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The Future of Clinical Decision Support Is Silence
We’ve been ignoring the lesson for twenty years. Now the stakes are higher. The Future of Clinical Decision Support is a new series from MDCalc exploring how AI, evidence, and physician judgment are reshaping medicine. These essays are intended to spark discussion about where technology is taking clinical decision support – and where physicians feel it should go. Blaring “Mary Had a Little Lamb” every 4–19 minutes from 2am to 4am in a fluorescent-lit ER has only two outcomes:
Graham Walker, MD
7 min read
Let’s Get Real About Replacing Physicians
You cannot claim the economics of physician replacement while externalizing the economics of physician liability. Ezekiel Emanuel, Neal Khosla, and Vinod Khosla recently published a Perspective in JAMA arguing that autonomous AI may eventually provide better cognitive medical care than physicians or physicians plus AI. Vinod also posted about it on Twitter. That’s a serious argument. But it skips over a much harder question: What does it actually mean to replace a physician?
Lukasz Kowalczyk, MD
9 minutes ago7 min read
Leave Some Stones Unturned
The Future of Clinical Decision Support is a new series from MDCalc exploring how AI, evidence, and physician judgment are reshaping medicine. These essays are intended to spark discussion about where technology is taking clinical decision support – and where physicians feel it should go. Eight weeks ago, my left ankle looked like this. ⬅️ Every AI tool I showed it to told me to get an x-ray. I didn't. I missed a step hiking outside Lisbon and knew immediately: uh oh, this is
Graham Walker, MD
Oct 27 min read
The Immortality of Bad Ideas
The Future of Clinical Decision Support is a new series from MDCalc exploring how AI, evidence, and physician judgment are reshaping medicine. These essays are intended to spark discussion about where technology is taking clinical decision support – and where physicians feel it should go. Imagine we’re in 1972 and LLMs have (somehow) just been invented. In 1972, doctors are feeling pretty good. In the past 20 years, a nascent pharmaceutical industry has produced new antibioti
Justin Healy
Sep 255 min read
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