The Physician Forms a Judgment First, Unprompted by the Model
Clinical judgment is recorded before any AI input is seen.
- Physician first: Assessment order (no AI exposure yet)
- ~4–8 min: Case intake time (placeholder estimate)
- Blinded: Bias control (prevents anchoring on AI)
- Locked record: Documentation (timestamped before AI run)
Why independence is recorded before anything else
Physician reasoning is captured first so it stays uninfluenced.
What counts as a locked initial assessment
A short structured summary: impression, confidence, next step.
The AI Reviews the Same Case Without Seeing the Physician's Call
The model generates its own read, blind to the human opinion.
- Same case data: Input parity (identical inputs both sides)
- No physician input: Model exposure (prevents anchoring either way)
- Structured summary: Output format (impression + confidence score)
- Seconds: Latency (placeholder estimate)
Symmetry between the two independent reviewers
Same case, same data, two separate and un-linked opinions.
Why the AI opinion is not shown first
Showing it first risks priming the physician's own read.
Placing Two Independent Opinions Next to Each Other
A structured diff highlights where the two assessments align.
- Structured fields: Comparison basis (impression, severity, next step)
- Magnitude of gap: Diff metric (placeholder scoring method)
- Both sides shown: Visibility (after both are locked)
- Rule + model assisted: Automation (placeholder detail)
How the comparison step actually works
A gap score measures how far apart the two opinions sit.
What the comparison does not decide
It flags difference only — it does not pick a winner.
Classifying Each Case as Aligned or Meaningfully Different
A threshold separates trivial wording gaps from real disagreement.
- Gap under threshold: Agreement rule (placeholder rule)
- Gap over threshold: Discrepancy rule (placeholder rule)
- Adjustable: Threshold tuning (strict vs lenient setting)
- Reviewed manually: Edge cases (placeholder detail)
Setting the discrepancy threshold in practice
Strict settings flag more cases; lenient settings flag fewer.
Why classification is a separate, explicit step
Making the split explicit keeps downstream handling auditable.
Agreement Reinforces Confidence; Discrepancy Triggers Reconciliation
Neither opinion automatically overrides the other on disagreement.
- Proceed, reinforced: Agreement outcome (both readings align)
- Reconciliation triggered: Discrepancy outcome (placeholder detail)
- Review, consult, testing: Reconciliation options (placeholder detail)
- Neither side automatic: Override policy (human stays in the loop)
What structured reconciliation actually involves
Additional review, specialist consult, or further testing ordered.
Why override-by-default is deliberately avoided
Neither the physician nor the AI is treated as final.