Josh Briscoe
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jbriscoe.bsky.social
Josh Briscoe
@jbriscoe.bsky.social
Hospice and Palliative Care Physician
#MedPsych #MedSky #HAPC #Bioethics
Writing @ Notes from a Family Meeting: https://familymeetingnotes.substack.com
Pinned
I took up this question in the latest issue of Notes: open.substack.com/pub/familyme...
Reposted by Josh Briscoe
Media outlets sharpened their pens by telling us that cars and trucks hit pedestrians and cyclists instead of drivers. Now they rinse and repeat with AI.
This is a thread of major media outlets falsely anthropomorphising the "Grok" chatbot program and in doing so, actively and directly removing responsibility and accountability from individual people working at X who created a child pornography generator (Elon Musk, Nikita Bier etc)

#1: Reuters
January 2, 2026 at 9:38 PM
Reposted by Josh Briscoe
Every ad now
November 13, 2025 at 5:38 PM
Reposted by Josh Briscoe
It is not "attribution and sourcing" to generate post-hoc citations that have not been read and did not inform the student's writing. Those should be regarded as fraudulent: artifacts testifying to human actions and thought that did not occur.
www.theverge.com/news/760508/...
August 18, 2025 at 10:37 PM
Reposted by Josh Briscoe
Coming back to this, I'm still struck by the implication that academics should care if the AI pushers "trust" all our work that's done without AI.

I don't know, man, you all seemed to trust our work enough to steal it from us wholesale.
I would struggle to trust an academic who doesn‘t know how to
use AI tools.
Which is not the same as not being critical.
December 20, 2025 at 9:54 PM
Reposted by Josh Briscoe
To what extent is it our job as consultants to manage or attend to clinician distress? What happens when that clinician distress leads to conflict? #medsky

Guests Sara Johnson, Yael Schenker, & Anne Kelly.

👉 Post: bit.ly/GeriPalEp385
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social
December 18, 2025 at 8:08 PM
I took up this question in the latest issue of Notes: open.substack.com/pub/familyme...
December 19, 2025 at 11:00 AM
They wonder what’s driving hospital investment in ambient AI for charting, as evidence for improved productivity isn’t there. Maybe it’s earnest care for clinician well-being? I have another suggestion: surveillance.
In the latest episode of the AI Grand Rounds podcast, Dr. Zak Kohane, editor-in-chief of NEJM AI, explains why this year’s advances in #AI were personal, why it’s spreading fast, and why its most profound theme is values. Full episode: nejm.ai/ep37

#MedSky #MLSky
December 18, 2025 at 11:17 AM
Reposted by Josh Briscoe
this field biologist does a great job highlighting the insidiousness of AI editing

these one-click AI edit buttons are incredibly appealing to many photographers, amateurs and professionals alike, and are framed as innocuous

this is worth sharing and educating people about
December 15, 2025 at 2:21 AM
Reposted by Josh Briscoe
I didn’t really get how much “health care contact days” is a meaningful patient outcome until I got sick

thank you @ishaniganguli.bsky.social @dusetzinas.bsky.social @jamanetworkopen.com
December 9, 2025 at 10:14 PM
Introducing ambient #AI scribes into a world in which clinicians write notes is very different from the future world in which no one has written notes. familymeetingnotes.substack.com/p/where-the-...
Where The Walls Listen
Artificial Intelligence and Clinical Scribes
familymeetingnotes.substack.com
December 6, 2025 at 10:27 AM
My final installment in a series of essays on medical authority. I worry we won't find a path forward by yelling at each other, but I see hope in a few places. familymeetingnotes.substack.com/p/a-power-gr... #medsky
A Power Great and Terrible
Medical Authority in Human Life (Part 3)
familymeetingnotes.substack.com
December 5, 2025 at 1:45 PM
Reposted by Josh Briscoe
Meaning, Medications, and Psychodynamic Psychopharmacology: Discussion with David Mintz

Exploring medication effects mediated symbolically

www.psychiatrymargins.com/p/meaning-me...
Meaning, Medications, and Psychodynamic Psychopharmacology: Discussion with David Mintz
Exploring medication effects mediated symbolically
www.psychiatrymargins.com
November 29, 2025 at 1:49 PM
Reposted by Josh Briscoe
This is the 3rd time Google has offered a Gemini trial for college students since May. They're clearly tying trials around the academic calendar. It is no wonder college instructors are hostile toward AI companies pushing free premium AI for college students during finals.
November 24, 2025 at 5:54 PM
Next up: medical authority and intervention. I approach a controversial case with the hope that this could provide a context for a more productive disagreement. familymeetingnotes.substack.com/p/here-to-he... #medsky
Here to Help: Clinicians and their Tools
Medical Authority in Human Life (Part 2)
familymeetingnotes.substack.com
November 27, 2025 at 10:43 AM
Reposted by Josh Briscoe
REUTERS: The winner of the 2067 Nobel Prize in Literature has been awarded to Sample #789, the author of “Vaping in the House My Father Built”. Sample, a synthetic brain organoid, lives in Saratoga, NY with their seventeen dogs.
November 23, 2025 at 5:01 AM
Reposted by Josh Briscoe
The most important thing to remember about all this fantasy-engineering of the Constitution is Madison's warning: If we suck as a people, no clever constitutional schemes will save us.
November 22, 2025 at 3:03 AM
Reposted by Josh Briscoe
In 1582, a papal bull introduced the Gregorian calendar, still used today by most of the world. Because it’s 11 days ahead of the Julian calendar, countries introducing it simply skipped a third of October, and if you scroll back far enough in the iPhone calendar app you can see it change
December 31, 2024 at 2:41 PM
Reposted by Josh Briscoe
This will keep you stuck in the past, preventing you from healing. Even worse, your memories of your lost loved one will be polluted and overwritten by your memories of their AI-generated ghost, until you’ve forgotten the person you lost, and instead grieve only their caricature.
November 15, 2025 at 1:04 PM
As a palliative care doc, I’m constantly navigating questions of the appropriate extent of medical authority. That was also a large part of my previous job as a psychiatrist. How do we figure out where the limits are? familymeetingnotes.substack.com/p/should-you...
Should You See a Doctor For That?
Medical Authority in Human Life (Part 1)
familymeetingnotes.substack.com
November 15, 2025 at 11:25 AM
Reposted by Josh Briscoe
Haha yes, YES
November 14, 2025 at 12:46 AM
Reposted by Josh Briscoe
Doctor LLMs don't want you to know this one weird trick
November 13, 2025 at 11:13 PM
Reposted by Josh Briscoe
November 13, 2025 at 11:39 PM
Reposted by Josh Briscoe
The US administration has reduced resources for the National Library of Medicine and paralyzed government. Unfortunately I am unable to provide you our most recent publications. An alternative to Pubmed is needed for global medical knowledge.
November 8, 2025 at 11:16 AM
Reposted by Josh Briscoe
Sikorav Against the World

A French psychiatrist’s efforts to do right by his patients brought him into conflict with the medical bureaucracy

www.psychiatrymargins.com/p/sikorav-ag...
Sikorav Against the World
A French psychiatrist’s efforts to do right by his patients brought him into conflict with the medical bureaucracy
www.psychiatrymargins.com
November 7, 2025 at 2:17 PM
Reposted by Josh Briscoe
Looking for an easy way to make a difference this fall? Leave your leaves! 🍂

Leaving your leaves is one way to change some of the forces at work behind climate change and loss of biodiversity. Learn more at keepdurhambeautiful.org/leaveyourleaves
November 8, 2025 at 3:55 PM