Today in @NEJM AI : Chris Mansi and I lay out our vision for redesigning clinical workflows with Generative AI. We build on our decade of work across 1,800 hospitals and use our chart summarization tool (Viz Assist) as one illustrative example for a path forward. ai.nejm.org/doi/full/10.10…

Hot off the presses, endorsed (obvs) by Sam the rural health advoCATe. @codymullens.bsky.social @andrewmibrahim.bsky.social #PowerOfRuralCats jamanetwork.com/journals/jam...

Rural Hospitals Deserve More Than Patchwork Policies

This Viewpoint discusses reworking the funding and organization of rural hospitals to enhance their sustainability.

jamanetwork.com

Grateful for the opportunity to testify today to the US Congress on a path forward for safe adoption of AI in healthcare. The potential upside is enormous, but we need the right safeguards and processes to capture the upside efficiently without unforced errors.

Thanks to @CraigBrownMD and @KyleSheetz for leading today’s session in our 5th Annual @UMichCHOP boot camp for new fellows!

Has there been a more pressing time to commit to robust evidence to guide health policy? Grateful to spend the evening celebrating our CHOP fellows who spend two years with us learning rigorous analytic approaches to inform how we better deliver care. #gratitude #healthpolicy

Hospitals Acquired By Private Equity Firms: Increased Postoperative Mortality For Common Inpatient Surgeries @DiazAdrian10 @jdimick1 @Health_Affairs @UMichCHOP www.healthaffairs.org/doi/abs/10.1...

“Bottom line: AI at the FDA is promising, but smart, proactive policy to guide safe, appropriate industry use that doesn't compromise ultimate FDA approval will drive timelines even faster." www.linkedin.com/posts/andrew...

“Bottom line: AI at the FDA is promising, but smart, proactive policy to guide safe, appropriate industry use that doesn't compromise ultimate FDA approval will drive timelines even faster." www.linkedin.com/posts/andrew...

First up: A study led by Adrian Diaz (alum of our National Clinician Scholars Program) and @andrewmibrahim.bsky.social, showing that emergency surgery patients were more likely to die at hospitals owned by #privateequity firms than those with other ownership: www.healthaffairs.org/doi/abs/10.1...

Hospitals Acquired By Private Equity Firms: Increased Postoperative Mortality For Common Inpatient Surgeries | Health Affairs Journal

Private equity (PE) firms have increasingly invested in US hospitals, raising concerns about their effects on the quality of surgical care. We evaluated the impact of PE acquisition of acute care hosp...

healthaffairs.org

Hospitals Acquired By Private Equity Firms: Increased Postoperative Mortality For Common Inpatient Surgeries @DiazAdrian10 @jdimick1 @Health_Affairs @UMichCHOP www.healthaffairs.org/doi/abs/10.1...

Hospitals acquired by PE show a 2.7 pp ↑ in 30D surgical mortality, driven by a 3.9 pp ↑ in failure to rescue. We need enforceable nurse‑staffing minimums, full ownership transparency, and federal review of PE transactions. @andrewmibrahim.bsky.social @um-ihpi.bsky.social bit.ly/432VyWP

"Staircases, Skyscrapers and Your Health" First except from the forthcoming book, "Building for Health." Full article: withstudioami.com

Walking up two flights if stairs is a common, low tech tool for surgeons to risk-stratify patients. But what if architects have been designing for the exact question all along? I explain the history of stairs, skyscrapers and your health, here: www.linkedin.com/pulse/stairc...

Walking up two flights if stairs is a common, low tech tool for surgeons to risk-stratify patients. But what if architects have been designing for the exact question all along? I explain the history of stairs, skyscrapers and your health, here: www.linkedin.com/pulse/stairc...

"Staircases, Skyscrapers and Your Health" First except from the forthcoming book, "Building for Health." Full article: withstudioami.com

4. Art's Principles amzn.to/3FCZRQs Arthur (Art) Gensler built a world class architecture firm and kept track of his pearls a long the way. There is a great chapter about "boomerangs" and how to handle your top talent always being recruited from competitors.

3. Health Design Thinking amzn.to/43GpY2X I often have someone in medicine me, "I love design, but I don't know how it fits into medicine." If thats you, this would will help a lot. It's full of great examples where design can elevate processes, products and delivery.

I’m not part of many clubs - but the ‘I didn’t match into residency’ is my favorite one. There was a hidden gift in the prelim -> repeat intern year again cycle. Kindness goes a long way... I still remember who was kind to me my prelim year and pay it forward #match2025

Many thanks to those of you who not only read the 5th edition of the Visual Abstract Primer, but also found some typos! Here it is again, updated, (hopefully) less typos, and links to videos and templates: www.surgeryredesign.com/resources #MedEd #MedSky #SurgSky

🧵/ I'm often asked about book recommendations. Here is a running list: 1. Clinical Scenarios in Surgery (3rd Edition): amzn.to/3XQu6cZ I used this for my oral and written prep. Because each section is quite short (usually 2-4 pages), I also give it the medical students rotating with us. #MedEd

🧵/ I'm often asked about book recommendations. Here is a running list: 1. Clinical Scenarios in Surgery (3rd Edition): amzn.to/3XQu6cZ I used this for my oral and written prep. Because each section is quite short (usually 2-4 pages), I also give it the medical students rotating with us. #MedEd

2/ Finding high quality examples is now easier with a growing number of #visualabstract libraries.

4 / The adoption of the #VisualAbstract has not been without scrutinity. There are now 6(!) RCT evaluating the #VisualAbstract and emerging guidelines on quality.

3/ Creating a #VisualAbstract is now easier too. I add multiple videos (from 2min to 20min!) as well as a downloadable PDF with my top 5 templates.

1/ After many years of editing, I'm thrilled to release the 5th edition of the Visual Abstract Primer! Notably, its a lot short (11 pages, down from 56!) Full download here: surgeryredesign.com/resources Summary below... #VisualAbstract

On a positive note, @AHRQNews study section did meet last week and scores did get posted to ERA Commons. Will take it!

1/ Do CMS star ratings track with surgical outcomes? On average, each start rating higher tracks with overall average lower mortality & complications. The catch? There's just as much variation within each star rating as across them. #SurgSky #MedSky #HealthPolicy jamanetwork.com/journals/jam...

Today in @jama.com , @codymullens.bsky.social & team find it is increasingly harder for Medicare rural beneficiaries to get common operations done. In 2020, 44% of rural Medicare recipients had to travel >60min for care, up from 37% in 2010. x.com/JAMA_current...

NEW in @jama.com's JAMA Network Open: a U-M team including @andrewmibrahim.bsky.social shows that firearm-related hospitalizations were trending down for years before the pandemic struck, but rose quickly in 2020-21, especially in certain groups: jamanetwork.com/journals/jam...

Firearm-Related Injury Hospital Admissions During the COVID-19 Pandemic

This cohort study examines expected vs observed rates of firearm-related injury hospitalizations in the US during the COVID-19 pandemic.

jamanetwork.com

this article by @andrewmibrahim.bsky.social beautifully highlights the importance of reframing ambiguity as an opportunity for growth. The emphasis on intentional skill-building and proactive networking offers actionable steps that anyone can apply #MedEd #SurgSky #Pedsurg#Sky

Andrew M. Ibrahim MD, MSc@andrewmibrahim.bsky.social · 2y ago

I often meet with mentees who ask for career planning advice. Many are straightforward. But what about when the path forward is unclear? Here are four strategies to move forward and keep developing even when the path is unclear. #leadership #mentoring #medsky www.linkedin.com/pulse/naviga...