Physician in the Loop

Nomad Medical
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How artificial intelligence changes medicine for the people who actually practice it.

  1. 15h ago

    Special Topic: Who gets the time back

    Most hospitalists already use AI, and Epic is bringing more of it to the wards. The minutes it saves are few, and they belong to patients and doctors, not to a higher census. Read the special topic and its sources: https://physicianintheloop.org/specials/hospitalists-and-ai/ 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. 16h ago

    Daily Briefing for October 1, 2026

    Newsom signs two clinical AI bills, vetoes AI therapy limits; autonomous AI clears skin referrals; ARPA-H funds ICU digital twins; UVA cuts scribe hours 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 Gov. Gavin Newsom signed two bills Sept. 30 that protect licensed clinicians' judgment over clinical AI tools in California and vetoed two others, including one that would have limited AI in psychotherapy. The signed bills, AB 1979 and SB 503, take effect Jan. 1, 2027, and apply to physician offices and group practices as well as hospitals. The vetoes ended AB 2575, which would have protected nurses and other clinicians who override AI output, and SB 903, which passed the Senate without opposition. In the United Kingdom, an autonomous AI system discharged a quarter or more of urgent skin cancer referrals at two hospitals without clinician review, and missed six cancers, according to a congress presentation. The Advanced Research Projects Agency for Health funded critical care digital twins at the University of Vermont and Stanford and a Stanford monitor for autonomous cardiology agents. UVA Health cut emergency department scribe hours as its ambient documentation tool spread, the student newspaper reported, and the American Hospital Association asked senators to extend HIPAA-level standards to AI vendors and help rural hospitals hire cybersecurity staff. In this episode Newsom signs AB 1979 and SB 503 on clinical AI, vetoes AB 2575's override protection and SB 903's limits on AI in psychotherapyAutonomous AI discharges 25% to 31% of urgent skin cancer referrals at two NHS hospitals, freeing about 8,500 appointments; six cancers missedARPA-H awards up to $79.4 million for ICU immune digital twins and $14.9 million for a monitor of autonomous cardiology agentsUVA Health cuts emergency department scribe hours after a one-third budget reduction as Microsoft's DAX spreadsAHA asks Senate to hold AI vendors outside HIPAA to its standards and to fund cybersecurity staff for rural hospitalsPHTI survey: 68% of employers and 55% of health plans tie digital health payments to performance; 71% of systems use AI documentationFamily doctors who disclose AI use are rated less warm and less competent in 1,030-person vignette study, most among adults under 45Heidi releases agents that pre-chart schedules, draft referrals and sweep panels for overdue screenings, pending clinician approvalOrtet launches as a health AI lab with a $500 million commitment from Thoreau and NYU's Kyunghyun Cho as CEO

  3. 1d ago

    Special Topic: Practicing without a license

    Software can do much of an office visit, but the law cannot yet hold it responsible. States should license its operators, with a doctor reviewing its work until trials prove it safe. Read the special topic and its sources: https://physicianintheloop.org/specials/practicing-without-a-license/ 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 Update for September 30, 2026

    Kennedy calls AI better informed than any doctor; McKinsey sees AI in up to 22% of outpatient claims; Oura postpones IPO; Penn Medicine adds OpenEvidence 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 Health and Human Services Secretary Robert F. Kennedy Jr. told the Make America Healthy Again Summit in Washington on Sept. 29 that artificial intelligence can give Americans a second opinion better informed than any doctor. Kennedy also said OpenAI CEO Sam Altman had told him it would be "malpractice" to diagnose without consulting AI, Forbes reported. A day earlier, McKinsey & Co. estimated that AI could perform the work behind 16% to 22% of U.S. outpatient claims, from low-complexity office visits to imaging interpretation. Smart ring maker Oura postponed its IPO on the eve of trading, and Penn Medicine opened OpenEvidence to 10,000 clinicians. In California, Gov. Gavin Newsom's deadline to act on four health-AI bills, including limits on AI marketed as therapy, falls today. A University of Florida study found that five AI evidence-search tools each missed large shares of the published evidence on a clinical question. In this episode Kennedy tells MAHA Summit that AI gives a second opinion "much better informed than any doctor in the country"McKinsey estimates AI could perform 16% to 22% of U.S. outpatient claims, including 5% to 7% that are imaging interpretationOura postpones its Nasdaq IPO a day before trading was to begin, citing IPO market "uncertainty"Penn Medicine makes OpenEvidence available to 10,000 clinicians across its seven hospitalsNo AI evidence-search tool tested found 12% of a gold-standard evidence set; single queries often returned none of itFive-variable model predicts intractable hypoxemia during one-lung ventilation in repeat lung surgery with validation AUROCs of 0.75 to 0.78Cooper pilots Microsoft's Dragon Copilot for nurses in New Jersey after licensing it for more than 1,300 cliniciansNewsom's deadline arrives on four California health-AI bills, including SB 903's limits on AI marketed as therapySenate health committee schedules no vote on FDA nominee Heidi Overton; STAT reports vote waits until after midterms

