Jeremy Richards, MD, MA, FACP, ATSF
@jbricha1.bsky.social
Medical educator, Pulmonary & Critical Care physician #curiosity #criticalthinking #globalhealth
m
https://connects.catalyst.harvard.edu/Profiles/display/Person/12398
https://wausm.education/md-program/faculty/meet-our-faculty-and-staff/jeremy-richards-m
m
https://connects.catalyst.harvard.edu/Profiles/display/Person/12398
https://wausm.education/md-program/faculty/meet-our-faculty-and-staff/jeremy-richards-m
The takeaway isn't the AI tool, but the *pedagogy*:
✔ intentional case design
✔ structured feedback
✔ alignment w/ learning objectives
Programs like Training to Teach in Medicine at @harvardmed.bsky.social helps clinicians develop skills for teaching emerging technologies in #MedEd
✔ intentional case design
✔ structured feedback
✔ alignment w/ learning objectives
Programs like Training to Teach in Medicine at @harvardmed.bsky.social helps clinicians develop skills for teaching emerging technologies in #MedEd
January 15, 2026 at 7:32 PM
The takeaway isn't the AI tool, but the *pedagogy*:
✔ intentional case design
✔ structured feedback
✔ alignment w/ learning objectives
Programs like Training to Teach in Medicine at @harvardmed.bsky.social helps clinicians develop skills for teaching emerging technologies in #MedEd
✔ intentional case design
✔ structured feedback
✔ alignment w/ learning objectives
Programs like Training to Teach in Medicine at @harvardmed.bsky.social helps clinicians develop skills for teaching emerging technologies in #MedEd
Notably, the platform supports text & voice, it is multilingual, & it is freely accessible - advancing equity across globally diverse & resource-limited institutions. This positions #AI patient actors as complements, not replacements, to human standardized patients.
January 15, 2026 at 7:32 PM
Notably, the platform supports text & voice, it is multilingual, & it is freely accessible - advancing equity across globally diverse & resource-limited institutions. This positions #AI patient actors as complements, not replacements, to human standardized patients.
Learners receive immediate, rubric-based formative feedback from the AI, supporting deliberate practice in:
• clinical interviewing
• diagnostic reasoning
• communication skills
This aligns with evidence linking feedback in sim to clinical performance: onlinelibrary.wiley.com/doi/10.1111/...
• clinical interviewing
• diagnostic reasoning
• communication skills
This aligns with evidence linking feedback in sim to clinical performance: onlinelibrary.wiley.com/doi/10.1111/...
January 15, 2026 at 7:32 PM
Learners receive immediate, rubric-based formative feedback from the AI, supporting deliberate practice in:
• clinical interviewing
• diagnostic reasoning
• communication skills
This aligns with evidence linking feedback in sim to clinical performance: onlinelibrary.wiley.com/doi/10.1111/...
• clinical interviewing
• diagnostic reasoning
• communication skills
This aligns with evidence linking feedback in sim to clinical performance: onlinelibrary.wiley.com/doi/10.1111/...
Key design insight: The LLM does *NOT* generate medical facts. Rather, human-authored cases constrain the AI’s responses - reducing hallucinations & preserving educator control over content, a critical principle for responsible AI adoption in #MedEd, addressing known risks of LLMs.
#meded #AI #sim
#meded #AI #sim
January 15, 2026 at 7:32 PM
Standardized patients teach clinical communication & reasoning, but are resource-intensive & inequitable at scale. An article in Med Sci Educ introduces an open-access AI Patient Actor to enable scalable self-paced clinical interviewing w/ formative feedback.
Link: doi.org/10.1007/s406...
Link: doi.org/10.1007/s406...
January 15, 2026 at 7:32 PM
Standardized patients teach clinical communication & reasoning, but are resource-intensive & inequitable at scale. An article in Med Sci Educ introduces an open-access AI Patient Actor to enable scalable self-paced clinical interviewing w/ formative feedback.
Link: doi.org/10.1007/s406...
Link: doi.org/10.1007/s406...
