I keep wanting to do away with the conversation around whether AI will replace humans in medicine. Unfortunately, it's the topic that keeps coming back, like a terminator. The latest iteration is notable for the prominence of its authors and the publishing journal. In the Journal of the American Medical Association (JAMA), authors Ezekiel Emanuel, … Continue reading Here we go again – AI vs humans
Whole-chart Medicine
There’s a lot of excitement around how AI can finally enable personalized or precision medicine. The promise is that if we collect enough new data—genomics, biomarkers, lifestyle data, wearable data—we’ll be able to tailor treatment precisely to each person. Sometimes that’s true. But two things are often overlooked: we don’t always have truly personalized treatments … Continue reading Whole-chart Medicine
Confidence Without Certainty: If there’s one thing I know, it’s that I don’t know
If you don't work in healthcare, then you may not know that radiologists are known as "hedgers." That is, radiologists will say things in ways that avoid being definitive on anything. Maybe this is pneumonia. Maybe that is a mass. "No definitive fracture is seen"—does that mean a possible fracture is seen? Admittedly, radiologists can … Continue reading Confidence Without Certainty: If there’s one thing I know, it’s that I don’t know
20% Dreamer, 80% Builder
The other day I was walking by a construction site. I wondered what they were building. The fence around the site was covered by blocking material, and there was a sign with the construction company's name on it. I walked up to the sign and saw a picture of a gleaming building, with a central … Continue reading 20% Dreamer, 80% Builder
Designing with bias in mind
You may remember this alert from 2018, when a ballistic missile warning went out to the people of Hawaii. If you don't remember it, that’s OK—it turned out to be a false alarm. Although the full cause was never made public, there was widespread speculation that it stemmed from a poorly designed UI—the user interface … Continue reading Designing with bias in mind
Let’s not outsource humanity
If you've attended any talks about AI in radiology in the last couple of years (including mine), then you've probably heard Geoffrey Hinton’s 2016 prediction that "in 5 years deep learning is going to do better than radiologists" and so we should stop training new radiologists. Turns out that wasn't just wrong, it was shockingly … Continue reading Let’s not outsource humanity
Physicians as leaders
This is a piece that I co-wrote with Graham Walker and Matt Sakumoto, and originally published in LinkedIn, under the title RuPaul Runs an Amazing Meeting. I thought it would be interesting to share in my blog, as well. It’s a well-known fact that if you’re good at one thing, you’re good at everything. Adele … Continue reading Physicians as leaders
Red Goggles 