Physician in the Loop

Nomad Medical
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  • Health & Fitness

How technological innovation is changing medicine for patients and the people who practice on the front lines.

  1. 13m ago

    Special Topic: The thinking is the job

    A new paper says medical training should teach doctors when to defer to a machine. It has the order backwards, and almost nobody is counting what the deferring is worth. Read the special topic and its sources: https://physicianintheloop.org/specials/mastery-and-the-machine/ The voice on this episode is generated by AI. It reads a special topic from Physician in the Loop as written; every fact in it links to its source.

  2. 3h ago

    Daily Briefing for October 27, 2026

    Medicare's AI prior authorization pilot cuts service use, JAMA study finds The voices on this episode are generated, and so is the script, from the day's post at Physician in the Loop. Every fact in the post links to its source. Read the post and its sources Get the free email briefing Use of services covered by Medicare's AI-assisted prior authorization pilot fell about 15% to 20% in its first six months in the six participating states, according to a JAMA research letter published Oct. 26. The authors, Hannah Neprash of the University of Minnesota and Michael Barnett of Brown University, said the data cannot show whether the care patients did not receive was wasteful or necessary. Services that were scheduled for the Wasteful and Inappropriate Service Reduction (WISeR) model but never put under review showed no decline, and the reduction in epidural steroid injections narrowed from about 21% to about 9% between the first and second quarters, the University of Minnesota said. The same day, the Department of Health and Human Services finalized its HTI-5 rule, which removes the requirement that certified health record software carry standard information on how predictive AI tools were built and tested. In this episode Use of services in Medicare's AI-assisted prior authorization pilot falls 15% to 20% in its first six months, JAMA study findsHHS finalizes HTI-5, dropping the AI 'model card' requirements for decision support tools in certified health record softwareBundibugyo Ebola outbreak reaches 9,704 confirmed cases in Congo with imported cases in Kenya and Nigeria; Uganda orders 21-day quarantineSouth Carolina rural hospitals get six months of free cybersecurity help from Microsoft, Cisco and others under a state and White House pilotMass General Brigham teleneurology and telestroke program reaches more than 20 community and rural hospitals in six monthsHeidi AI scribe enrollment cuts note time 1.2 minutes per encounter at Beth Israel Lahey Health but does not change after-hours closure or wRVUsThrombectomy improves 90-day function in mild large-vessel stroke and at 24 to 72 hours, two NEJM trials from China findU.S. measles cases reach 4,588 in 2026, double the 2025 total, with 96% tied to outbreaksSutter Health adds heart failure patients to its remote monitoring program, using BodyPort's FDA-cleared scale

  3. 18h ago

    Special Topic: Fifty billion dollars, no scoreboard

    Federal money is buying software for small rural hospitals. The program already demands four numbers for every initiative. One of them should be a patient, and it should be published. Read the special topic and its sources: https://physicianintheloop.org/specials/rural-money-results/ The voice on this episode is generated by AI. It reads a special topic from Physician in the Loop as written; every fact in it links to its source.

  4. 1d ago

    Daily Briefing for October 26, 2026

    Johns Hopkins Bayview says worker uploaded 3,182 patients' data to AI tool The voices on this episode are generated, and so is the script, from the day's post at Physician in the Loop. Every fact in the post links to its source. Read the post and its sources Get the free email briefing Johns Hopkins Bayview Medical Center is notifying 3,182 patients that their information may have been exposed after an employee uploaded a spreadsheet of patient data to an unapproved outside AI platform, local outlets reported. The hospital said the upload happened and was discovered on Sept. 21, that the data covered patients treated from May through September and that Social Security and financial account numbers were not included, according to WMAR-2 News. Hopkins said it asked the platform's operator to delete the data and is reinforcing its policy and training on unapproved tools, The Banner reported. Separately, the Food and Drug Administration cleared two imaging software products, one that measures the aorta on chest CT and one that labels bone on automated musculoskeletal ultrasound, and brain-implant developer Coherence Neuro raised $45 million for investigational cancer devices. In this episode Johns Hopkins Bayview notifies 3,182 patients after a worker uploaded their data to an unapproved AI toolFDA clears Coreline Soft software that segments the aorta on chest CT and measures its diameter by zoneFDA clears RIVANNA machine learning module that color-codes bone on automated musculoskeletal ultrasoundCoherence Neuro raises $45 million for investigational implants that read tumor-linked brain signals

