Technology, cheating, and the Augmented Mind

As a student I've been taking plenty of tests lately.  My university has a pretty good testing system and convenient testing centers and I'm a pretty good test taker so none of this really bothers me, but I have found the testing center policies interesting.  The fact that I have to remove my hat before going in is one.  Recently they've also disallowed the wearing of a wristwatch, almost certainly in response to the new smart-watch technology coming out.  While this is the right thing to do, it does indicate a need for much grander changes in both the way we do things as well as our thinking, probably especially in education.  Changes we are woefully unprepared for.

Let's consider the testing center again, perhaps as if you were the director of these.  We made the change for smart-watches so that they won't be used for cheating.  What will we do if Google Glass, or a similar project where data is displayed on a pair of glasses worn by the user, takes off and starts showing up?  If that technology becomes integrated into people's prescription lenses?  What about if those smart watches become smart tattoos?  What about when students start having direct neural interfaces integrating computers into the brain?  These problems are coming, and I think we can quickly see there's no easy solution, and maybe no solution at all to make a our current testing systems compatible with the existence of these technologies.

As my neuroscience teacher put it, most testing today is a simple demonstration of declarative memory.  This is to say tests usually require a simple recalling of facts, figures, or other basic knowledge.  However, the need for this to be done in the human brain is dwindling.  Facts can be more easily stored, more quickly recalled, and more reliably maintained in computer systems than in nervous tissue.  Why would we keep using cerebral circuits (that weren't really designed to do this in the first place) when we can use electronic ones?  The go to example is memorizing phone numbers, something many of us remember doing before technology made it an exercise in pointless exertion of energy.

Lest you think this is the pie in the sky omphaloskepsis of a futurist and science fiction fan, let me relay a story I heard from one parent.  He wanted to have his daughter writing letters, and specifically to do so using some specific vocabulary.  Shortly after he heard his daughter speaking out loud while alone in her room writing the letter.  Listening closer he realized she was using the voice recognition feature of the tablet/smartphone to simply ask for the spelling of the appropriate words.  This was much to his disappointment, as he was expecting her to look the words up when writing them and learn the definition along with the spelling.  That's how big a change something as simple as voice recognition is making.

A future where traditional testing is pointless seems on the horizon.  How education will or even can deal with this is unclear.  The problem with leaving our traditional testing is that other methods require more work to evaluate, and usually are less objective which can be a big problem for admissions tests like the MCAT.  The only solution I've thought of is an increase in internships and apprentice work, but whether or not this is feasible is unclear.  I know the major reason the radiology or medical laboratory programs at my school can't admit more than about 40% of applicant students is because they only have so many slots for clinical rotations available.  It could be damaging to the economy to have the influx of cheap or free labor that having five interns or apprentices to every one trained employee might mean.  The problem is a big one, and sadly I haven't seen it given all that much attention.  Let's hope for and work toward that changing sometime soon.

From an Aspiring Medical Professional

I've always been a scientist.  Some of my earliest memories are wanting to use beakers, test tubes, & microscopes in school.  My mother tells me that one of my favorite toys as a child was an old radio I was allowed to disassemble and rebuild, being fascinated at how the pieces fit together.  I've always seen science as exciting and fun.  For most of the time that I understood the concept I've seen it as a noble pursuit as well.  "The glory of God is intelligence," I was taught, and science is a rigorous pursuit of understanding.

I've learned since then about the very human nature of this endeavor.  Learned things like how Newton's preference for a 'corpuscular' or particle theory of light, rather than the wave theory which works better, probably set back the field of optics a century or two, but few wanted to propose ideas that would dare contradict the great and powerful Newton.  I've learned this about religion, philosophy, sports, families, and just about everything else humans do as well, though.  These days science may have trouble acknowledging its limitations, but it does good and improves the human condition.  And yet the ranks of those who share this view are suffering loses.

This seems mostly in the field of medicinal and health sciences.  This rarely used to bother me, but it is more and more lately.  Maybe it's because I'm getting older and the issues are closer to affecting me and involving choices I'll have to make.  Maybe it's just because things that were more fringe in the past are getting talked about more these days.  Maybe it's because part of me agrees that this field of science is a lot more blurry than the physics and mathematics I originally studied, but entering into the field I'm seeing the strength of the science.  I'd be remiss not to have mentioned these possibilities in a writing about science, rigor, and emotion, but I don't think they're the reason.  At least not the primary one.

I am an aspiring medical professional.  I'm going into radiography or clinical laboratory science, depending on which program accepts me and a few other factors.  I feel like scientific thinkers, which would include many medical professionals and certainly myself, rarely make effective arguments that would entice someone not scientifically inclined to rethink their ideas.  This is likely because anecdotes, emotional pleas, and pithy quips will not change the fundamental forces of nature and therefore aren't the first thing reached for in scientists' mental toolboxes.  So it feels odd for me to speak about my emotional and personal reactions in the context of understanding biomedical science, but it may be just what some need to hear.

There always seems to be an edge of accusation toward the medical profession by those that eschew its methods.  It's difficult for me to say this as I don't believe it's intentional, but it is the truth.  The message is that the medical profession, and therefore medical professionals, is a bumbling ignoramus unwilling to understand the simple truths that should be instinctively understood, a shadowy or scaremongering elite seeking only power and control, or an uncaring power more interested in processing patients to collect their checks than healing them.  It may be some combination of the three, but these are the primary narratives with their implications laid bare and made plain.

I believe they are all wrong, but moreover I know they are all insulting.  I think this might be why I've been more affected by those who leave the ranks of accepted science for other conceptions of fulfilling medicine.  The secret message in those actions, words, and thoughts are that I don't care about my patients.  I do care about my patients, and I don't even have any yet.  I study hard and ensure I understand the concepts of my classes because I worry about making the wrong call and endangering someone's health.  I've listened to opposing views, considered the ideas, and always been unconvinced that those methods and practices would best serve the sick or the healthy.  I want to get paid for application of the skills I'm acquiring, sure, but I did when I worked other customer service positions as well and was still driven to serve the client.  When I see someone taking medical risks I'm annoyed because so often those risks are unnecessary, and I care about them.  So, from an aspiring medical professional, please reexamine your ideas if you're forgoing modern medicine.  Please give me and my ilk the benefit of the doubt and some level of trust.  We're absolutely doing our best to deserve that much.