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Researchers at the School of Engineering and Applied Science have launched Observer, the first multimodal medical dataset to capture anonymized, real-time interactions between patients and clinicians, allowing outsiders to peer inside primary care clinics.
Until now, the data available to health care researchers has been limited to traces left behind after a visit: qualitative information like clinician notes and quantitative measurements like patient vital signs. None of these sources capture subtleties like body language and vocal tone, or the environmental factors, including computer use, that affect how providers and patients engage with one another.
“So much of what shapes medical visits and their outcomes has been invisible to researchers,” says Kevin B. Johnson, David L. Cohen University Professor and the lead author of a new paper describing Observer in the Journal of the American Medical Informatics Association. “Thanks to technology that anonymizes our recordings, enabling HIPAA compliance, Observer lets us watch care unfold. That kind of evidence isn’t just the foundation for improving clinical practice, it’s crucial for developing responsible AI tools to augment care.”
The researchers have already awarded pilot grants to other teams to begin using Observer, with the goal of expanding the dataset into a national resource for improving health care. “These early projects are the start of a flywheel,” says Johnson. “As researchers generate new insights and recordings, the dataset will grow, letting us ask even more ambitious questions.”
With Observer linking video, audio, and transcripts to clinical data and electronic health records, researchers can now ask new questions: when laughter arises during a visit and whether it affects outcomes; how often clinicians look at patients versus their computer screens; how room layout or digital scribing technology changes communication; and how patients respond to explanations of diagnoses.
“This kind of multimodal evidence—combining video, audio, and medical records—creates opportunities across so many fields,” says Karen O’Connor, associate director of Johnson’s Artificial Intelligence for Ambulatory Care Innovation Lab. “By making this data available, we’re democratizing medical research and opening new paths to improving care.”
Read more at Penn Engineering.
Ian Scheffler
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