5 Big Challenges Facing Medical AI

I have been working on medical AI, in some form or other, for most of my adult life. For the past 12 months I have taken the opportunity to pause from racing forwards with my own start-ups and to look again, partly as a researcher, at the tools at my disposal and their intended applications. What I have seen worries me.

Part of my efforts to improve things, have taken the form of a number of peer-reviewed scientific articles. A few more such articles are still under review or exist only as work-in-progress. Today I want to summarise the 5 greatest problems which I see facing medical AI systems. For some of them I think that there are clear mitigations. For others, I suspect that we will need to rethink the entire system.

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a16z and my own journey

a16z is a major Silicon Valley venture capital firm. I listened to their recent podcast episode where they talked with Jeff Lawson, CEO and author of Ask Your Developer. Generally I am very interested in the topic of software development as a creative exercise, this is probably why I chose that particular episode of the podcast to listen to. But what I found of particular interest came in the final 30 seconds of the interview.

Jeff has a view of his own trajectory as a CEO, from that of a Technical-CEO, through Product, and then to Go-to-market. The a16z interviewer pointed out that they have an entire series on the concept of how technical people develop as CEOs and they see them moving through the following sequence:

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Mind-map customer needs

I have 20 years of professional experience. It took me longer than I would like to admit to learn how much we all lie to ourselves. I am a smart person. I am particularly good at constructing convincing narratives which keep me happy and oblivious to reality. It was only when I was working with incredibly smart people, during my PhD, that I was finally forced to write my ideas down. And then I didn’t need the other people to point out the flaws in my thinking; they were there in black-and-white, clear for me to see.

From this experience, I now encourage teams which I work with to make knowledge explicit. This is even more important the more intelligent the team are. The following is an example of how I did this with a team for their Customer Needs mapping, but the same advice applies equally to the Business Model and the Go-to-market Strategy.

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