  5. 2d ago

    Daily Briefing for October 25, 2026

    Ambient AI speeds chart closing up to 39% at Jefferson Health, study finds The voices on this episode are generated, and so is the script, from the day's post at Physician in the Loop. Every fact in the post links to its source. Read the post and its sources Get the free email briefing Clinicians at Jefferson Health who adopted Abridge's ambient AI cut their time to close charts by 25.3% to 39.3%, according to a study published Oct. 23 in NEJM Catalyst Innovations in Care Delivery. The study covered 5,234 clinicians with access to the tool, about 34% of whom actively recorded visits, and 283,028 ambulatory encounters in the second half of 2025, Becker's Hospital Review reported. The authors described the results as associations and noted that adopters may have differed from clinicians who did not use the tool. Abridge had no role in the study and provided no funding, according to the report. Elsewhere, Inova Health System said it had drawn up plans to switch off three AI features whose performance declined, a Lancet Digital Health experiment found that radiologists and other physicians both followed wrong AI advice and ignored correct advice on head CT scans, and a JAMA Psychiatry study found that adding imaging, genetics and microbiome data did not improve a model's prediction of depression relapse. In this episode Jefferson Health clinicians using Abridge's ambient AI cut time to chart closure 25.3% to 39.3%, NEJM Catalyst study reportsInova plans to decommission three AI features after a quarterly review finds their performance declining; 92 features remain in productionRadiologists and other physicians both follow wrong AI advice and ignore correct advice on head CT, Lancet Digital Health experiment findsAdding brain imaging, genetics and microbiome data does not improve machine learning prediction of depression relapse, JAMA Psychiatry study finds89% of clinical leaders want mandatory ongoing AI proficiency training for staff, HIMSS survey of 525 findsSiemens Healthineers and Nvidia plan AI agents and patient digital twins for radiotherapy planning

  6. 2d ago

    Daily Briefing for October 24, 2026

    Wrong automated advice cuts clinicians' accuracy, meta-analysis finds The voices on this episode are generated, and so is the script, from the day's post at Physician in the Loop. Every fact in the post links to its source. Read the post and its sources Get the free email briefing Clinicians had about 10 times the odds of a correct decision when automated advice was right than when it was wrong, a meta-analysis of 46 reports published Oct. 23 in npj Digital Medicine found. In four real-world studies of computerized electrocardiogram readings, 26.6% of erroneous machine interpretations went uncorrected and unrecognized, the authors reported. Studies of current AI and large language models documented harmful reliance on wrong output but were too varied to pool, and only one study reported harm at the patient level. Human oversight is protective "only if clinicians recognize and resist erroneous output," wrote the authors, from West China Hospital at Sichuan University. Elsewhere, Quest Diagnostics told regulators an unauthorized party reached patient records through the Quanum system clinicians use to order lab tests, and the Department of Health and Human Services moved to keep its workforce on Anthropic's Claude without a competitive bid. In this episode Clinicians' odds of a correct decision are 10 times higher with correct automated advice than with wrong advice, meta-analysis of 46 reports findsQuest Diagnostics says an unauthorized party reached patient records through Quanum, the system clients use to order tests and view resultsHHS plans a no-bid award to keep its workforce on Anthropic's Claude until it competes an enterprise AI contractBeth Israel Lahey Health opens a center to test clinical AI from the clinic to the operating room, led by a hospitalist and a trauma surgeonFDA adds five Olympus devices, including a capsule endoscope and two bronchovideoscopes, to an import block and posts a warning letterSentara Health deploys a case management tool built with Regard that answers plain-language questions about patient chartsAustralian regulator finds eight of 12 AI scribes it reviewed likely meet the definition of a medical device; none of their makers said soPhantom Neuro implants first patients in Australia with a sensor that reads forearm muscle signals to control a prosthetic hand

  7. 4d ago

    Special Topic: Fifty rulebooks, for now

    The White House wants one national AI rulebook instead of fifty. Physicians should accept it only if it keeps the states' rules on AI in medicine or protects patients at least as well. Read the special topic and its sources: https://physicianintheloop.org/specials/fifty-rulebooks-for-now/ The voice on this episode is generated by AI. It reads a special topic from Physician in the Loop as written; every fact in it links to its source.

  8. 4d ago

    Friday Letter: Separate checks

    Software meant to save medicine time is sending its bills downstream, to the nurses who recheck it and the hospitals that host it. Whoever profits from it should pay for the checking. Read the letter and its sources: https://physicianintheloop.org/letters/2026-10-19/ The voice on this episode is generated by AI. It reads the week's Friday letter at Physician in the Loop as written; every fact in the letter links to its source.

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About

How technological innovation is changing medicine for patients and the people who practice on the front lines.

Information

  • Creator
    Nomad Medical
  • Years Active
    2026
  • Episodes
    72
  • Rating
    Clean
  • Copyright
    © Nomad Medical Group, PLLC
  • Show Website
    Physician in the Loop