Kim Solez technology&future of medicine for med students fall 2017 Oct. 6, 2017 at the University of Alberta in Edmonton, Alberta, Canada. Copyright (c) 2017, JustMachines Inc.

1. Kim Solez, MD

2.  Two hours today from Drs. Kim Solez, Gary
Goldsand, and Shawna Pandya.
 You have received the links to the four hours of
teaching we gave last year
https://www.youtube.com/watch?v=WY8pdTGjdSc
 https://www.youtube.com/watch?v=eBT2BBwbLlc
 The suggestion that we teach you directly about the
future like this came from 1st year medical students
in 2015, people just like you!

3. At the end of this 2 hours of teaching, students will
be able to:
• Describe some of the ways in which rapid
technological change is anticipated to affect the
practice of medicine in the next 100 years, with
specific reference to artificial intelligence, newly
emerging technology and human enhancement.
• Describe the concepts of Moore’s law, exponential
change, and the technological singularity
• Discuss some of the ethical issues associated with
rapid technological advancement in medicine.

4. • Students become more flexible in dealing with
change in technology and medicine during their
careers.
• Students become more informed in considering
how changes in medicine may affect their career
choices.
• Students develop new ways of thinking about
concepts relating to technology.
• Students are empowered to get involved to ensure
changes in medicine are positive for patients and for
society in general.

5. The technological singularity occurs as artificial
intelligences surpass human beings as the smartest
and most capable life forms on the Earth.
Technological development is taken over by the
machines, who can think, act and communicate so
quickly that normal humans cannot even comprehend
what is going on. The machines enter into a "runaway
reaction" of self-improvement cycles, with each new
generation of A.I.s appearing faster and faster. From
this point onwards, technological advancement is
explosive, under the control of the machines, and
thus cannot be accurately predicted (hence the term
"Singularity"). – Ray Kurzweil

8.  Regulatory oversight that is completely focused
on compliance. Discourages risk-taking and
innovation.
 Health care doesn't have the same financial
reward system. Facebook isn't about to pay $1
billion for the latest hot-ticket item in imaging
and medical informatics.
 Security always has priority over information
sharing, and so better, faster linkages are
constrained because of security concerns, some
of which are bogus.

11. Acceptance. Share power. The AIs will not all be under
our control. They will compete and cooperate with us
just like other people, except with greater diversity and
Asymmetries. We need to set up mechanisms (social,
legal, political, cultural) to ensure that this works out
well Inevitably, conventional humans will be less
important. Step 1: Lose your sense of entitlement
Step 2: Include AIs in your circle of empathy
Thought provoking for us all!

13.  In past people went sightseeing to avoid
regenerative medicine sessions at Cutting
Edge of Transplantation meetings (AST).
 This year CTRMS is a full partner with CST in
just concluded Halifax meeting Sept. 26-29.
 Pre-meeting for Banff Transplant Path 2019 in
Pittsburgh devoted to Regenerative
Medicine/Tissue Engineering Pathology. No
escape!

14.  The Future and All That Jazz music and poetry
initiative conveying important messages of
science will be the main entertainment at the
TERMIS-AM meeting in Charlotte, NC with two
hours of entertainment at the exhibit area on
December 4th and three hours at the NASCAR
Hall of Fame on December 5th.

15.  Aviv Regev’s Human Cell Atlas
https://www.humancellatlas.org
characterization of all cells in human body by
single cell analysis is both promoted and
funded via social media (Chan Zuckerberg). If
you are not on Facebook you know nothing
about it and it will likely be bigger than the
human genome project. You may be caught
napping!

21.  The challenge of friendly AI becomes just a small part of
a much larger challenge of creating a friendly world in
which humans still have lives of significance, human
history is retained and extended.
 We all need to be engaged in ensuring a positive
outcome for humanity. The future is ours
to shape. We need to get busy doing that!
 Part of the imagined future could be
one where all disease was eliminated
but life was intolerable. Another where the only diseases
are from bioterrorism.

22.  All natural disease may be eliminated, leaving
only man-made diseases. But that may leave
as much for physicians to do as there is today!
 Challenging responses to bioterrorism and
stem cell technologies.
 Focus of medicine no longer disease but
human enhancement, which will extend
beyond the physical to the moral and spiritual.
 Social responsibility an important aspect of
medicine and one of the focuses of the course.

23.  “It is the curse of humanity that it learns to tolerate even
the most horrible situations by habituation. Physicians
are the natural attorneys of the poor, and the social
problems should largely be solved by them.”
 Medicine is a social science
and politics is nothing but
medicine writ large.
 - Rudolf Virchow (1848)

27. “One point that I think should be emphasized is that the importance of
Technology and the future of technology in medical care is not just a concept
for 2029 or 2045 - it's important now. We're heading into a very busy
profession, with an overwhelming amount of information, and it can be
difficult to try to learn how to integrate point of care tools, software &
technology into our every day practice while still feeling like we're focusing on
the medicine. Difficult, but not impossible. If we keep an open mindset to
integrating technology and these tools into our practice, it can actually make us
more efficient and help us engage the patient more than we ever could without.
The use of AI in our medical practice may still be a few years down the road,
but using the data we input into the Electronic Medical Record to run reports is
something we can and should do now! It's fascinating to hear about innovations
In research and the way technology could be implemented in the future, and it's
Important not to lose sight that these principles can still be applied today.”