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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
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
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
Sep 197 min read
Medicine Is Messy. That Is Where the Art Lives.
AI Can Clean the Canvas. Should It Finish the Picture? 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. I can put two patients with remarkably similar MRIs in two different exam rooms and recommend surgery to one and continued conservative
Clay Dorenkamp, DO
Sep 124 min read
The Tool That Makes You Better Without It
Clinical decision support should build expertise, not replace it. There's a difference 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. There's a metric no clinical AI vendor publishes on their website: How good are the clinicians who used
Shazia Siddique, MD MSHP
Aug 293 min read
Guest Op-Ed: To Whom It May Concern
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. Written at 1:51am in the hospital, while on call after a day in clinic — with Eminem's “Lose Yourself” playing in the background. Time to see the patient in clinic. Green light. Focus. What'
Ken Nepple, MD FACS
Aug 223 min read
The Trust Layer
Trust is the rocket fuel, not the afterthought 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. Every powerful medical technology needed its trust layer before it could scale. I don't care if you're talking about CT scans, statins, or gluc
Graham Walker, MD
Aug 153 min read
Medicine Was Never Clean
And that's exactly why clinicians are the right people to judge clinical AI 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. I've been practicing medicine long enough to remember when we thought evidence-based medicine would end clinical u
Graham Walker, MD
Aug 73 min read
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