California San Diego School of Medicine, evaluated AI-drafted replies to patient messages and physicians’ time spent editing them.

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The assumption was that generative AI drafts would lessen a physician’s time spent doing these tasks — yet the results showed otherwise.

“Generative AI-drafted replies were associated with significantly increased read time, no change in reply time, significantly increased reply length and [only] some perceived benefits,” the study found.

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Researchers suggested that “rigorous empirical tests” are needed to further assess AI’s performance and patients’ experiences.

In the UC San Diego study, generative AI was found to cause “increased read time, no change in reply time [and] significantly increased reply length” in patient messages. (iStock)

Doctor’s thoughts on AI

David Atashroo, M.D., chief medical officer of Qventus, an AI-powered surgical management solution in Mountain View, California, reacted to the research findings in an interview with Fox News Digital. (He was not involved in the research.)

“We see an immense potential for AI to take on lower-risk, yet highly automatable tasks that traditionally fall on the essential yet often overlooked ‘glue roles’ in health care — such as schedulers, medical assistants, case managers and care navigators,” he said.

“It’s crucial to set realistic expectations about [AI’s] performance.’

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“These professionals are crucial in holding together processes that are directly tied to clinical outcomes, yet spend a substantial portion of their time on administrative tasks like parsing faxes, summarizing notes and securing necessary documentation.”

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In automating these tasks, Atashroo suggested that generative AI could help improve the efficiency and effectiveness of clinical care.

“When considering the deployment of generative AI, it’s crucial to set realistic expectations about its performance,” he said. 

“The standard cannot always be perfection, as even the humans currently performing these tasks are not infallible.”

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“The standard cannot always be perfection, as even the humans currently performing these tasks are not infallible,” an AI expert said. (iStock)

In some scenarios, he suggested, AI could help serve as a “safety net” to catch any oversights of team members.

Tasks may sometimes go unaddressed “simply because there isn’t enough time to tackle them,” Atashroo noted.

“Generative AI can help manage cases more consistently than our current capacity allows.”

“When considering the deployment of generative AI, it’s crucial to set realistic expectations about its performance.”

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Safety and efficacy are “paramount” in AI applications, the doctor also noted.

“This means not only developing models with rigorous quality checks, but also incorporating regular assessments by human experts to validate their performance,” he said. 

“This dual-layer verification ensures that our AI solutions are both responsible and reliable before they are scaled.”

Atashroo also noted that “transparency in the development and implementation of AI technologies is essential in building trust among hospital partners and patients.”

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Always running late? The real cost to your relationships may surprise you

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Always running late? The real cost to your relationships may surprise you

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Chronic lateness is known to be a common annoyance, often leading to strain within relationships, experts have confirmed.

And for some people who struggle to be on time, the reasons may go far beyond poor planning.

Psychotherapist and author Jonathan Alpert told Fox News Digital that chronic lateness often stems from a combination of psychological patterns and neurobiological factors that people may not realize are influencing them.

ALWAYS RUNNING LATE? A MENTAL HEALTH CONDITION COULD BE TO BLAME, EXPERTS SAY

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“For some people, it’s personality-driven. They’re distractible, optimistic about how long things take, or simply not tuned into the impact on others,” the New York-based expert said.

For others, the issue stems from neurobiological differences that affect how the brain manages time.

Chronic lateness may not stem from poor planning, but from psychological and neurobiological factors. (iStock)

That can make it harder to estimate how long tasks take or to transition from one activity to the next, leading to chronic lateness, according to Alpert.

Impact on relationships

In addition to disrupting schedules, chronic lateness may also strain relationships and create tension.

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“Lateness erodes trust. Over time, it sends the message that someone else’s time is less important, even if that’s not the intent,” Alpert noted.

7 SIGNS YOU MIGHT HAVE ADHD AND WHAT STEPS TO TAKE

Lateness can also become an issue in the workplace, where repeated delays can undermine teamwork and harm a person’s reputation.

These patterns are common among people with ADHD, who often experience what is known as “time blindness,” making it difficult to recognize how quickly minutes pass or how long tasks truly take.

“Adding 10 to 15 minutes of buffer between activities reduces the frantic rushing that leads to chronic lateness.”

