Shanice Spence-Miller is an internal medicine resident. 

A mind to guide the machine: Why physicians must help shape artificial intelligence in medicine

Tech
July 6, 2025

I do not fear artificial intelligence—nor do I revere it. What I feel toward the rise of intelligent systems in medicine is something quieter: a tempered trust, a measured hope. I recognize their immense potential, but I also hold firm to the belief that the deepest work of medicine happens not through automation, but through human connection. There is a quiet power that lives between symptom and story, between numbers …

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A mind to guide the machine: Why physicians must help shape artificial intelligence in medicine

You have nothing to prove: a bold message for every overwhelmed doctor

Physician
May 4, 2025

She hadn’t realized how long she’d been running—until the moment she couldn’t.

The day had unfolded like any other. The pager buzzed. The notes piled up. Her voice moved on autopilot, delivering information, comfort, instructions. Beneath the rhythm of her routine was a quiet discomfort she’d been ignoring for weeks—maybe longer. She told herself it was nothing. There was always something more urgent, someone else to care for. That’s the thing …

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You have nothing to prove: a bold message for every overwhelmed doctor

How physicians can reignite their spark this year

Physician
February 10, 2025

The start of a new year is a time for reflection, renewal, and resolve. For physicians, it often comes with an unspoken question: Do you still remember the spark that first lit your path into medicine? In the endless churn of shifts, charting, and late-night calls, that spark can dim. The burnout we push to the margins of our consciousness slowly edges its way into the center of our being. …

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How physicians can reignite their spark this year

Harmonies of medicine: the biopsychosocial symphony

Physician
March 1, 2024

In the heartstrings of medicine, a symphony resonates—a tale of profound connections and compassionate care. Envision a middle-aged man thrust into a harrowing journey: diagnosed suddenly with a life-threatening vascular disease, haunted by depression with suicidal thoughts, and navigating the complexities of life without social support. This narrative is both prologue and sonata, weaving through the very fabric of healthcare, unraveling the poignant threads that bind us to our patients.

The …

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Harmonies of medicine: the biopsychosocial symphony