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emergency medicine
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ChatGPT Lower Concern for Child Development Issues Than Physicians, Costs of Cost-Sharing, ER Boarding Rates, New Nursing Home Staffing Standards
- ChatGPT Displays Lower Concern for Child Development 'Warning Signs'
- Med-Challenger is the Trusted Source for Your MyEMCert Exams
- ER Boarding Rates Impact
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U.S. Implements New Nursing Home Staffing Standards
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ChatGPT Found to Display Lower Concern for Child Development 'Warning Signs' Than Physicians
ChatGPT and other Large Language Models (LLMs) are incredibly sophisticated search and summarization engines. There’s a lot of stuff they can do, including rudimentary physical diagnosis, and occasional flashes of insight when confronted with a bunch of confounding factors.
But they aren’t going to do subtle well. While it’s likely that LLMs will improve, they’re always going to be better at providing information about signs of developmental delays than making clear guidance. Too many other things go into the physician’s diagnosis. ChatGPT, in particular, is going to be reluctant to ever call anything abnormal.
The more post-processing instructions you give a ChatBot to make it ‘safer’, generally the worse it’s going to be at making clear statements.
ChatGPT Found to Display Lower Concern for Child Development 'Warning Signs' Than Physicians
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Med-Challenger is the Trusted Source for Your ABEM MyEMCert ExamsRecertification time is dreaded by many emergency medicine (EM) physicians, but it shouldn’t be. Med-Challenger is a top choice for EM physicians because it adds ease to the pressures associated with taking the MyEMCert. Physicians appreciate the fact that it has 300 AMA PRA Category 1 credits and over 60 ACEP Category 1 credits included with their subscription. Each of the eight required topical areas contains masterful didactic content, quizzes and illustrations ensuring the most relevant and up-to-date information is a click away. Take advantage of the free trials and monthly subscriptions starting at $19 and see the reason Med-Challenger continues to be a leading source for online medical test prep. MyEMCert - Information about the ABEM Recertification and Requirements Med-Challenger MyEMCert Subscriptions Options - Try for Free
ER Boarding Rates ImpactBoarding rates in the ER have been a topic of discussion for years, first starting when direct hospital admission got shut down during COVID, and bed availability shrank with both extended cleaning requirements, and sequestering of beds for infectious disease wings. Post-COVID, boarding rates continue to stay high or increase in some areas, as many presentations that used to be routed through primary care, nursing homes, urgent cares, or home health are presenting to the ED instead. With no PCP admission privileges, and most outside admissions coming through hospitalists and bed management, 75% of hospital admissions are now through the ER. Twenty percent of admissions are through transfers from another hospital. Many hospitalist structures require PCP-recommended admissions to come through the ER. The result of turning ERs into the admissions structure is boarding. According to ACEP, boarding times are up, though data on all of 2023 is hard to come by. Seniors, in particular, are ending up stuck in ER as admissions.
ACEP - A Sobering Year for Emergency Departments and Their Patients Hospitals are not required to report boarding times. Stranded in the ER, Seniors Await Hospital Care and Suffer Avoidable Harm
U.S. Implements New Nursing Home Staffing Standards Without Corresponding FundingA two to five year phase in for increased nursing home staffing, with no increased funding for Medicare or Medicaid. Which follows the trends in regulation lately of mandates (like California’s 3% price cap) without corresponding compensation adjustment. Not covered in this CMS are related home care reimbursement, which seems stuck at pre-2020 levels. U.S. Implements New Nursing Home Staffing Standards Without Corresponding Funding |