Nelly MD

Nelly Tan

What happens when a radiologist gets curious about… pretty much everything? Welcome to Nelly MD — my podcast about the ideas, papers, technologies, and projects that make me stop and think. I’m a radiologist, but this show goes well beyond radiology. Expect a hodgepodge of peer-reviewed research, my own publications, artificial intelligence, quality improvement, healthcare innovation, interesting blog posts, lessons from projects, and whatever else catches my attention. Some episodes will unpack a research paper: Why did we do the study? What did we actually find? What surprised us? And does any of it matter in the real world? Others may explore AI, process improvement, new technology, patient care, or an idea I simply want to understand better. A quick note about AI: this podcast is intentionally co-created with AI. I choose the topics, papers, source material, questions, and overall direction. I bring the medical context, experience, interpretation, and judgment—and I decide what ultimately gets published. AI tools including ChatGPT, Claude, and Gemini help me explore ideas, summarize and synthesize information, organize material, and draft or refine content. I review, edit, and take responsibility for the final product. In other words: human curiosity and judgment, amplified by AI. You can find more of my writing, projects, experiments, and assorted interests at nellymd.com. Connect with me on LinkedIn: https://www.linkedin.com/in/nelly-tan-092b5bb/ Follow me on Bluesky: @nellytan.bsky.social Nelly MD is curious by design. Papers, radiology, AI, quality improvement, research, ideas—and probably a few things that don’t fit neatly into any category. This podcast is for educational and informational purposes only. It is not medical advice and does not represent the official position of any institution.

Episódios

  1. há 4 dias

    Hospital Care in Your Living Room

    Hey! I'd love to hear your thoughts, send me a voice note. My mother needed hospital care, and she got it. But the hospital also took her sleep, her movement, and every last bit of control over her day. Then she qualified for a hospital-at-home program, which brought hospital-level care into her home. In this episode, I describe what changed when the medicine stayed the same but the environment changed: scheduled visits, more movement, uninterrupted sleep, and the ability for our family to care for her without living in a hospital room. I also examine the evidence on hospital-at-home programs, including their safety, patient experience, costs, caregiver burden, and equity challenges. Hospital at home is not for every patient or every family. But for carefully selected patients, it offers a compelling alternative: keep the medicine and give people back more control over their lives. Read the full blog post: https://www.nellymd.com/2026/09/when-hospital-came-home.html Sources mentioned: Maniaci MJ, et al. J Hosp Med. 2025. https://doi.org/10.1002/jhm.70076 Levine DM, et al. Ann Intern Med. 2020. https://doi.org/10.7326/M19-0600 Edgar K, et al. Cochrane Database Syst Rev. 2024. https://doi.org/10.1002/14651858.CD007491.pub3 Krumholz HM. N Engl J Med. 2013. https://doi.org/10.1056/NEJMp1212324 Duhamel S, et al. J Am Geriatr Soc. 2026. https://doi.org/10.1111/jgs.70573 AI disclosure: I wrote the blog post from my own experience and point of view and co-drafted it with Claude (Anthropic), which helped research, organize, and edit the piece. Google NotebookLM generated the podcast audio from the blog post. ChatGPT (OpenAI) created the episode-cover illustration and prepared and scheduled the episode on RSS.com. I reviewed and approved the final blog post, audio, artwork, and episode listing before publication.

    Hospital Care in Your Living Room
  2. 30 de ago.

    How A Health System Improves Care

    Hey! I'd love to hear your thoughts, send me a voice note. How do you improve healthcare without blaming the people working inside it? In this episode, I explore how a large academic health system turns systems problems into measurable change, using DMAIC, root cause analysis (RCA), simulation, frontline observation, and an institutional culture of quality improvement. Drawing on four recent quality improvement projects, we look at: • how structured education, participation tracking, and simulated RCA increased radiology residents' participation in safety-event investigations by 33%; • how a one-hour simulated RCA improved residents' comfort with RCA participation, understanding of what to expect, and ability to identify system issues; • how low-cost, workflow-embedded changes to privacy, wait-time communication, and physical comfort raised top-box nuclear medicine waiting-area comfort scores from 76% to 85% while the check-in wait-time measure remained stable; and • what 1,106 Quality Academy projects involving 10,063 team members reveal about teamwork, efficiency, multidisciplinary collaboration, and sustainable improvement. References and access: Reyes C, Ponce LM, Hannafin CL, et al. Improving patient safety education for radiology residents: Using a quality improvement approach. Current Problems in Diagnostic Radiology. 2025;54(5):568-573. https://pubmed.ncbi.nlm.nih.gov/40517116/Fishleder MH, Hannafin CL, Ponce LM, et al. Exploring the feasibility and effectiveness of simulated root cause analysis for radiology training. Current Problems in Diagnostic Radiology. 2026;55(2):181-184. https://pubmed.ncbi.nlm.nih.gov/41177709/Tan N, Hannafin CL, Ponce LM, et al. Improving comfort in the nuclear medicine waiting area: A quality improvement initiative. Current Problems in Diagnostic Radiology. 2026;55(4):501-504. https://pubmed.ncbi.nlm.nih.gov/41912369/Tan N, Rohila V, Reyes C, et al. Cultivating a Quality Improvement Culture With Mayo Clinic Quality Academy. American Journal of Medical Quality. 2026;41(3):133-138. https://pubmed.ncbi.nlm.nih.gov/41961077/AI disclosure: This episode was co-created with AI. I supplied a brain dump and the source papers; ChatGPT, Claude, and Gemini helped create and shape the final content.

    How A Health System Improves Care

Sobre

What happens when a radiologist gets curious about… pretty much everything? Welcome to Nelly MD — my podcast about the ideas, papers, technologies, and projects that make me stop and think. I’m a radiologist, but this show goes well beyond radiology. Expect a hodgepodge of peer-reviewed research, my own publications, artificial intelligence, quality improvement, healthcare innovation, interesting blog posts, lessons from projects, and whatever else catches my attention. Some episodes will unpack a research paper: Why did we do the study? What did we actually find? What surprised us? And does any of it matter in the real world? Others may explore AI, process improvement, new technology, patient care, or an idea I simply want to understand better. A quick note about AI: this podcast is intentionally co-created with AI. I choose the topics, papers, source material, questions, and overall direction. I bring the medical context, experience, interpretation, and judgment—and I decide what ultimately gets published. AI tools including ChatGPT, Claude, and Gemini help me explore ideas, summarize and synthesize information, organize material, and draft or refine content. I review, edit, and take responsibility for the final product. In other words: human curiosity and judgment, amplified by AI. You can find more of my writing, projects, experiments, and assorted interests at nellymd.com. Connect with me on LinkedIn: https://www.linkedin.com/in/nelly-tan-092b5bb/ Follow me on Bluesky: @nellytan.bsky.social Nelly MD is curious by design. Papers, radiology, AI, quality improvement, research, ideas—and probably a few things that don’t fit neatly into any category. This podcast is for educational and informational purposes only. It is not medical advice and does not represent the official position of any institution.