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How Sick Are They?
These essays are intended to spark discussion about where technology is taking clinical decision support – and where physicians feel it should go. Machine learning learns our habits, not our physiology. Counting abnormalities might be a better place to start. You’re starting the first of a run of night shifts. You have a list of patients to see. Who goes first? You want the ones where early intervention might mean a night on the ward instead of a night in intensive care. Loca

Hugh Logan Ellis, MD
6 min read


Know Which AI You’re Trusting
These essays are intended to spark discussion about where technology is taking clinical decision support – and where physicians feel it should go. A rule, a regression, and a language model fail in different ways. Clinicians, health systems, and tool builders should know which one is talking. Many people new to the field now use “AI” to mean generative AI. It’s one slice of something much larger. IBM defines AI as “technology that enables computers and machines to simulate hu
Vamsi Varra, MD
4 hours ago5 min read


How Sick Are They?
These essays are intended to spark discussion about where technology is taking clinical decision support – and where physicians feel it should go. Machine learning learns our habits, not our physiology. Counting abnormalities might be a better place to start. You’re starting the first of a run of night shifts. You have a list of patients to see. Who goes first? You want the ones where early intervention might mean a night on the ward instead of a night in intensive care. Loca
Hugh Logan Ellis, MD
Oct 166 min read


How to Drive Department Collaboration and Physician Adoption: Dr Howard Dinh’s Quest at Kaiser Permanente
A validated decision tool only helps patients if clinicians open it, trust it, and act on it. Getting them there, and deciding which tools are worth building at all, is its own kind of work, and it gets far less attention than the equations themselves. That work is the subject of the latest episode of MDAware: Upgrading Clinical Judgment. Dr. Graham Walker sits down with his former TPMG colleague Dr. Howard Dinh to talk about how Kaiser Permanente Northern California builds a
MDCalc Team
Oct 134 min read
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