If you’re redesigning curricula, consider integrating:
• jigsaw or team-based peer learning
• interactive modular content
• structured assessment
Programs like Training to Teach in Medicine @harvardmed.bsky.social help clinicians learn about evidence-based teaching strategies #meded
• jigsaw or team-based peer learning
• interactive modular content
• structured assessment
Programs like Training to Teach in Medicine @harvardmed.bsky.social help clinicians learn about evidence-based teaching strategies #meded
January 14, 2026 at 6:37 PM
If you’re redesigning curricula, consider integrating:
• jigsaw or team-based peer learning
• interactive modular content
• structured assessment
Programs like Training to Teach in Medicine @harvardmed.bsky.social help clinicians learn about evidence-based teaching strategies #meded
• jigsaw or team-based peer learning
• interactive modular content
• structured assessment
Programs like Training to Teach in Medicine @harvardmed.bsky.social help clinicians learn about evidence-based teaching strategies #meded
Key takeaways for #meded:
→ METHOD matters (active peer-assisted strategies outperform lecture)
→ RESOURCES matter (high-quality modular tools work)
→ Students value CONTROL & COLLABORATION
Aligns with competency-based education & constructivist learning theory #medtwitter
→ METHOD matters (active peer-assisted strategies outperform lecture)
→ RESOURCES matter (high-quality modular tools work)
→ Students value CONTROL & COLLABORATION
Aligns with competency-based education & constructivist learning theory #medtwitter
January 14, 2026 at 6:37 PM
Key takeaways for #meded:
→ METHOD matters (active peer-assisted strategies outperform lecture)
→ RESOURCES matter (high-quality modular tools work)
→ Students value CONTROL & COLLABORATION
Aligns with competency-based education & constructivist learning theory #medtwitter
→ METHOD matters (active peer-assisted strategies outperform lecture)
→ RESOURCES matter (high-quality modular tools work)
→ Students value CONTROL & COLLABORATION
Aligns with competency-based education & constructivist learning theory #medtwitter
Modules such as @scholarrx.bsky.social Bricks enhanced outcomes across groups, likely due to:
- concise organization
- interactive visuals
- cognitive load reduction
Prior work shows AV/multimodal tools improve memory & engagement (Pujol et al, Brain Behav 2021; doi:10.1002/brb3.1427).
- concise organization
- interactive visuals
- cognitive load reduction
Prior work shows AV/multimodal tools improve memory & engagement (Pujol et al, Brain Behav 2021; doi:10.1002/brb3.1427).
January 14, 2026 at 6:37 PM
Modules such as @scholarrx.bsky.social Bricks enhanced outcomes across groups, likely due to:
- concise organization
- interactive visuals
- cognitive load reduction
Prior work shows AV/multimodal tools improve memory & engagement (Pujol et al, Brain Behav 2021; doi:10.1002/brb3.1427).
- concise organization
- interactive visuals
- cognitive load reduction
Prior work shows AV/multimodal tools improve memory & engagement (Pujol et al, Brain Behav 2021; doi:10.1002/brb3.1427).
The jigsaw strategy (learn in expert group → teach peers in home group) promoted:
✔️engagement
✔️communication
✔️self-directed learning
✔️accountability
Findings align with prior evidence that collaborative learning improves retention and performance (Oakes et al, Sagsoz et al)
✔️engagement
✔️communication
✔️self-directed learning
✔️accountability
Findings align with prior evidence that collaborative learning improves retention and performance (Oakes et al, Sagsoz et al)
January 14, 2026 at 6:37 PM
The jigsaw strategy (learn in expert group → teach peers in home group) promoted:
✔️engagement
✔️communication
✔️self-directed learning
✔️accountability
Findings align with prior evidence that collaborative learning improves retention and performance (Oakes et al, Sagsoz et al)
✔️engagement
✔️communication
✔️self-directed learning
✔️accountability
Findings align with prior evidence that collaborative learning improves retention and performance (Oakes et al, Sagsoz et al)
A 4-arm randomized pilot trial in Medical Science Educator compared jigsaw peer-assisted learning vs lectures +/- modular digital resources (@scholarrx.bsky.social Bricks)
Result: active, peer-led methods improved knowledge, motivation & perceptions of learning
link.springer.com/article/10.1...
