Iris Thiele Isip Tan MD, MSc
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endocrinewitch.bsky.social
Iris Thiele Isip Tan MD, MSc
@endocrinewitch.bsky.social
Professor, College of Medicine University of the Philippines. Endocrinology | Health Informatics | Medical Education | Infodemic Management | AI. #HealthXPH. PhD by research student in health sciences. Views are my own. www.endocrine-witch.net
Thanks for moderating @bonedocph.bsky.social Remo! Though not many participate in the #healthxph chat these days, I look forward to our convos … time and space to reflect and catch up. That is still valuable!
January 17, 2026 at 2:01 PM
Reposted by Iris Thiele Isip Tan MD, MSc
T3 Starting over doesn’t require shrinking yourself. It requires separating confidence from certainty. Keep your standards, ethics and decision-making muscle intact—just loosen your grip on being right. That’s how experts evolve without erasing themselves. #HealthXPh
January 17, 2026 at 1:52 PM
Reposted by Iris Thiele Isip Tan MD, MSc
T3 You don’t start over as a beginner—you start over as a disciplined novice. Be humble about the new domain, ruthless about applying your hard-won judgment, and clear on where expertise transfers. Curiosity earns trust early; discernment proves value fast. #HealthXPh
January 17, 2026 at 1:50 PM
Reposted by Iris Thiele Isip Tan MD, MSc
T3. How do you start over as a beginner while still being the expert? #healthxph
January 17, 2026 at 1:49 PM
Reposted by Iris Thiele Isip Tan MD, MSc
Goes without saying, "we are not our work" . I'd also would like to think that we are just adding a skillset or shifting to a career role that better fit the mind and body. #healthxph
T2 The identity crisis is managed with honesty: you’re not losing who you are, you’re shedding a role that once fit. Grief is normal; clinging out of fear is optional. #HealthXPh
January 17, 2026 at 1:48 PM
Reposted by Iris Thiele Isip Tan MD, MSc
T2. How do you manage the financial and identity crisis of letting go? #Healthxph
January 17, 2026 at 1:38 PM
Reposted by Iris Thiele Isip Tan MD, MSc
Agree. It's not anymore achievements that mattered to me. Alignment of values and fulfillment in other neglected aspects of life, was more important now for me. #Healthxph
Life’s too short to keep doing things that don’t bring you fulfillment. I’ve built a team of grad students. Just this week alone, I was able to pass off three speaking engagements to them! #healthxph
January 17, 2026 at 1:32 PM
Reposted by Iris Thiele Isip Tan MD, MSc
If you can latch onto any kind of clarity about what you're doing versus what you want to do, that's a good start. #HealthXPh
January 17, 2026 at 1:35 PM
Reposted by Iris Thiele Isip Tan MD, MSc
T1 You know it’s time to shift when effort keeps rising but meaning, learning, or impact keeps falling. That’s not burnout—it’s misalignment. #HealthXPh
January 17, 2026 at 1:29 PM
Reposted by Iris Thiele Isip Tan MD, MSc
T1 Practical first steps: name what isn’t working (role, pace, incentives, values), audit your transferable skills, then create slack—time, savings, optionality—before making any visible move. #HealthXPh
January 17, 2026 at 1:29 PM
Reposted by Iris Thiele Isip Tan MD, MSc
Yeah. Multiply yourself! An educators dream! #Healthxph
Life’s too short to keep doing things that don’t bring you fulfillment. I’ve built a team of grad students. Just this week alone, I was able to pass off three speaking engagements to them! #healthxph
January 17, 2026 at 1:27 PM
T1. A change in rhythm? I think the pandemic showed me that. Cut down clinic from 5 to 2 days. Did other things. But now I want to do other things again 😬. Midlife crisis dunno
#healthxph
T1. How do you know when it’s time to shift, and what are the practical first steps? #Healthxph
January 17, 2026 at 1:29 PM
Reposted by Iris Thiele Isip Tan MD, MSc
T1. How do you know when it’s time to shift, and what are the practical first steps? #Healthxph
January 17, 2026 at 1:23 PM
Reposted by Iris Thiele Isip Tan MD, MSc
Good day #Healthxph. Bonedoc here, your mod for today's chat about mid career shifts in PH Healthcare. Who's online? @endocrinewitch.bsky.social @stephaniemiaco.bsky.social @helenvmadamba.bsky.social @docbuboy.bsky.social . Pre chat post here > remomd.com/finding-your...
Finding Your Second Act: A Mid-Career Shift in Philippine Healthcare – Cast & Curious
remomd.com
January 17, 2026 at 1:10 PM
Hello #healthxph! Is it too late to say Happy New Year? I was absent last week.
January 17, 2026 at 1:07 PM
Reposted by Iris Thiele Isip Tan MD, MSc
More than half of researchers now use AI for peer review — often against guidance www.nature.com/articles/d41...

