Product design question
Clinicians report that an Abridge-generated note is 'usually right,' but they still review every line before signing. How would you determine whether the trust gap comes from factual errors, missing high-salience details, poor transparency, workflow friction, or medicolegal risk perception? Based on that diagnosis, what product changes would you make to increase trust without encouraging unsafe over-reliance?
- Abridge
- Product design
- Hard
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What this question tests
Tests root cause diagnosis of a trust gap in AI generated clinical notes and designing fixes that build appropriate, not blind, trust.
How to approach it
- Clarify the question: is the gap driven by factual errors, missing salient details, poor transparency, workflow friction, or medicolegal fear.
- Pull objective error data first, for example correction rates per note by specialty, to see if perception matches actual accuracy.
- Interview clinicians who review every line despite low error rates, since that gap points to transparency or liability fear, not quality.
- Check whether the note shows provenance, since opacity about what is transcript versus inference drives blanket re review.
- Design targeted fixes from the diagnosis, such as inline confidence highlighting for low confidence sections, while still requiring review of medication and allergy lines.
What a strong answer includes
- Separates the four hypotheses and proposes a distinct test for each, for example error audits for accuracy and surveys for liability fear.
- Proposes provenance highlighting as a concrete fix, marking transcript derived sentences versus inferred ones so clinicians can skim confidently.
- Explicitly protects against overtrust, always requiring active review of medication and diagnosis lines even as overall trust improves.
- Ties the fix to a measurable outcome, for example reducing average review time per note without increasing downstream chart corrections.
Common mistakes
- Assuming the gap is purely an accuracy problem and building more QA instead of addressing transparency or liability fear.
- Designing a fix that cuts review time so much it risks missing a real error in a high stakes section.
Likely follow-up questions
- How would you measure whether a fix reduced review time without hurting safety?
- What would you do differently for a specialty with unusually high error rates?
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More questions from Abridge
Learn the skill behind it
Chapters of the AI PM course that teach what this question tests.
- Chapter 4: Discovery and strategy for AI products
- Chapter 7: AI UX and human oversight: design for a system that is wrong sometimes
- Chapter 14: Get the job: the AI PM interview loop