The discriminative AI’s are just really complex algorithms, and to my understanding, are not complete black-boxes. As someone who has a lot of medical problems I receive care for as well as being someone who will be a physician in about 10 months, I refuse to trust any black-box programming with my health or anyone else’s.
Right now, the only legitimate use generative AI has in medicine is as a note-taker to ease the burden of documentation on providers. Their work is easily checked and corrected, and if your note-taking robot develops weird biases, you can delete it and start over. I don’t trust non-human things to actually make decisions.
I do have a tech background in addition to being a medical student and it really drives me bonkers that we’re calling these overgrown algorithms “AI”. The generative AI models I suppose are a little closer to earning the definition as they are black-box programs that develop themselves to a certain extent, but all of the reputable “AI” programs used in science and medicine are very carefully curated algorithms with specific rules and parameters that they follow.