Josh Herigon MD, MPH, MBI
@joshherigon.bsky.social
Chief Medical Informatics Officer and pediatric infectious diseases doctor at Children's Mercy Kansas City (via Boston Children's Hospital, Harvard DBMI, Univ of Kansas Med School)
http://joshherigon.com/
http://joshherigon.com/
Reposted by Josh Herigon MD, MPH, MBI
I feel like this photo of masked, armed men pepper spraying a pastor protecting his community is going to be a defining picture of this moment in America for a long, long time.
October 7, 2025 at 11:29 PM
I feel like this photo of masked, armed men pepper spraying a pastor protecting his community is going to be a defining picture of this moment in America for a long, long time.
There is a strong appetite for AI assistance for healthcare professionals--and we are carefully working through how we safely utilize such tools--but I do not think there is a hunger among patients to directly interact with AI agents for healthcare. #medicalAI
Dr. Oz Pushed for AI Health Care in First Medicare Agency Town Hall
Dr. Oz, who now controls the Centers for Medicare and Medicaid Services and its $1.5 trillion budget, promoted the idea that AI avatars could replace frontline health care workers.
www.wired.com
April 9, 2025 at 4:52 PM
There is a strong appetite for AI assistance for healthcare professionals--and we are carefully working through how we safely utilize such tools--but I do not think there is a hunger among patients to directly interact with AI agents for healthcare. #medicalAI
Should we (specifically in pediatrics) be using linezolid more often for complicated community-acquired pneumonia? 🤔 #pedsID #IDsky #Medsky
academic.oup.com
January 7, 2025 at 3:12 AM
Very cool #dataVisualization of train travel in Europe. I don't know if this is a Shiny App, but sure looks a lot like one.
Chronotrains - Europe Train Map
Visualize where you can travel by train in Europe on this interactive map.
www.chronotrains.com
January 7, 2025 at 3:12 AM
Very cool #dataVisualization of train travel in Europe. I don't know if this is a Shiny App, but sure looks a lot like one.
As we continue to enhance interoperability, bolstering security will be vital. Updating standards related to HIPAA would be a good step.
www.reuters.com
January 7, 2025 at 3:11 AM
As we continue to enhance interoperability, bolstering security will be vital. Updating standards related to HIPAA would be a good step.
This will be a huge challenge ➡️ “We need an ecosystem where health systems themselves take on the responsibility for ongoing validation.” FDA Comish Califf
FDA commissioner urges health systems to strengthen AI quality oversight
FDA Commissioner Robert Califf, MD, explains the need for hospitals to perform quality assurance checks on clinical artificial intelligence to ensure these technologies don't "drift" from what was…
healthexec.com
December 12, 2024 at 9:15 PM
This will be a huge challenge ➡️ “We need an ecosystem where health systems themselves take on the responsibility for ongoing validation.” FDA Comish Califf
Bias in medical AI can compound throughout the development pipeline. Assessment and mitigation of bias needs to be a part of healthcare AI strategies/implementations #AIinMedicine
Bias in medical AI: Implications for clinical decision-making
Author summary In this work, we explore the challenges of biases that emerge in medical artificial intelligence (AI). These biases, if not adequately addressed, can lead to poor clinical decisions…
journals.plos.org
December 2, 2024 at 4:09 PM
Bias in medical AI can compound throughout the development pipeline. Assessment and mitigation of bias needs to be a part of healthcare AI strategies/implementations #AIinMedicine
“Why is it so complicated to be an academic physician?” Seriously, between MOC, credentialing, licenses, COI, academic work tracking, grant paperwork, mandatory education, etc, it feels like I spend half my time tracking/updating things. 😡🤬 #medsky #IDsky
Gave a talk recently to an outside academic medical center, and they offered an honorarium -- nice!
But setting me up as a "vendor" was utterly baffling -- needed username, 12-character password, 2-step verification, my kids' Apgar scores ...
Why is it so complicated to teach these days?
But setting me up as a "vendor" was utterly baffling -- needed username, 12-character password, 2-step verification, my kids' Apgar scores ...
