Kristen, Attending Surgeon, Spotify discussed on TED Talks Daily

TED Talks Daily


This. Ted talk features organizational ethnographer Matt being recorded live at Ted salon. The NextWave twenty eighteen. Here's a quick and freeway to finally stick to your New Year's resolutions. Start listening to podcasts on Spotify with more than one hundred and fifty thousand podcasts, including many of the world's most popular self improvement shows, you can learn just about anything even how to get better. At listening to podcasts about getting better at things. So start the year off right with podcasts on Spotify. And stay after this episode to listen to a bonus talk on making the most of the new year brought to you by Spotify. It's six thirty in the morning and Kristen is wheeling her prostate patient into the OR. She's a resident a surgeon in training. It's her job to learn today. She's really hoping to do some of the nerve sparing extremely delicate dissection that can preserve erectile function. That'll be up to the attending surgeon though. But he's not there yet. She and the team put the patient under and she leads the initial eight inch incision in the lower abdomen. Once she's got that clamped back. She tells the nurse to call the attending he arrives couns up and from there on in therefore hands are mostly in that patient with him guiding but Kristen leading the way when the prostates out, and yes, he let Kristin do a little nerve sparing. He rips off his scrubs. He starts to do paperwork. Kristen. Kristen closes the patient by eight fifteen with a junior resident looking over her shoulder and she lets him do the final line of sutures. Kristen feels great patients going to be fine. And no doubt she's a better surgeon than she was at six thirty. Now, this is extreme work, but Kristen's learning to do her job the way that most of us do watching an expert for a bit getting involved in easy, safe parts of the work and progressing to riskier and harder tasks as they guide and decide she's ready my whole life. I've been fascinated by this kind of learning it feels elemental part of what makes us human. It has different names apprenticeship coaching mentorship on the job training in surgery. It's called see one do one teach one. But the process is the same. And it's been the main path to skill around the globe. For thousands of years. Right now, we're handling a I in a way that blocks that path we're sacrificing learning in our quest for productivity, I found this. I in surgery while I was at MIT. But now, I've got evidence it's happening all over in very different industries and with very different kinds of AI. If we do nothing about this. Millions of us are going to hit a brick wall. As we try to learn to deal with. Let's go back to surgery to see how. Festival or six months. It's six thirty AM again, and Kristen is willing another prostate patient in. But this time to the robotic OR. The attending leads attaching a forearmed thousand pound robot to the patient. They both rip off their scrubs head to control consoles ten or fifteen feet away. And Kristen just watches. The robot allows the attending to do the whole procedure himself. So he basically does he knows she needs practice. He wants to give her control. But he also knows she'd be slower and make more mistakes and his patient comes first so Kristen has no hope of getting anywhere near those nerves during this rotation. She'll be lucky if she operates more than fifteen minutes during a four hour procedure. And she knows that when she slips up he'll tap a touchscreen. And she'll be watching again feeling like a kid in the corner with a dunce cap. Like all the studies of robots and work. I've done in the last eight years. I started this one with a big open question. How do we learn to work with intelligent machines to find out? I spent two and a half years observing dozens of residents and surgeons doing traditional and robotic surgery interviewing them, and in general hanging out with the residents as they tried to learn I covered eighteen of the top US, teaching hospitals. And the story was the same. Most residents were in Kristen's shoes. They got to see one plenty. But the do one was barely available. So they couldn't struggle and they weren't learning. This was important news for surgeons, but I needed to know how widespread it was where else was using AI blocking learning on the job. To find out. I've connected with the small, but growing group of young researchers who've done boots on the ground. Studies of work involving a I in very diverse settings like startups policing investment banking and online education like me, they spent at least a year and many hundreds of hours observing interviewing an often working side by side with the people they studied we share data. And I look for patterns, no matter the industry, the work. The I the story was the same organizations were trying harder and harder to get results from and they were peeling learners away from expert work as they did it start up managers. We're outsourcing their customer contact cops had to learn to deal with crime. Forecasts without expert support junior bankers were getting cut out of complex analysis and professors

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