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ADHD is strongly associated with executive-function difficulties, which are the skills needed to stay organized, plan ahead and focus on essential details, according to the Attention Deficit Disorder Association. 

When these abilities are weaker, it becomes more challenging to gauge time, follow a schedule and meet deadlines, which can impact personal and professional relationships, experts agree.

Frequent tardiness in a work setting can throw off group efforts and leave others with a negative impression of the employee. (iStock)

Underlying patterns

Anxiety, avoidance and perfectionism are patterns that Alpert most often sees in people who tend to run late, he noted.

“Many chronically late individuals don’t intend to be disrespectful. They’re overwhelmed, anxious or trying to squeeze too much into too little time,” he said.

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These emotional patterns often show up in different ways. For some, anxiety can make it difficult to begin even simple tasks, pushing everything behind schedule before the day has even started, according to Alpert.

For others, the struggle happens in the in-between moments. Shifting from one activity to another can feel surprisingly uncomfortable, so they linger longer than intended and lose time without noticing.

Anxiety is a major factor behind why some people have trouble being on time, according to experts. (iStock)

Others may get caught up in the details, as perfectionism keeps them adjusting or “fixing one more thing” as the minutes slip away, Alpert said.

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Another major factor, the expert shared, is that many people simply misjudge how long tasks take. Their internal sense of time is often inaccurate, which leads them to assume they can fit far more into a day than is realistically possible.

‘Time audit’

Alpert often recommends that his clients perform a simple “time audit,” where they track how long they think a routine task will take and then time it in real life. This can help them rebuild a more accurate internal clock, he said.

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“Adding 10 to 15 minutes of buffer between activities reduces the frantic rushing that leads to chronic lateness,” he said.

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Many people with ADHD have a difficult time recognizing how quickly minutes pass or how long tasks truly take. (iStock)

Despite the challenges lateness can create, Alpert said people don’t have to be stuck with these habits forever. With the right support and consistent strategies, meaningful change is possible.

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“Strong routines, alarms, checklists and accurate time estimates compensate for traits that don’t naturally disappear,” he added.

People who find that lateness is affecting their everyday life and relationships may benefit from discussing their concerns with a healthcare provider or mental health professional.

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Holiday heart attacks rise as doctors share hidden triggers, prevention tips

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Holiday heart attacks rise as doctors share hidden triggers, prevention tips

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The holidays are known to be a source of stress, between traveling, preparing for family gatherings and indulging in lots of food and drinks.

The uptick of activity can actually put a strain on the heart, a phenomenon known as “holiday heart syndrome.”

Cardiothoracic surgeon Dr. Jeremy London addressed this elevated risk in a recent Instagram post, sharing how heart attacks consistently rise around the holidays.

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“Every year, like clockwork, we see a spike in heart attacks around Christmas and New Year’s,” the South Carolina-based surgeon said. “In fact, Christmas Eve is the highest-risk day of the year.”

This is due to a shift in behavior, specifically drinking and eating too much, moving less and being stressed out, according to London. “Emotional stress, financial stress, the increased pace of the holidays, increased obligations,” he listed.

Cold weather also causes vasoconstriction (narrowing of blood vessels), according to London, which increases the risk of plaque rupture and the potential for heart attack.

CUTTING OUT ALCOHOL AND MEDICATING SOONER COULD PREVENT ‘SILENT KILLER,’ EXPERTS SAY

Dr. Glenn Hirsch, chief of the division of cardiology at National Jewish Health in New York, noted in an interview with Fox News Digital that holiday heart syndrome typically refers to the onset of an abnormal heart rhythm, or atrial fibrillation.

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This can happen after an episode of binge-drinking alcohol, Hirsch said, which can be exacerbated by holiday celebrations.

Binge-drinking at any time can drive atrial fibrillation, a cardiologist cautioned. (iStock)

“It’s often a combination of overdoing the alcohol intake along with high salt intake and large meals that can trigger it,” he said. “Adding travel, stress and less sleep, and it lowers the threshold to go into that rhythm.”

The biggest risk related to atrial fibrillation, according to Hirsch, is stroke and other complications from blood clots. Untreated atrial fibrillation can lead to heart failure after a long period of time.

