
Adapted from BMJ 3 Feb 2024
Most doctors agree that taking a medical history from a patient not only improves rapport but is essential to accurate diagnosis.
History taking is a skill that takes time and practice. Part of this is knowing when to delve more deeply and when you can take things at face value or leave parts out. Now, AI assistants have been trained to do it too.
A randomised, controlled, double blind trial was done with actors, simulating the patients, the Articulate Medical Intelligence Explorer, and primary care physicians. To keep everyone blinded as to who was “the doctor”, text chat was used instead of face to face interviewing.
The AI machine was as good as the doctors.
My comment: I could see this being very useful in clinical practice as a way of reducing consultation times and prioritising urgency of appointments.