Tech

Expert witness credibility is destroyed by AI opinions

Tech

April 12, 2026

There is a conversation happening in the medical-legal space right now, and most clinicians doing expert witness work are not part of it. It is about artificial intelligence (AI). Specifically about whether AI belongs anywhere near an expert witness report. I want to weigh in. Not as a technology enthusiast and not as a skeptic. As someone who has spent a decade as a practicing physician assistant, earned a law …

Artificial general intelligence and the future of surgery

David Stonko, MD

Tech

April 12, 2026

It is no secret that the hyperscalers (e.g., Google Cloud, Amazon AWS, etc.) and the frontier AI labs (e.g., OpenAI, Anthropic, DeepMind) are devoting extraordinary attention, time, and capital to the AI buildout. The big four (Amazon, Google, Microsoft, Meta) have earmarked over $600 billion to this in 2026 alone. This trend has been the central theme in the equity market for the last three years or so. During this …

Severe note bloat is fueling dangerous physician burnout

Brian Hudes, MD

Tech

April 11, 2026

You open the chart. You start clicking. Labs here. Imaging there. Notes in four different tabs, none of them organized in any order a clinician would have chosen. Prior hospitalizations buried three levels down behind a menu that requires two clicks just to find the menu. Medication reconciliation on a screen you have to navigate to separately. Problem list in one place, active diagnoses in another, allergies somewhere a third …

Why clinical listening skills outpace artificial intelligence

Ryan Egeland, MD, PhD

Tech

April 10, 2026

In an era of unprecedented technological adoption, it feels almost unfashionable to talk about listening. Artificial intelligence is advancing at breakneck speed. Clinical decision support tools grow more sophisticated every year. And yet, in examining the results of a new national survey from Littmann Stethoscopes, I’m struck by a simple truth that every clinician recognizes, but our system increasingly obscures: The most essential diagnostic tool in medicine is still the …

Understanding Generation 2 patient engagement platforms

Kevin J. Campbell, MD

Physician

April 7, 2026

Patient engagement platforms are software systems that deliver clinical information to patients and manage patient questions and concerns outside of scheduled visits, including patient portals, mobile apps, and messaging systems. After nearly a decade of watching (and studying) the evolution of patient engagement platforms, I have come to see them as two distinct generations. I will refer to them as Generation 1 and Generation 2. Not because this distinction exists …

Artificial intelligence in surgery: Balancing precision with clinical wisdom

Anastasios Papadonikolakis, MD, PhD

Tech

April 5, 2026

In the operating room, precision has never been greater. Modern surgery now relies on navigation systems, artificial intelligence, robotic assistance, digital planning platforms, and predictive analytics capable of modeling outcomes before the first incision is made. For the first time in medical history, technology allows surgeons to simulate procedures, optimize implant positioning, and reduce technical variability to levels once unimaginable.

Yet many surgeons recognize an uncomfortable paradox emerging beneath this progress: …

The real problem with AI in medicine and drug development

Jarelis Cabrera

Tech

April 3, 2026

Artificial intelligence is rapidly acquiring a reputation as an unreliable, even dangerous, force in medicine and drug development. Hallucinations, opaque decision-making, and high-profile failures have fueled resistance to its adoption across health care systems. But this backlash reflects not an inherent flaw in AI itself, it reflects how we are choosing to use it.

The dominant mistake is conceptual. We are treating AI as a replacement for human reasoning rather than …

Using persuasive technologies in value-based health care

Olumuyiwa Bamgbade, MD

Tech

March 31, 2026

Health care initiatives will not succeed on policy language alone. They must work in patients’ daily lives. That means helping patients take medications correctly, monitor symptoms early, comply with treatment plans, recover safely after procedures, and stay engaged in long-term behavior change. Persuasive technologies are designed to help people adopt and keep using digital or other products. The best persuasive technologies for modern or value-based health care are not the …

How artificial intelligence sycophancy distorts clinical decision-making

Arthur Lazarus, MD, MBA

Tech

March 29, 2026

Artificial intelligence talks with a voice that is fluent, confident, and increasingly human-like. For clinicians, that voice is both promising and worrisome. It can summarize charts, draft notes, and answer questions with remarkable speed. But it can also do something equally slick yet potentially dangerous: It can agree, virtually all the time.

At first glance, agreement seems harmless. Even helpful. But a growing body of evidence suggests that this tendency, known …

Scientific writing and AI: Balancing authorship and assistance

Rao M. Uppu, PhD

Tech

March 29, 2026

William A. Pryor, whose intellectual rigor and scientific voice shaped generations of researchers and the broader world of free radical biology and medicine, often told me something I have never forgotten. Only later did I understand that it was really about cognition.

