Using Virtual Patients to Train Clinical Interviewing Skills

AAAI Conferences

Virtual patients are viewed as a cost-effective alternative to standardized patients for role-play training of clinical interviewing skills. However, training studies produce mixed results. Students give high ratings to practice with virtual patients and feel more self-confident, but they show little improvement in objective skills. This confidence-competence gap matches a common cognitive illusion, in which students overestimate the effectiveness of training that is too easy. We hypothesize that cost-effective training requires virtual patients that emphasize functional and psychological fidelity over physical fidelity. We discuss 12 design decisions aimed at cost-effective training and their application in virtual patients for practicing brief intervention in alcohol abuse. Our STAR Workshop includes 3 such patients and a virtual coach. A controlled experiment evaluated STAR and compared it to an easier E-Book and no-training Control. E-Book subjects displayed the illusion, giving high ratings to their training and self-confidence, but performing no better than Control subjects on skills. STAR subjects gave high ratings to their training and self-confidence and scored better higher than E-Book or Control subjects on skills. We invite other researchers to use the underlying Imp technology to build virtual patients for their own work.

A Survey of Computational Treatments of Biomolecules by Robotics-Inspired Methods Modeling Equilibrium Structure and Dynamic

Journal of Artificial Intelligence Research

More than fifty years of research in molecular biology have demonstrated that the ability of small and large molecules to interact with one another and propagate the cellular processes in the living cell lies in the ability of these molecules to assume and switch between specific structures under physiological conditions. Elucidating biomolecular structure and dynamics at equilibrium is therefore fundamental to furthering our understanding of biological function, molecular mechanisms in the cell, our own biology, disease, and disease treatments. By now, there is a wealth of methods designed to elucidate biomolecular structure and dynamics contributed from diverse scientific communities. In this survey, we focus on recent methods contributed from the Robotics community that promise to address outstanding challenges regarding the disparate length and time scales that characterize dynamic molecular processes in the cell. In particular, we survey robotics-inspired methods designed to obtain efficient representations of structure spaces of molecules in isolation or in assemblies for the purpose of characterizing equilibrium structure and dynamics. While an exhaustive review is an impossible endeavor, this survey balances the description of important algorithmic contributions with a critical discussion of outstanding computational challenges. The objective is to spur further research to address outstanding challenges in modeling equilibrium biomolecular structure and dynamics.

Improving Mild Cognitive Impairment Prediction via Reinforcement Learning and Dialogue Simulation Machine Learning

Mild cognitive impairment (MCI) is a prodromal phase in the progression from normal aging to dementia, especially Alzheimers disease. Even though there is mild cognitive decline in MCI patients, they have normal overall cognition and thus is challenging to distinguish from normal aging. Using transcribed data obtained from recorded conversational interactions between participants and trained interviewers, and applying supervised learning models to these data, a recent clinical trial has shown a promising result in differentiating MCI from normal aging. However, the substantial amount of interactions with medical staff can still incur significant medical care expenses in practice. In this paper, we propose a novel reinforcement learning (RL) framework to train an efficient dialogue agent on existing transcripts from clinical trials. Specifically, the agent is trained to sketch disease-specific lexical probability distribution, and thus to converse in a way that maximizes the diagnosis accuracy and minimizes the number of conversation turns. We evaluate the performance of the proposed reinforcement learning framework on the MCI diagnosis from a real clinical trial. The results show that while using only a few turns of conversation, our framework can significantly outperform state-of-the-art supervised learning approaches.

UPMC CIO on docs and robots: It's not man vs. machine, it's man vs. man and machine - MedCity News


The experimental Smart Tissue Autonomous Robot (STAR) recently sewed a piglet's gut together using a computer program and camera-based guidance, overseen by a team of doctors and computer scientists from the Children's National Health System in Washington DC and Johns Hopkins University. The procedure took 50 minutes, as opposed to 8 minutes when performed by a surgeon, but (unfortunately for doctors) resulted in more evenly spaced sutures and less leakage from the gut. And with iterative improvements, it's likely that the time difference can be shrunk. Meanwhile, FDA-approved robotic surgery on humans is making strides as well, though it requires a surgeon to operate the mechanical arm. The potential treatment paradigm, highlighted by The Economist this month, raises questions about whether patients will trust robots with their lives, and who is liable if something goes wrong.

Socially Intelligent Agents and The Primate Social Brain - Towards a Science of Social Minds

AAAI Conferences

As Reeves and Nass have shown (RN96) humans tend to treat computers (and media in general) as people. I believe that this'media equation' (media equals real life) is particularly relevant for socially intelligent agents (SIA's) research with the'human in the loop', namely studying the relationship between socially intelligent agents and humans as designers, users observers, assistants, collaborators, competitors, customers, or friends. In order to acknowledge the'human in the loop' I suggested in (Dan98) a list of design guidelines for SIA technology, identifying the following roles of humans and suggesting that a balanced design of socially intelligent agents need to address these roles: Humans are embodied agents, humans are active agents, humans are individuals, humans are social beings, humans are storytellers, humans are animators, humans are autobiographic agents, humans are observers. Not unsurprisingly, SIA research is more than other agent research strongly inspired and motivated by findings outside software engineering and computer science, in particular the humanities, social sciences, and natural sciences. As such, SIA research is different from the field of agent-based computing research that views agents primarily as a sobware engineering paradigm (cf.