  5. 2d ago

    Daily Update for September 29, 2026

    Colorado funds rural tele-ICU with $169.6 million; coding vendors dispute insurers on AI costs; AI score predicts heart failure deaths; robot data flags surgical skill 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 Colorado awarded $169.6 million on Monday to 91 rural health care providers for about 250 projects, including tele-ICU, telehospitalist and remote patient monitoring services, under the federal Rural Health Transformation Program, the state said. The awards cover 52 rural or frontier counties and three rural census tract counties and were chosen from 112 eligible applications seeking more than $250 million, according to the state's Department of Health Care Policy and Financing. The same day, the Centers for Medicare and Medicaid Services announced $51 million for chronic disease prevention through 68 rural hospital districts and authorities in Texas. Neither announcement names an artificial intelligence project. Makers of hospital coding software disputed insurers' finding that AI-assisted billing added $942 million in costs, Healthcare Dive reported. New papers in npj Digital Medicine describe an Oxford heart failure mortality score, a University of Pennsylvania CT model and a Japanese analysis of robot motion during prostate surgery. It was otherwise a quiet day for new developments. In this episode Colorado awards $169.6 million to 91 rural providers for tele-ICU, telehospitalist, remote monitoring and other projectsCoding software makers say AI captures missed services as insurers tie $942 million in added costs to hospital AI billingOxford's 11-variable AI heart failure score predicts one-year death with C-index of 0.801 in 373,389 patients, above an adapted MAGGIC scorePenn radiology team trains CT vision-language model on more than 400,000 scan-report pairs and tests it on 20,000 held-out peopleRobot motion data separate expert from less experienced surgeons in 98 robotic prostatectomies with an AUC of 0.892Remote blood pressure monitoring reached 5.2% of eligible patients at a Deep South health system; a few doctors made most referralsOptum Health names former AI scribe company chief Wes Donohoe CEO for AI and product innovation

  6. 3d ago

    Special Topic: Equal pay for equal results

    Medicare now pays technology firms for results, and a smart-ring maker will promote one of them to its members. Primary care deserves the same deal, or Medicare will pay twice for fragmented care. Read the special topic and its sources: https://physicianintheloop.org/specials/access-primary-care/ 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.

  7. 3d ago

    Daily Update for September 28, 2026

    Oura IPO draws four times the orders; Senate panel advances Klomp; Sentara reads coronary plaque with AI; radiology groups build their own AI 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 Oura's initial public offering drew about four times as many orders as shares available, Bloomberg reported Friday, ahead of pricing set for Tuesday that would value the smart-ring maker at up to $14.1 billion. The Senate Finance Committee voted 15-12 on Thursday to send Chris Klomp, the Health and Human Services official who has overseen Medicare, to a full Senate vote as HHS deputy secretary. Cardiologists at Sentara Health described using AI to classify coronary plaque on CT, radiology practices are building their own AI tools, STAT reported, and a Wolters Kluwer Health survey found 26% of patients who researched symptoms with AI sought care sooner. The weekend brought few new developments. California Gov. Gavin Newsom has until Sept. 30 to act on the health AI bills awaiting his signature, including AB 1979, SB 903 and SB 503; his office's releases through Sept. 27 announced no action on them. In this episode Oura IPO draws about four times as many orders as shares offered; pricing set for Sept. 29 at up to $14.1 billion valuationSenate Finance Committee advances Klomp, who said WISeR "must be done appropriately," to full vote for HHS deputy secretarySentara cardiologists use AI plaque analysis on coronary CT to guide therapy; system reports fewer invasive angiograms but gives no figuresRadiology practices acquire and tune their own AI and market themselves to recruits and hospitals as "AI-native," STAT reportsWolters Kluwer survey: 26% of patients who researched health questions with AI sought care sooner; 89% want human expert validationAustralia's GP registrars' association enlists trainees to help design Lyrebird Health's clinical AI tools

  8. 4d ago

    Special Topic: Keep your hand in

    AI is taking over the everyday work that kept doctors' skills sharp. The skills it cannot replace will now have to be practiced on purpose. Read the special topic and its sources: https://physicianintheloop.org/specials/hands-on-roadmap/ 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.

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How artificial intelligence changes medicine for the people who actually practice it.

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  • Creator
    Nomad Medical
  • Years Active
    2026
  • Episodes
    23
  • Rating
    Clean
  • Copyright
    © Nomad Medical Group, PLLC
  • Show Website
    Physician in the Loop