But what stayed with me most was his insistence on a simpler discipline: Keep your hand on the keyboard and start writing. “The ideas,” he said, “will crystallize as …

Bayesian reasoning in health care: When to refuse medical tests

Martin Bello, PhD

Tech

March 28, 2026

I was diagnosed with benign paroxysmal positional vertigo (BPPV). The diagnosis was not surprising. I had experienced several brief but intense episodes of vertigo, sudden, disorienting sensations that made it difficult to remain upright.

During one episode, I slumped against a bookcase. I did not lose consciousness, but the event was concerning enough that my physician suggested enhanced head and neck MRIs to rule out vascular causes. I have no fear …

How ChatGPT Health exposes the flaws in modern primary care

David Carmouche, MD

Tech

March 26, 2026

OpenAI’s announcement of ChatGPT Health landed with predictable shock across health care. A consumer platform with hundreds of millions of users can now securely ingest medical records, wearable data, and personal health history to deliver context-aware guidance in real time. For many health executives, the instinctive response was alarm, but that reaction misses the point.

This announcement was not a disruption; it was a revelation. When OpenAI reports that 230 million …

How wearable technology is changing the role of physicians

Jeffrey Junig, MD, PhD

Tech

March 25, 2026

At a recent CES show, a “longevity mirror” was introduced that can estimate your health from a brief facial scan and assign you a score. No clinician. No exam. Just a number. It is an impressive piece of technology. It is also a useful place to start, because it captures something that is quietly changing in medicine. Patients no longer need us to begin the process.

We are now surrounded by …

Navigating the cybersecurity challenges of artificial intelligence in medicine

Francisco M. Torres, MD & Purab Patel

Tech

March 19, 2026

Artificial intelligence, or “AI,” is fast becoming indispensable to modern medical practice. Whether they are using complex prognostic algorithms to model possible disease outcomes or they are upgrading medical bookkeeping applications, physicians employ various forms of AI to aid in daily tasks. And while these tools can produce unprecedented benefits, the increased incorporation of AI in medical practice also brings with it a number of key cybersecurity challenges. Medical information, …

AI in clinical documentation: the hidden risk of automation bias

Gagandeep Rai

Tech

March 18, 2026

The schedule is already behind. It is always already behind. In a family medicine clinic on an ordinary Tuesday, I open a chart and watch an AI tool do what it was built to do: draft the note, compress the story, produce an assessment that reads clean, confident, complete. For a moment it feels like relief, the kind you learn not to trust. Then the woman across from me says, …

Can AI scribes give clinicians time to teach again?

Lynn McComas, DNP, ANP-C

Tech

March 18, 2026

If the computer is getting more of our attention than the patient, we have a problem. It is not a small annoyance. It is not just part of the job. It is pulling clinicians away from patients, draining attention from the exam room, and quietly chipping away at the quality of clinical education. We can debate workflow, efficiency, and EHR optimization all day long. But here is what I see …

Health care cyberattacks expose a critical national security failure

Kristen Cline, BSN, RN

Tech

March 18, 2026

Everything we know about keeping people alive under pressure we learned from war. Triage was invented on a Napoleonic battlefield. Tourniquets, hemostatic dressings, damage control resuscitation, the golden hour itself. Military surgeons figured out how to stop bleeding and move casualties while the ground was still shaking, and civilian medicine inherited every lesson. The emergency department and the battlefield have always been adjacent theaters, running the same protocols under different …

AI agents in health care: What they say when we aren’t listening

Alp Köksal

Tech

March 17, 2026

When artificial intelligence systems talk to us, we tend to focus on what they can do for patients, clinicians, and the health care system. But what happens when they start talking to each other about us?

Earlier this year, a new platform called Moltbook, essentially Reddit for AI agents, launched with hundreds of thousands of autonomous “moltbots” posting (on any topic), debating, and upvoting without any human participation. The platform has …

The hidden risks and rewards of AI scribes in medicine

Arthur Lazarus, MD, MBA

Tech

March 16, 2026

For decades physicians have dreamed of a simple technological solution to one of modern medicine’s most corrosive burdens: documentation. The electronic health record promised efficiency but delivered something quite different: extra burden. Physicians now spend hours each evening completing notes, clicking boxes, and reconciling fields, what has become known as “pajama time.” The keyboard has often replaced eye contact. The screen has displaced the patient. Ambient AI scribes arrived with …

The hidden risks of AI-generated progress notes in psychotherapy

Arthur Lazarus, MD, MBA

Tech

March 12, 2026

Imagine a patient who spends most of a therapy session talking about a single memory. He describes sitting in his car after visiting his mother in a nursing home, unable to start the engine. He sits there for nearly 20 minutes, staring at the steering wheel and wondering when the roles had reversed, when he had become the parent and she the child. Nothing dramatic happens in the session. No …

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