Results "confirm what many researchers have long suspected, given the ubiquity of tools powered by large-language models..."
More than half of researchers now use AI for peer review — often against guidance
A survey of 1,600 academics found that more than 50% have used artificial-intelligence tools while peer reviewing manuscripts.
www.nature.com
December 16, 2025 at 7:00 PM
Reposted by Iris Thiele Isip Tan MD, MSc
AI could be hugely beneficial to the NHS, but only if it augments, not replaces, human judgement, and is deployed with strong governance and equity-aware data.

Plus of course the challenges of workforce and infrastructure remain!

A new piece by me.
www.digitalhealth.net/2025/12/ai-i...
AI in the NHS: rewards, risks, and reality
The NHS must avoid AI's seductive overdiagnosis trap, writes Professor Christina Pagel, director of UCL’s clinical operational research unit
www.digitalhealth.net
December 16, 2025 at 2:02 PM
Reposted by Iris Thiele Isip Tan MD, MSc
What's your strategy for using LLMs to augment your clinical decision-making?

(now, if we only had objective data regarding which was "best")
#medsky #MLsky
www.evidencetriage.com/p/are-you-a-...
Are You A "Copy-Paster" Or A "Summarizer"?
Or something else entirely?
www.evidencetriage.com
December 16, 2025 at 5:54 PM
Reposted by Iris Thiele Isip Tan MD, MSc
New preprint! @marentierra.bsky.social @irisvanrooij.bsky.social & I have been working on what CAIL means to showcase & propagate the idea of thinking very differently to tech industry norms on "artificial intelligence"

Towards Critical Artificial Intelligence Literacies doi.org/10.5281/zeno...

1/
December 2, 2025 at 6:58 AM
Reposted by Iris Thiele Isip Tan MD, MSc
A new Perspective seeks to indicate how the lack of security in #AI platforms may increase risk in clinical settings, particularly when these tools are used for translation or when patients share sensitive information. Read the full Perspective: nejm.ai/49PrjYr

#MedSky #MLSky
December 10, 2025 at 5:15 PM
Reposted by Iris Thiele Isip Tan MD, MSc
"With few studies moving beyond #AI model design & development stages, there are clear gaps in our understanding of how to reliably validate, deploy, and sustain AI models in #rural settings to advance health in all communities." academic.oup.com/jamia/advanc...

#MedSky #RuralHealth #HealthEquity
Gaps in artificial intelligence research for rural health in the United States: a scoping review
AbstractObjective. Artificial intelligence (AI) has impacted healthcare at urban and academic medical centers in the US. There are concerns, however, that
academic.oup.com
December 10, 2025 at 7:32 PM
Reposted by Iris Thiele Isip Tan MD, MSc
This is an outstanding analysis of AI in the current milieu. Very useful framing! Looking forward to the book length version next spring.

pluralistic.net/2025/12/05/p...
Pluralistic: The Reverse-Centaur’s Guide to Criticizing AI (05 Dec 2025) – Pluralistic: Daily links from Cory Doctorow
pluralistic.net
December 11, 2025 at 4:51 AM
Took a peek at X … because #UPFight. Wala, basura na talaga dun.
December 14, 2025 at 10:41 PM
Reposted by Iris Thiele Isip Tan MD, MSc
Humans and machines make the same mistakes — just for different reasons. On NEJM AI Grand Rounds, Dr. Laura Zwaan discusses bias, cognition, and #AI. Full episode: nejm.ai/ep36

#MedSky #MLSky
December 11, 2025 at 1:31 PM
Reposted by Iris Thiele Isip Tan MD, MSc
Important new, large (N>28,000 women) randomized clinical trial of breast cancer screening: age-based vs risk-based by polygenic risk score, genomics
"opportunity to modernize screening"
jamanetwork.com/journals/jam...
Risk-Based vs Annual Breast Cancer Screening
This randomized clinical trial examines whether risk-based screening is a safe and effective alternative to annual mammography for detecting breast cancer in women 40 years and older.
jamanetwork.com
December 12, 2025 at 5:00 PM