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Josh Briscoe

@jbriscoe.bsky.social

Hospice and Palliative Care Physician #MedPsych #MedSky #HAPC #Bioethics Writing @ Notes from a Family Meeting: https://familymeetingnotes.substack.com

681 Posts468 Follower306 Folgt
Emily Moin@emilymoin.com · 6d ago

I regret that these technologies – which are powerful and could certainly be incredibly useful – have entered medicine in the way they have: unexamined, without rigorous patient-centered evaluation, mired in proprietary claims, regulatory capture, and credulous adopters.

Shannon Vallor@shannonvallor.bsky.social · 3mo ago

Ask how many more shifts they’d let a surgeon work after a week in which they severely harmed 12-15% of their patients

Hypervisible @hypervisible.blacksky.app · 3mo ago

“In a recent study looking at the use of AI in healthcare, researchers from Stanford and Harvard found even top-performing AI models from Anthropic and Google produced 12 to 15 severely harmful errors per 100 cases. The worst-performing models made mistakes in 40 out of 100 cases.”

Shannon Vallor@shannonvallor.bsky.social · 4mo ago

Spent a plane ride reading Pope Leo's Encyclical on AI. Many thoughts to share later, but this will stick with me: "The quality of a civilization is measured not by the power of its means, but by the care it is able to offer, by its ability to recognize the other as a face not merely as a function."

Ryan Marino, MD@ryanmarino.bsky.social · 5mo ago

One thing people don’t realize is that even if you don’t use Medicaid—even if you never would use Medicaid—your ability to access care, and your ability to access healthcare providers like me, will be affected in some way or another by every cut or barrier to Medicaid. Nobody will be unaffected.

Erin Fogg says Free Link@criminalerin.bsky.social · 5mo ago

Medicaid is not "free lunch" it is single payer healthcare already only available to the poorest pregnant people, children, seniors, and disabled people!

Carl T. Bergstrom@carlbergstrom.com · 5mo ago

This is a fascinating example because it's exactly what a bullshitter does and what gives him away. He leans into the little cues you give them, and riffs on those cues ,making stuff up. "It's a real, verifiable peer-reviewed publication" (To be clear: there is no "Swedish magpie" paper.)

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Matthew Sparks@nephrosparks.bsky.social · 8mo ago

Really troubled by this question in a popular surgical critical care study book… Surgical Critical Care and Emergency Surgery Topic is early v late dialysis and so much on this topic is know and just disappointing to this question…. The keyed answer was….

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Christian Sinclair@ctsinclair.bsky.social · 9mo ago

Media outlets sharpened their pens by telling us that cars and trucks hit pedestrians and cyclists instead of drivers. Now they rinse and repeat with AI.

Ketan Joshi@ketanjoshi.co · 9mo ago

This is a thread of major media outlets falsely anthropomorphising the "Grok" chatbot program and in doing so, actively and directly removing responsibility and accountability from individual people working at X who created a child pornography generator (Elon Musk, Nikita Bier etc) #1: Reuters

Grok says safeguard lapses led to images of 'minors in minimal clothing' on X By Reuters January 2, 20267:40 PM GMT+1Updated 1 hour ago Illustration shows xAI and Grok logos xAI and Grok logos are seen in this illustration taken, February 16, 2025. REUTERS/Dado Ruvic/Illustration Purchase Licensing Rights, opens new tab Jan 2 (Reuters) - Elon Musk's xAI artificial intelligence chatbot Grok said on Friday lapses in safeguards had resulted in "images depicting minors in minimal clothing" on social media platform X and that improvements were being made to prevent this. Screenshots shared by users on X showed Grok's public media tab filled with images that users said had been altered when they uploaded photos and prompted the bot to alter them. "There are isolated cases where users prompted for and received AI images depicting minors in minimal clothing," Grok said in a post on X. "xAI has safeguards, but improvements are ongoing to block such requests entirely." "As noted, we've identified lapses in safeguards and are urgently fixing them — CSAM is illegal and prohibited," Grok said, referring to Child Sexual Abuse Material. Grok gave no further details. When contacted by Reuters for comment by email, xAI replied with the message "Legacy Media Lies". In a separate reply to a user on X on Thursday, Grok said most cases could be prevented through advanced filters and monitoring although it said "no system is 100% foolproof," adding that xAI was prioritising improvements and reviewing details shared by users.
Josh Briscoe@jbriscoe.bsky.social · 10mo ago

I took up this question in the latest issue of Notes: open.substack.com/pub/familyme...

