Josh Briscoe
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jbriscoe.bsky.social
Josh Briscoe
@jbriscoe.bsky.social
440 followers 310 following 660 posts
Hospice and Palliative Care Physician
#MedPsych #MedSky #HAPC #Bioethics
Writing @ Notes from a Family Meeting: https://familymeetingnotes.substack.com
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jbriscoe.bsky.social
Josh Briscoe @jbriscoe.bsky.social · 15d
I took up this question in the latest issue of Notes: open.substack.com/pub/familyme...
Reposted by Josh Briscoe
ctsinclair.bsky.social
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.
ketanjoshi.co Ketan Joshi @ketanjoshi.co · 16h
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
Grok says safeguard lapses led to images of 'minors in minimal clothing' on X By Reuters January 2, 20267:40 PM GMT+1Updated 1 hour ago Illustration shows xAI and Grok logos xAI and Grok logos are seen in this illustration taken, February 16, 2025. REUTERS/Dado Ruvic/Illustration Purchase Licensing Rights, opens new tab Jan 2 (Reuters) - Elon Musk's xAI artificial intelligence chatbot Grok said on Friday lapses in safeguards had resulted in "images depicting minors in minimal clothing" on social media platform X and that improvements were being made to prevent this. Screenshots shared by users on X showed Grok's public media tab filled with images that users said had been altered when they uploaded photos and prompted the bot to alter them. "There are isolated cases where users prompted for and received AI images depicting minors in minimal clothing," Grok said in a post on X. "xAI has safeguards, but improvements are ongoing to block such requests entirely." "As noted, we've identified lapses in safeguards and are urgently fixing them — CSAM is illegal and prohibited," Grok said, referring to Child Sexual Abuse Material. Grok gave no further details. When contacted by Reuters for comment by email, xAI replied with the message "Legacy Media Lies". In a separate reply to a user on X on Thursday, Grok said most cases could be prevented through advanced filters and monitoring although it said "no system is 100% foolproof," adding that xAI was prioritising improvements and reviewing details shared by users.
January 2, 2026 at 9:38 PM
Reposted by Josh Briscoe
stephencollins.bsky.social
Every ad now
[Scene is a kitchen - a middle aged woman called JANET is boiling peas at the stove. A younger more colourfully dressed woman named LIZ approached her.] JANET: Ugh... LIZ: What's up? JANET: I am so bored of cooking peas! LIZ: Have you tried... AI peas? JANET: AI peas? LIZ: They're peas with AI! [Liz holds up to us a packet of peas labelled: Pea-i AI - Peas with AI]. LIZ: Al-powered peas harness the potential of your peas JANET: What LIZ [Now a voiceover as we cut to a whizzy technology diagram of peas all connected by meaningless dotted lines] Why not take your peas to the next level with Al Peas' new Al tools to power your peas? [Show a techno diagram of a pea with a label reading 'AI' pointing to a random zone in it] LIZ: Each pea has Al in a way we haven't quite worked out yet but it's fine [Show Janet and Liz now in a Matrix-style world of peas] LIZ: With Al peas you can supercharge productivity and make AI work for your peas! JANET: What LIZ: Shut up LIZ: Our game-changing Pea-Al gives you the freedom to unlock the potential of the power of the future of your peas workflow From opening the bag of peas to boiling the peas to eating the peas To spending millions on adding Al to the peas and then having to work out what that even means. JANET: Is it really necessary to- LIZ [Grabbing Janet by the collar]: THE PEAS HAVE GOT AI, JANET [Cut to an advert ending screen, with the bag of peas and the slogan: AI PEAS: Just 'Peas' for god's sake buy the AI peas. [Ends]
November 13, 2025 at 5:38 PM
Reposted by Josh Briscoe
jedbrown.org
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/...
For help with attribution and sourcing, Grammarly is releasing a citation finder agent that automatically generates correctly formatted citations backing up claims in a piece of writing, and an expert review agent that provides personalized, topic-specific feedback. Screenshot from Grammarly's demo of inserting a post-hoc citation. https://www.grammarly.com/ai-agents/citation-finder
August 18, 2025 at 10:37 PM
Reposted by Josh Briscoe
kevinmkruse.bsky.social
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.
wblau.bsky.social Wolfgang Blau @wblau.bsky.social · 13d
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
geripal.bsky.social
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
jbriscoe.bsky.social
I took up this question in the latest issue of Notes: open.substack.com/pub/familyme...
December 19, 2025 at 11:00 AM
jbriscoe.bsky.social
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.
ai.nejm.org NEJM AI @ai.nejm.org · 16d
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
AI Grand Rounds Episode 37 What Values Are in AI? A Conversation with Dr. Zak Kohane A photo of Dr. Kohane
December 18, 2025 at 11:17 AM
Reposted by Josh Briscoe
thoughtrise.bsky.social
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
screenshot of a post on facebook from Alex Lamoreaux, depicting two versions of the "same" photograph of a bobcat in front of a pine plantation, one labeled original game cam photo, one labeling AI processed the markings have been altered on the AI photo, and the head changed and resized text says: Oh! A neat goose hybrid posted to ‘What’s this Bird?’ but when you zoom in on the photos the bill details have been too manipulated by AI photo editing to be accurately assessed for which species may be involved. Scroll on… A cool-looking Red-tailed Hawk that someone is wondering which subspecies it might be - right up my alley! But when you zoom in on the photos literally every feather group has been so heavily manipulated and altered by AI editing that it’s impossible to determine subspecies because the photo is essentially fake now; just a mashup of whatever AI thinks parts of a Red-tail should look like. Scroll on… WOW! That’s a remarkable trail cam photo of a Bobcat! It almost looks like a painting!… but the head looks oddly small…. hmmmm. After some prodding the original photo is produced and sure enough it had been so heavily altered by AI ‘post processing’ that the photo posted was essentially a digital mock-up with totally different proportions and fur markings. No longer the photo off the trail cam; it may as well have just been ‘created’ by AI from scratch. This stuff is killing me. My days on social media are becoming very limited. We can’t even trust simple, everyday photos of animals to be real. The wildlife community needs to quit editing with AI, and we need to start calling out photographers that are using it. Our reality is being destroyed all around us.
December 15, 2025 at 2:21 AM
Reposted by Josh Briscoe
mdaware.org
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
jbriscoe.bsky.social
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
jbriscoe.bsky.social
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
awaisaftab.bsky.social
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
marcwatkins.bsky.social
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
jbriscoe.bsky.social
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
jaredsmith.bsky.social
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
radiofreetom.bsky.social
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
oldenoughtosay.com
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
Screencap showing the jump from Oct 4 to 15
December 31, 2024 at 2:41 PM
Reposted by Josh Briscoe
gurwinder.bsky.social
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
jbriscoe.bsky.social
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
drpayitback.com
Haha yes, YES
November 14, 2025 at 12:46 AM
Reposted by Josh Briscoe
emilymoin.com
Doctor LLMs don't want you to know this one weird trick
November 13, 2025 at 11:13 PM
Reposted by Josh Briscoe
emilymoin.com
November 13, 2025 at 11:39 PM
Reposted by Josh Briscoe
brueraeduardo.bsky.social
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
awaisaftab.bsky.social
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
cityofdurhamnc.bsky.social
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
Promotional graphic titled 'LEAVE YOUR LEAVES', encouraging leaving fallen leaves on the ground, featuring logos of City of Durham, Keep Durham Beautiful, and New Hope Bird Alliance.
November 8, 2025 at 3:55 PM