Gutenstein M. Daring to be wise: We are black boxes, and artificial intelligence will be the solution. Emergency Medicine Australasia. 2019 Oct;31(5):891–2. EZProxy link
A very well written and thoughtful piece on the future of emergency medicine in a technologically advanced age. There are many similarities between emergency and rural medicine – e.g. just substitute overwhelming patient and time pressure with (professional and geographic) isolation and workforce shortages – and the technology is and will have a very positive effect on the care of our patients – if we let it. I don’t think we will lose our jobs, we will work differently – hopefully more enabled, with more compassion and more satisfaction (and more time at the beach?)
Emergency physicians seek wisdom through personal resilience, deliberate reasoning, clinical consensus and reflective practice. However, there is a limit to how useful psychological training, clinical guidelines and audit initiatives can be in the face of inherent human fallibility, increasing system complexity and escalating demand. Wisdom may be more easily attained through the careful design of new technology and this should be a priority for the emergency medicine community.
Marc is a convener of GENA 723 Trauma and Emergency Medicine in Rural Settings and the Rural Inter-professional Simulation Course. You can find out about both these courses at the Rural Postgraduate Page