 CCC Blog The National Institutes of Health (NIH) is embarking on a crucial journey: developing a comprehensive artificial intelligence (AI) strategy to revolutionize biomedical discovery and public health. The agency released a recent Request for Information to help inform this effort, and the Computing Community Consortium (CCC) and Computing Research Association (CRA) took this opportunity to share some recommendations, drawing from the expertise of the computing community.
At its core, our guidance centers on the principle of safe, secure, and effective AI. This isn’t just about deploying cutting-edge technology; it’s about ensuring AI tools are inherently reliable, trustworthy, and ultimately beneficial for patients and researchers. Ethical considerations such as fairness and transparency are naturally woven into this outcome-driven approach, focusing on tangible results and practical implementation in real-world scenarios. The overarching aim is to ensure that AI serves as a powerful instrument for good, complementing human capabilities.
To achieve this goal, we outlined several specific recommendations:
Data Readiness:
Data readiness is paramount for AI in healthcare. The NIH must invest in robust, compliant data infrastructure with clear standards for reporting, comprehensive cataloging, and easy discovery. While broad accessibility for researchers is vital, it must be meticulously balanced with stringent privacy protections like HIPAA. Crucially, data must be rigorously evaluated for bias, responsibly obtained, and secured to prevent private information leaks from trained models.
Evaluation, Testing, and Reproducibility:
Healthcare AI methods need rigorous evaluation, similar to randomized controlled trials, to ensure efficacy and safety. Even thoroughly tested models may perform differently in new locations due to demographic or data variations, making rigorous testing at every new deployment essential. Experts in both AI and medicine must collaborate to judge models from multiple viewpoints, apply rigorous medical standards, focus on real-world needs identified with stakeholders, and critically, identify negative use cases where AI implementation could be inappropriate or dangerous.
Augmenting Human Efforts and Putting Medical Practitioners and Patients First:
AI should free up human expertise for more critical tasks, like clinical decision-making, rather than substituting for nuanced judgment. Examples include AI automating administrative duties, allowing healthcare professionals more time for patient care, or assisting in drug discovery by efficiently analyzing vast datasets. This approach ensures AI supports the invaluable role of human professionals.
Effective AI integration also demands significant investment in workforce development and a thoughtful organizational structure. The NIH must study AI’s anticipated effects on the medical workforce, ensuring any changes do not contribute to physician burnout. Understanding job creation, restructuring, and potential job loss before widespread implementation is also vital.
See CCC and CRA’s full response to the NIH’s RFI here.
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