In the latest episode of AI Grand Rounds, Dr. Byron Crowe, chief medical officer of Doctronic, describes how administrative complexity can interfere with timely, effective treatment, and how #AI may help address those challenges. Listen to the full episode: nejm.ai/ep41
Adam Rodman
@adamrodmanmd.bsky.social
Physician, educator, historian, author, podcaster, researcher at Beth Israel Deaconess Medical Center and Harvard Medical School, host of histmed podcast Bedside Rounds, associate editor at NEJM AI, studies 🤖+🧠. 🖖🚲
New guest essay in the @nytimes.com -- patients (and doctors) need to be open with each other about our AI use. It's here, it's useful (with drawbacks). If we put our heads in the sand, we get the dyadic "AI doctor" that cuts human relationships out of medicine
Opinion Today: It’s OK if your medical advice comes from A.I.
messaging-custom-newsletters.nytimes.com
In ranking the problems with medicine in the 🇺🇸; i wouldn't rank this in the top 10k. www.acpjournals.org/doi/10.7326/...
ACP Journals
acpjournals.org
In med school I bought a $15 noise machine to drown out the sirens and helicopters of Washington Heights. It worked. Or at least I thought it did. A new study suggests it may have been making things worse. 🧵 (1/13)
My latest Substack on AI Use and Depression, discussing the latest findings in a worrying JAMA Open study. open.substack.com/pub/bleaseon...
AI Use and Depression
An Interesting Signal But Not Yet a Verdict
open.substack.com
On tonight's All Things Considered on NPR, I discuss patients' use of AI for health. While there are risks, many patients benefit. Overall, I favor tools that guide patients through their symptoms (with iterative Q's & A's) rather than general tools like GPT or Gemini. www.npr.org/transcripts/...
The benefits of AI in health care outweigh potential hazards, many experts say
ChatGPT Health is OpenAI's foray into medicine, and so far, it gets high marks from both a cancer patient and a leading doctor. But there are worries it could be misused.
npr.org
Incredibly proud of my colleagues Peter Brodeur, Liam McCoy, and Ethan Goh for all the amazing work they put into the inaugural State of AI Report. I'll try to get my thoughts into some sort of thread -- though it's VERY hard to keep up these days! www.arise-ai.org/report
State of Clinical AI Report 2026 - ARISE Network
The State of AI Report is the most widely read and trusted analysis of key developments in clinical AI.
arise-ai.org
My energy level the second week in January. (it's for a talk in two days, I know that's not today!)
If you are at MGH tomorrow and want to see me try a mystery case, please come to the noon clinicopathological case conference! The CPCs are, IMO, the most important case series since the Hippocratic Epidemics, and it's the honor of a lifetime to flail through one publicly!
OpenEvidence has revenue of $50 million. But investors value it at $6.1 BILLION. So… a couple of questions for the “AI won’t replace doctors!” crowd: What do you think OE’s long-term monetization pathway looks like? And what do investors expect to happen that could justify this valuation?
Kind words from @medcrisis.bsky.social (and definitely not a techbro -- still use my wood carved stethoscope!). Thread expounds more on my quote in the article: "if we don't figure this out, we're screwed."
Interesting read. Nice to see my friend @adamrodmanmd.bsky.social – someone I really trust to be sensible with AI, def not a techbro cheerleader (perhaps the exact opposite!) Nevertheless I find passages like this very bleak. I have caught my students using AI too (but NOT on advice from medschool)
In the latest episode of the NEJM AI Grand Rounds podcast, Dr. Jonathan Chen discusses his path from teenage programmer to Stanford physician-informatician and why machine learning has both thrilled and unnerved him. Listen to the full episode: nejm.ai/ep35 #AI #MedSky
Another one from the Bleibach Totentanz - or Dance of Death. This scene shows death coming for the physician - and you can tell it’s a physician because of the urine flask, which used to be their primary diagnostic tool. It was believed that the colour of the urine would indicate the disease
Remember when you first learned about genetics at school? All those fascinating examples of human traits that are each apparently determined by just a single gene? Time to check in on some of your favourites to see how they’re doing. 🧬🧵🧪 1/n
2 important papers @nature.com today indicate the potential for A.I. to improve diagnostic accuracy and overall clinical performance for patient management and interactions nature.com/articles/s41...