Result: active, peer-led methods improved knowledge, motivation & perceptions of learning
link.springer.com/article/10.1...
January 14, 2026 at 6:37 PM
A 4-arm randomized pilot trial in Medical Science Educator compared jigsaw peer-assisted learning vs lectures +/- modular digital resources (@scholarrx.bsky.social Bricks)
Result: active, peer-led methods improved knowledge, motivation & perceptions of learning
link.springer.com/article/10.1...
Result: active, peer-led methods improved knowledge, motivation & perceptions of learning
link.springer.com/article/10.1...
Medical educators planning curricula can find value in structured programs like Training to Teach in Medicine, which equips clinicians with evidence-based teaching strategies - including how to incorporate practice-relevant competencies such as nutrition.
learn.hms.harvard.edu/programs/tra...
learn.hms.harvard.edu/programs/tra...
January 13, 2026 at 10:34 PM
Medical educators planning curricula can find value in structured programs like Training to Teach in Medicine, which equips clinicians with evidence-based teaching strategies - including how to incorporate practice-relevant competencies such as nutrition.
learn.hms.harvard.edu/programs/tra...
learn.hms.harvard.edu/programs/tra...
Why this matters 🤔 -> diet quality drives risk for heart disease, diabetes, obesity, cancer & more diseases - yet most physicians report insufficient nutrition training. Aligning education with practice can improve patient care & population health.
@nutrisci.bsky.social @hsph.harvard.edu
@nutrisci.bsky.social @hsph.harvard.edu
January 13, 2026 at 10:34 PM
Why this matters 🤔 -> diet quality drives risk for heart disease, diabetes, obesity, cancer & more diseases - yet most physicians report insufficient nutrition training. Aligning education with practice can improve patient care & population health.
@nutrisci.bsky.social @hsph.harvard.edu
@nutrisci.bsky.social @hsph.harvard.edu
Experts recommend integrating these #nutrition competencies into #UME & #GME curricula, assessed via OSCEs, simulated cases, boards & student feedback - signaling a shift toward tested competence, not just *optional* content.
#MedTwitter #MedEd @harvardmed.bsky.social
#MedTwitter #MedEd @harvardmed.bsky.social
January 13, 2026 at 10:34 PM
Experts recommend integrating these #nutrition competencies into #UME & #GME curricula, assessed via OSCEs, simulated cases, boards & student feedback - signaling a shift toward tested competence, not just *optional* content.
#MedTwitter #MedEd @harvardmed.bsky.social
#MedTwitter #MedEd @harvardmed.bsky.social
Consensus priorities include:
• Evidence-based, culturally sensitive nutrition guidance
• Screening for food & nutrition insecurity
• Collaborative multidisciplinary nutrition care
• Nutrition assessment via diet history and lab data
(100% expert agreement on many)
@atsmeded.bsky.social
• Evidence-based, culturally sensitive nutrition guidance
• Screening for food & nutrition insecurity
• Collaborative multidisciplinary nutrition care
• Nutrition assessment via diet history and lab data
(100% expert agreement on many)
@atsmeded.bsky.social
January 13, 2026 at 10:34 PM
Consensus priorities include:
• Evidence-based, culturally sensitive nutrition guidance
• Screening for food & nutrition insecurity
• Collaborative multidisciplinary nutrition care
• Nutrition assessment via diet history and lab data
(100% expert agreement on many)
@atsmeded.bsky.social
• Evidence-based, culturally sensitive nutrition guidance
• Screening for food & nutrition insecurity
• Collaborative multidisciplinary nutrition care
• Nutrition assessment via diet history and lab data
(100% expert agreement on many)
@atsmeded.bsky.social
Nutrition is central to chronic disease prevention and care, yet historically under-emphasized in #MedEd. A consensus in JAMA Network Open from 9.24 outlines 36 essential nutrition competencies for medical students & physician trainees.
jamanetwork.com/journals/jam... @jamanetworkopen.com
jamanetwork.com/journals/jam... @jamanetworkopen.com
January 13, 2026 at 10:34 PM
Nutrition is central to chronic disease prevention and care, yet historically under-emphasized in #MedEd. A consensus in JAMA Network Open from 9.24 outlines 36 essential nutrition competencies for medical students & physician trainees.
jamanetwork.com/journals/jam... @jamanetworkopen.com
jamanetwork.com/journals/jam... @jamanetworkopen.com
For educators in #MedEd: improve is a dynamic & "evidence-informed" teaching approach to consider incorporating improv principles like “Yes, and…” spontaneous response exercises, & reflective debrief into teaching to strengthen communication skills, team dynamics, &rapport.
