University of Denver Enhancement Program presentation

1. HOW TO WIN THE 4TH
INDUSTRIAL REVOLUTION
ARLEN MEYERS, MD, MBA
PROFESSOR , UNIVERSITY OF COLORADO
CEO, SOCIETY OF PHYSICIAN ENTREPRENEURS
ARLEN.MEYERS@UCDENVER.EDU

2. LEARNING OBJECTIVES
• Understand the 4th industrial revolution
• Determine the impact it is having on your life and society
• Application to biomedicine
• Create a way to win

3. PRETEST
• 1. Was Frankenstein the name of the monster or the scientist?
• 2. T/F: You would rather take advice from a computer than a
person
• 3. T/F: You are satisfied with what your children are being
taught
• 4. T/F: You have used a digital health technology in the last six
months

6. https://youtu.be/ARpd5J5
gDMk

7. WHAT IS THE 4TH IR?
• https://youtu.be/SCGV1tNBoeU

8. WATER

9. ELECTRICITY

10. COMPUTERS

11. CONVERGENT INTELLIGENCE

12. 200 YEARS SINCE FRANKENSTEIN

13. SOME TRENDS TO CONSIDER
• Globalization
• Technology
• Demographic Changes
• Big Data
• Social Media
• Managing Millennials
• The Gig Economy

14. TOP 10 TECHNOLOGIES
• Internet of Things
• "The network of physical devices, vehicles, home appliances
and other items embedded with electronics, software, sensors,
actuators and connectivity, which enables these objects to
connect and exchange data."

15. NEW TECH
• Automation
• "The technology by which a process or procedure is performed
without human assistance."

16. NEW TECH
• Artificial intelligence
• "Also known as machine intelligence, AI is intelligence
demonstrated by machines, in contrast to the natural
intelligence displayed by humans and other animals."

17. NEW TECH
• 5G wireless/telemedicine
• "Fifth generation wireless systems, abbreviated 5G, are
improved wireless network technologies deploying in 2018 and
later.“

18. NEW TECH
• Augmented reality or virtual reality
• "Augmented reality is a direct or indirect live view of a physical,
real-world environment. Virtual reality is a compute-generated
scenario that simulates a realistic experience."

19. NEW TECH
• 3D printing
• "The process by which material is joined or solidified under
computer control to create a three-dimensional object, with
material being added together, such as liquid molecules or
power grains being fused together."

20. NEW TECH
• Drones
• "Unmanned crafts that have a host of applications."

21. NEW TECH
• Biometrics
• "Also known as realistic authentication, biometrics is used in
computer science as a form of identification and access
control."

22. NEW TECH
• Blockchain
• "A continuously growing list of records, called blocks, which are
linked and secured using cryptography."

23. NEW TECH
• Quantum computing
• "Computing using quantum mechanical phenomena, such as
superposition and entanglement."

24. WHAT IS AN ALGORITHM?
• A sequence of steps to solve a certain task or solve a certain problem
• 1.It should be finite. If the algorithm never ends then trying to solve a
problem is useless.
• 2.It should have well-defined instructions. Each step in the sequence
must be defined with no unambiguity.
• 3.Clearly, it should be effective. The sequence should solve what it's
supposed to solve. This should also be possible to achieve by hand
with just pencil and paper.

25. THE INTERNET OF (MEDICAL) THINGS

26. BREAKOUT SESSION (20 MINUTES)
• Break out into 3 groups and report back on the following:
• 1. What are the biggest threats of the 4th IR to you and yours?
• 2. What are the biggest opportunities?
• 3. What are 5 things you should tell your kids about preparing
for their future?

27. ISSUES
• 1. Unemployment. What happens after the end of jobs?
• 2. Inequality. How do we distribute the wealth created by
machines?
• 3. Humanity. How do machines affect our behavior and
interaction?
• 4. Artificial stupidity. How can we guard against mistakes?
• 5. Racist robots. How do we eliminate AI bias?

28. ISSUES
• 6. Security. How do we keep AI safe from adversaries?
• 7. Evil genies. How do we protect against unintended consequences?
• 8. Singularity. How do we stay in control of a complex intelligent
system?
• 9. Robot rights. How do we define the humane treatment of AI?
• 10. Balancing the digital v analog mind
• https://www.weforum.org/agenda/2016/10/top-10-ethical-issues-
in-artificial-intelligence/

29. SICK CARE ISSUES
• Reliability and Safety
• Transparency and accountability
• Bias, fairness and equity
• Impact of apps, bots and portals on patients
• Impact of clinical decision support on doctors
• Privacy and security
• Malicious use
• Accuracy/diagnostic errors

30. YOUR MEDICAL VISIT
• Clinical decision support systems (http://www.rxrevu.com )
• Patient reported outcomes (http://www.cliexa.com )
• Personal health records and sharing (http://www.mcharts.com )
• Computer vision AI (www.cerescan.com )
• Blockchain (http://www.rxbhealthcare.com )
• Surgical robotics (https://www.massdevice.com/11-surgical-
robotics-companies-you-need-to-know/2/ )

31. COLLISION COURSE

32. HOW TO WIN
• First, we must focus on systems rather than technologies
• Second, we must empower our societies to master
technologies
• Third, we need to prioritize futures by metasystem design
rather than default
• Fourth, we must focus on key values as a feature of new
technologies

33. WHAT TO TELL YOUR KIDS (AND YOUR
BOSS)?
• Robots aren’t taking over. But, data science and AI is the new
internet
• You will be in school the rest of your lives. Try not to let it get
in the way of your education
• You will be your own boss, either part time or full time, so
prepare
• Stop being a knowledge technician. Learn social skills
• Create your own future
• https://www.fastcompany.com/90247298/5-things-im-
telling-my-kids-to-prepare-them-for-the-future

34. WHAT SHOULD YOU DO NOW?
• Question algorithms
• Be sure you and your kids are robot-proof: the new KSAs
• Adapt to the new world of work
• Change the rules
• Protect your data
• Understand the new sick care and emerging health care
systems
• Stick to your values

35. THANK YOU. QUESTIONS?