Editorial by @adamrodmanmd.bsky.social and colleagues: When It Comes to Benchmarks, Humans Are the Only Way nejm.ai/4hMrAM9 #AI #MedSky #MLSky
IMO this is the best argument for robust benchmarks. We have no way of studying new models other than as if they were natural phenomena. Clinical trials are incredibly important -- but with this rate of change so is benchmarking for the foreseeable future.
The more my lab dissects large language models, the more I realize we have no unifying theory on how these models will behave. We study them like zoologists - poking and prodding and observing. When they get “updated”, there’s no way to predict changes in behavior other than using benchmarks.
If you're a member of the American College of Physicians and want to learn more about LLMs and their implications for medicine, we put together a webinar! link: www.acponline.org/clinical-inf...
Can a #MedEd #Podcast improve your OSCE score? Yes—and now it’s published! This RCT by V.Dupont et al. shows that listening to #NephrOdio leads to: 🎧 +3.5 OSCE score boost 💪 Better self-perception of clinical skills (42% vs 16%) ✅ 96% would use the podcast again 👉🏼 doi.org/10.1186/s129...
Evaluating podcasts as a tool for OSCE training: a randomized trial using generative AI-powered simulation - BMC Medical Education
Introduction Objective Structured Clinical Examinations (OSCEs) are critical for assessing clinical competencies in medical education. While traditional teaching methods remain prevalent, this study i...
doi.org
🚨 New paper 🚨 Excited to share new capabilities for AMIE our conversational medical AI @googIe.blog We advance AMIE beyond diagnosis 🩺 towards treatment 💊 over time w/ guidelines 📃📃📃 - Dive into 🔗 research.google/blog/from-di... with my amazing co-author @adamrodmanmd.bsky.social!
From diagnosis to treatment: Advancing AMIE for longitudinal disease management
research.google
We are excited to share our latest results on AMIE, Google Research and Google DeepMind's conversational medical AI. TL;DR – in a blinded OSCE, AMIE was equivalent or better at diagnosis – but also at making management decisions. This is a big deal! 🧵⬇️
Medical education 🌶️🔥take: the threat of cognitive deskilling from genAI technologies is the #1 things medical educators need to be talking about right now.
We are excited to share our latest results on AMIE, Google Research and Google DeepMind's conversational medical AI. TL;DR – in a blinded OSCE, AMIE was equivalent or better at diagnosis – but also at making management decisions. This is a big deal! 🧵⬇️
AI could be used to prescribe medications to patients -- if a new bill makes its way through Congress. 🤖 💊 What do doctors think about the proposed legislation? The technology isn't there yet, @adamrodmanmd.bsky.social told MedPage Today. www.medpagetoday.com/special-repo...
Bill Would Allow AI to Prescribe Drugs
Physicians respond to proposed legislation, saying the technology isn't there yet
medpagetoday.com
Quick Saturday AM reminder to contact your congresspeople if you're upset about the sudden cuts in NIH indirects (or, like, anything else).
There is a lot of buzz about our new paper in Nature Medicine on the effects of LLMs (GPT-4) on physician management reasoning! I had TONS of fun working on this -- but what it MEANS requires some unpacking. A 🧵⬇️ bsky.app/profile/ucsf...
A new study in @natmedicine.bsky.social finds GPT-4 can enhance physicians’ clinical decision-making, improving open-ended management reasoning. While promising, experts stress the need for human oversight to mitigate risks like AI bias and over-reliance. Read more: www.nature.com/articles/s41...
A new study in @natmedicine.bsky.social finds GPT-4 can enhance physicians’ clinical decision-making, improving open-ended management reasoning. While promising, experts stress the need for human oversight to mitigate risks like AI bias and over-reliance. Read more: www.nature.com/articles/s41...
Any studies on the relative sizes of lower extremities in heart failure exacerbation? @sargsyanz.bsky.social (And if no, anyone want to do one?) Best research ideas come from things that annoy you after all!
I don't have anything snide or snarky to say here. I just think it's worth reading this article. Gift link.
She Is in Love With ChatGPT (Gift Article)
A 28-year-old woman with a busy social life spends hours on end talking to her A.I. boyfriend for advice and consolation. And yes, they do have sex.
nytimes.com