Am I My Brother's Keeper?

Attention to Distress Among Colleagues in Clinical Settings

open.substack.com

GeriPal Podcast@geripal.bsky.social · 10mo ago

To what extent is it our job as consultants to manage or attend to clinician distress? What happens when that clinician distress leads to conflict? #medsky Guests Sara Johnson, Yael Schenker, & Anne Kelly. 👉 Post: bit.ly/GeriPalEp385 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Josh Briscoe@jbriscoe.bsky.social · 10mo ago

They wonder what’s driving hospital investment in ambient AI for charting, as evidence for improved productivity isn’t there. Maybe it’s earnest care for clinician well-being? I have another suggestion: surveillance.

NEJM AI@ai.nejm.org · 10mo ago

In the latest episode of the AI Grand Rounds podcast, Dr. Zak Kohane, editor-in-chief of NEJM AI, explains why this year’s advances in #AI were personal, why it’s spreading fast, and why its most profound theme is values. Full episode: nejm.ai/ep37 #MedSky #MLSky

AI Grand Rounds Episode 37 What Values Are in AI? A Conversation with Dr. Zak Kohane A photo of Dr. Kohane
.chantal//RYAN@thoughtrise.bsky.social · 10mo ago

this field biologist does a great job highlighting the insidiousness of AI editing these one-click AI edit buttons are incredibly appealing to many photographers, amateurs and professionals alike, and are framed as innocuous this is worth sharing and educating people about

screenshot of a post on facebook from Alex Lamoreaux, depicting two versions of the "same" photograph of a bobcat in front of a pine plantation, one labeled original game cam photo, one labeling AI processed the markings have been altered on the AI photo, and the head changed and resized text says: Oh! A neat goose hybrid posted to ‘What’s this Bird?’ but when you zoom in on the photos the bill details have been too manipulated by AI photo editing to be accurately assessed for which species may be involved. Scroll on… A cool-looking Red-tailed Hawk that someone is wondering which subspecies it might be - right up my alley! But when you zoom in on the photos literally every feather group has been so heavily manipulated and altered by AI editing that it’s impossible to determine subspecies because the photo is essentially fake now; just a mashup of whatever AI thinks parts of a Red-tail should look like. Scroll on… WOW! That’s a remarkable trail cam photo of a Bobcat! It almost looks like a painting!… but the head looks oddly small…. hmmmm. After some prodding the original photo is produced and sure enough it had been so heavily altered by AI ‘post processing’ that the photo posted was essentially a digital mock-up with totally different proportions and fur markings. No longer the photo off the trail cam; it may as well have just been ‘created’ by AI from scratch. This stuff is killing me. My days on social media are becoming very limited. We can’t even trust simple, everyday photos of animals to be real. The wildlife community needs to quit editing with AI, and we need to start calling out photographers that are using it. Our reality is being destroyed all around us.
Seth Trueger@mdaware.org · 10mo ago

I didn’t really get how much “health care contact days” is a meaningful patient outcome until I got sick thank you @ishaniganguli.bsky.social @dusetzinas.bsky.social @jamanetworkopen.com

@ishaniganguli.bsky.social · 10mo ago

For older adults with metastatic cancer, each day spent on health care can take away from days that are often devastatingly limited. Our latest study led by Arjun Gupta and Shelley Jazowski with @dusetzinas.bsky.social and Avi Gupta is out now in @jamanetworkopen.com jamanetwork.com/journals/jam...