Why is it so complicated to teach these days?
November 20, 2024 at 5:48 PM
Non-inferior! Will have to dig into the subanalyses and nuances ➡️ "Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections" #IDsky #USAAW
www.nejm.org
November 20, 2024 at 2:05 PM
#AntibioticAwarenessWeek "Fighting AMR takes all us" Everyone has a role in fighting AMR. Working together, we must improve abx prescribing to benefit human health, animal health, plant health and the environment.
U.S. Antibiotic Awareness Week (USAAW)
Share important information about appropriate antibiotic and antifungal prescribing and use and comb
www.cdc.gov
November 18, 2024 at 6:47 PM
#AntibioticAwarenessWeek "Fighting AMR takes all us" Everyone has a role in fighting AMR. Working together, we must improve abx prescribing to benefit human health, animal health, plant health and the environment.
Rise of the 'CAIO'? Highlights the ever growing need for more informatics trained physicians! #clinicalInformatics
Shaping the Future: The Evolving Role and Impact of Chief AI Officers (CAIO) in the Digital Age
Ryan Sadeghian, Reza Sadeghian, AI, Artificial intelligence, ChatGPT, CAIO, Chief AI officer, Physician
www.linkedin.com
November 18, 2024 at 10:05 AM
Rise of the 'CAIO'? Highlights the ever growing need for more informatics trained physicians! #clinicalInformatics
Here's a good NY Times article on the LLM study for aiding diagnostic reasoning I linked to today #AIinMedicine
ChatGPT Defeated Doctors at Diagnosing Illness
A small study found ChatGPT outdid human physicians when assessing medical case histories, even when those doctors were using a chatbot.
www.nytimes.com
November 18, 2024 at 1:24 AM
Here's a good NY Times article on the LLM study for aiding diagnostic reasoning I linked to today #AIinMedicine
This study on LLMs aiding diagnostic reasoning buries the lede (https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2825395 ). The LLM alone outperformed the humans. Make sure to read the accompanying commentary (https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2825399 )
November 17, 2024 at 5:35 PM
This study on LLMs aiding diagnostic reasoning buries the lede (https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2825395 ). The LLM alone outperformed the humans. Make sure to read the accompanying commentary (https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2825399 )
Implications for EHRs based on ancient code 👀 "...AI has significantly increased the real cost of carrying tech debt...generative AI dramatically widens the gap in velocity between ‘low-debt’ coding and ‘high-debt’ coding."
AI Makes Tech Debt More Expensive
AI increases the penalty for low quality code
www.gauge.sh
November 17, 2024 at 4:00 PM
Implications for EHRs based on ancient code 👀 "...AI has significantly increased the real cost of carrying tech debt...generative AI dramatically widens the gap in velocity between ‘low-debt’ coding and ‘high-debt’ coding."
This is one of the wildest applications of LLMs I've seen. Incredible initial effect and then apparently durable over time (!) but wide variation in response #artificialIntelligence
www.science.org
November 14, 2024 at 6:02 PM
This is one of the wildest applications of LLMs I've seen. Incredible initial effect and then apparently durable over time (!) but wide variation in response #artificialIntelligence
November 14, 2024 at 5:14 PM
Fierce Healthcare and Sermo surveyed physicians, revealing 76% use general-purpose LLMs for clinical decisions. HUGE caveats: (1) respondents were LLM users, (2) 60% were in academia, (3) Sermo users tend to be tech-savvy. Interesting nonetheless #artificialIntelligence
Some doctors are using public AI chatbots like ChatGPT in clinical decisions. Is it safe?
Nineteen-year-old Lia was at a follow-up appointment at a boutique dermatology practice in New York City. She was interested in a prescription for hair growth. Since she was already on another medication,...
buff.ly
November 14, 2024 at 4:54 PM
Fierce Healthcare and Sermo surveyed physicians, revealing 76% use general-purpose LLMs for clinical decisions. HUGE caveats: (1) respondents were LLM users, (2) 60% were in academia, (3) Sermo users tend to be tech-savvy. Interesting nonetheless #artificialIntelligence