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“The risk of atrial fibrillation increases with age, but also underlying cardiovascular disease risk factors increase the risk, such as high blood pressure, obesity, diabetes, sleep apnea and chronic kidney disease,” he added.

Christmas Eve is the “highest risk day of the year” for heart attacks, according to one cardiologist. (iStock)

Preventing a holiday heart event

Holiday heart syndrome is preventable, as Hirsch reminds people that “moderation is key” when celebrating.

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The expert recommends avoiding binge-drinking, overeating (especially salty foods) and dehydration, while managing stress levels and prioritizing adequate sleep.

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“Don’t forget to exercise,” he added. “Even getting in at least 5,000 to 10,000 steps during the holiday can help lower risk, [while] also burning some of the additional calories we are often consuming around the holidays.”

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London agreed, stating in his video that “movement is medicine” and encouraging people to get out and move every day.

The various stresses of the holidays can have physical consequences on the body, doctors warn. (iStock)

It’s also important to stay on schedule with any prescribed medications, London emphasized. He encourages setting reminder alerts, even during the holiday break.

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“Prioritize sleep and mindfulness,” he added. “Take care of yourself during this stressful time.”

London also warned that many people delay having certain health concerns checked out until after the holidays, further worsening these conditions.

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“Don’t ignore your symptoms,” he advised. “If you don’t feel right, respond.”

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‘Aggressive’ new flu variant sweeps globe as doctors warn of severe symptoms

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‘Aggressive’ new flu variant sweeps globe as doctors warn of severe symptoms

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Flu season is among us, and a new strain has emerged as a major threat.

Influenza A H3N2, or the subclade K variant, has been detected as the culprit in rising global cases, including in the U.S.

In an interview with Fox News Digital, Dr. Neil Maniar, professor of public health practice at Boston’s Northeastern University, shared details on the early severity of this emerging strain.

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“It’s becoming evident that this is a pretty severe variant of the flu,” he said. “Certainly in other parts of the world where this variant has been prevalent, it’s caused some severe illness, and we’re seeing an aggressive flu season already.”

Influenza A H3N2, or the subclade K variant, has been detected as the culprit in rising global cases. (iStock)

The variant seems to differ from prior strains of the flu, with heightened versions of typical symptoms like fever, chills, headache, fatigue, cough, sore throat and runny nose.

Subclade K is the “perfect storm” for an aggressive flu season, Maniar suggested, as vaccination rates overall are down and this year’s flu vaccine does not address this specific strain.

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“The vaccine is very important to get, but because it’s not perfectly aligned with this variant, I think that’s also contributing to some degree to the severity of cases we’re seeing,” he said. “We’re going in [to this flu season] with lower vaccination rates and a variant that in itself seems to be more aggressive.”

“There’s a lot of concern that this could be a particularly difficult flu season, both in terms of the total number of cases [and] the severity of those cases.”

Staying indoors during the colder months increases the risk of exposure to winter illness. (iStock)

Because subclade K is “quite different” from prior variants, Maniar said there is less natural immunity at the community level, further increasing the risk of spread and severity.

Those who are unvaccinated are also at risk of experiencing more severe symptoms, as well as a higher risk of hospitalization, the doctor emphasized.

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In addition to getting vaccinated, the doctor recommends washing hands frequently and properly. While the flu can spread via airborne transmission, a variety of other illnesses, like norovirus, can stick to surfaces for up to two weeks, he added.

The holiday season also boosts the risk of infection, as gatherings, large events, and packed planes, trains and buses can expose people to others who are sick.

The flu vaccine can help to prevent hospitalization and reduce severe symptoms, doctors agree. (iStock)

Those who are not feeling well or exhibiting symptoms should “please stay home,” Maniar advised — “especially if you think you are in that contagious period of the flu or any of these other illnesses that we’re seeing … whether it’s norovirus or COVID or RSV.”

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“If you’re not feeling well, stay home. That’s a great way to recover faster and to ensure that you’re not going to get others around you sick.”

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For those who are unsure of their health status or diagnosis, Maniar recommends seeing a healthcare provider to get tested. Some providers may be able to prescribe medication to reduce the severity and duration of the illness.

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“It’s important that everyone stays vigilant and tries to take care of themselves and their families,” he added.

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