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Rafael Rolon Rivera is an internal medicine physician.

Why AI in health care needs the same scrutiny as chemotherapy

Rafael Rolon Rivera, MD
Tech
August 25, 2025

We’ve all seen the hype.

AI will revolutionize health care. It will cut documentation time. Improve diagnoses. Save lives. Maybe even replace doctors.

But here’s what I know after 11 years as a hospitalist: Hype without evidence is dangerous. And AI—especially in medicine—isn’t just software. It’s treatment.

If we’re going to let AI influence life-or-death decisions, it needs to meet the same standard as any clinical intervention. That means rigorous trials, transparent design, …

Read more…

Why AI in health care needs the same scrutiny as chemotherapy

Why trust and simplicity matter more than buzzwords in hospital AI

Rafael Rolon Rivera, MD
Tech
August 17, 2025

Everyone wants the best model. The flashiest algorithm. The one with the highest AUC and the sexiest machine learning buzzword attached.

But here’s the problem: In hospital care, especially at midsize institutions, the “best” model on paper might be the worst fit for your people, your patients, and your workflow.

As a hospitalist and data-minded clinician, I’ve been exploring how we can use AI to reduce 30-day readmissions—an outcome tied not just …

Read more…

Why trust and simplicity matter more than buzzwords in hospital AI

Why AI must support, not replace, human intuition in health care

Rafael Rolon Rivera, MD
Tech
August 9, 2025

When I was a new hospitalist in a tertiary center, I once told a colleague, “Looks like I got an easy admit.” He just stared at me.

It didn’t take long to understand why.

Vitals can be stable. Labs can look clean. But patients—especially those we assume are “simple”—rarely are. There’s a language beyond numbers: the way a patient breathes, a hesitation in their tone, the look in a spouse’s eye. Over …

Read more…

Why AI must support, not replace, human intuition in health care

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  • Most Popular

  • Past Week

    • Why clinical listening skills outpace artificial intelligence

      Ryan Egeland, MD, PhD | Tech
    • Administrative burden is driving severe physician burnout

      Kayvan Haddadan, MD | Physician
    • Pharmacy closures threaten our entire public health system

      Timothy Lesaca, MD | Physician
    • Why Florida physician background checks are driving doctors away

      Tamzin A. Rosenwasser, MD | Physician
    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • The hidden clinical cost of HCC coding in primary care

      Jeffrey H. Millstein, MD | Physician
  • Past 6 Months

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      Bernard Leo Remakus, MD | Physician
    • Why clinicians fail at writing expert reports

      Tracy Liberatore, Esq, PA | Conditions
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
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      Timothy Lesaca, MD | Physician
    • Adult disability care transition: Why medicine must grow up

      Ronald L. Lindsay, MD | Conditions
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      Christen Russo, MD | Physician
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    • How imposter syndrome affects high-achieving professionals

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    • The medical practice marketing metrics that actually matter

      Uday Rajaram | Finance

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