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Latest Issues

Voy a Pausar

I see it in my own exam room, not in a meeting. A patient I have known for a few months pauses before answering my question about her living situation. She normally tells me everything in Spanish. Not today. She glances at the computer....

8 days ago
6
1

Liable Either Way

The risk calculus changed for me at a dinner table. Not a courtroom.

Six professionals. A meal. The conversation turns to AI in medicine. A malpractice attorney, seated two chairs over, sets down her fork and says it plainly: physicians wi...

15 days ago
3

Alma First Roundtable: The AI Curriculum That Does Not Exist Yet

Edgar Negrete Jimenez was working as an ER tech in downtown Los Angeles when he first noticed something shift. Patients started arriving with AI-generated symptom assessments on their phones. Some were accurate. Some were dangerously wrong....

22 days ago
3

When the Statehouse Catches Up to the Exam Room

You are sitting across from a legislator’s staff member in a Capitol conference room. You are explaining how a deepfake physician sold diabetes supplements to a patient who spent $400 on products that never arrived. The physician whose face...

a month ago
2

When the System Goes Dark

You realize your entire clinical rhythm lives inside a single system when the system stops working on a Monday night.

Two patients left on the schedule. The EHR went dark. Not a browser crash. Not a slow connection. The entire electronic h...

a month ago
5
1

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Authors

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  • Dr. Gigi Magan

    Family physician writing about AI in healthcare, primary care, and medical education from the safety-net exam room. Exploring responsible AI, clinical decision-making, digital health equity, and how technology reshapes workflow and patient care.

  • Karim Hanna, MD
  • Andrew O'Malley PhD

    \ud83d\udc4b I’m a Senior Lecturer at the University of St Andrews Medical School. I specialise in generative AI (genAI), medical education (MedEd), and digital assessment — with a particular focus on safety, bias, and implementation in real-world teaching.

  • Lorena Gonzalez

    Navigating the worlds of an incoming medical student and future physician, I explore health equity through advocacy, policy, digital innovation, and creative storytelling to make healthcare accessible and human-centered.

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