I've been helping test it as well - your experience sounds identical to mine. I was initially very excited for it, but nowadays I don't really bother turning it on unless I feel the conversation will be a long one. Although I am very much looking forward to them rolling out the automated pending of orders based on what was said during the conversation.
LLM's have so much potential in medicine, and I think one of the most important applications they will have is the ability to ingest a patient's medical chart within their context and present key information to clinicians that would've otherwise been overlooked in the bloated mess that most EMR's are nowadays (including Epic).
There's been so many times where I've found critically important details hidden away as a sidenote in some lab/path note overlooked for years that very likely could've been picked up by an LLM. Just a recent example - a patient with repeated admissions over the years due to severe anemia, would usually be scoped and/or given a transfusion without much further workup and discharged once Hgb >7. Blood bank path note from 10 years ago mentions presence of warm autoantibodies as a sidenote; for some reason the diagnosis of AIHA is never mentioned nor carried forward in their chart. A few missed words which would've saved millions of dollars in prolonged admissions and diagnostic costs over the years.
LLM's have so much potential in medicine, and I think one of the most important applications they will have is the ability to ingest a patient's medical chart within their context and present key information to clinicians that would've otherwise been overlooked in the bloated mess that most EMR's are nowadays (including Epic).
There's been so many times where I've found critically important details hidden away as a sidenote in some lab/path note overlooked for years that very likely could've been picked up by an LLM. Just a recent example - a patient with repeated admissions over the years due to severe anemia, would usually be scoped and/or given a transfusion without much further workup and discharged once Hgb >7. Blood bank path note from 10 years ago mentions presence of warm autoantibodies as a sidenote; for some reason the diagnosis of AIHA is never mentioned nor carried forward in their chart. A few missed words which would've saved millions of dollars in prolonged admissions and diagnostic costs over the years.