January 7, 2026 at 2:48 PM
For educators in #MedEd: improve is a dynamic & "evidence-informed" teaching approach to consider incorporating improv principles like “Yes, and…” spontaneous response exercises, & reflective debrief into teaching to strengthen communication skills, team dynamics, &rapport.
In health professions settings, #improv can support interprofessional communication, foster psychological safety, & encourage collaborative problem-solving to help learners join in dialogue without waiting for the “perfect script.”
@atsmeded.bsky.social #MedEd @harvardmed.bsky.social
@atsmeded.bsky.social #MedEd @harvardmed.bsky.social
January 7, 2026 at 2:48 PM
In health professions settings, #improv can support interprofessional communication, foster psychological safety, & encourage collaborative problem-solving to help learners join in dialogue without waiting for the “perfect script.”
@atsmeded.bsky.social #MedEd @harvardmed.bsky.social
@atsmeded.bsky.social #MedEd @harvardmed.bsky.social
Improv training enhances active listening, empathy, perspective-taking & adaptability, bridging gaps between scripted communication curricula & real-world patient encounters where uncertainty & complexity are the norm. It helps learners respond to uncertainty in the moment. . .
January 7, 2026 at 2:48 PM
Improv training enhances active listening, empathy, perspective-taking & adaptability, bridging gaps between scripted communication curricula & real-world patient encounters where uncertainty & complexity are the norm. It helps learners respond to uncertainty in the moment. . .
Medical improv isn’t *comedy* - it’s a structured, experiential method adapted from theater to build communication, adaptability, listening, & teamwork skills. An interesting article from @amybzelenski.bsky.social & colleagues re principles of improv in #MedEd
www.sciencedirect.com/science/arti...
www.sciencedirect.com/science/arti...
January 7, 2026 at 2:48 PM
Medical improv isn’t *comedy* - it’s a structured, experiential method adapted from theater to build communication, adaptability, listening, & teamwork skills. An interesting article from @amybzelenski.bsky.social & colleagues re principles of improv in #MedEd
www.sciencedirect.com/science/arti...
www.sciencedirect.com/science/arti...
Studies like this emphasize why AI belongs inside #MedEd - but only with intentional pedagogy
In Training to Teach in Medicine at @harvardmed.bsky.social we focus on ways to integrate tech like #AI while preserving clinical reasoning, judgment & safety
learn.hms.harvard.edu/programs/tra...
In Training to Teach in Medicine at @harvardmed.bsky.social we focus on ways to integrate tech like #AI while preserving clinical reasoning, judgment & safety
learn.hms.harvard.edu/programs/tra...
January 6, 2026 at 10:26 PM
Studies like this emphasize why AI belongs inside #MedEd - but only with intentional pedagogy
In Training to Teach in Medicine at @harvardmed.bsky.social we focus on ways to integrate tech like #AI while preserving clinical reasoning, judgment & safety
learn.hms.harvard.edu/programs/tra...
In Training to Teach in Medicine at @harvardmed.bsky.social we focus on ways to integrate tech like #AI while preserving clinical reasoning, judgment & safety
learn.hms.harvard.edu/programs/tra...
Educational takeaway: If learners rely on AI tools, we must explicitly teach reasoning evaluation, not just answer validation.
This study strengthens the case for:
• Teaching metacognition
• Assessing reasoning processes
• Designing AI-aware curricula
@bidmcreseach.bsky.social
This study strengthens the case for:
• Teaching metacognition
• Assessing reasoning processes
• Designing AI-aware curricula
@bidmcreseach.bsky.social
January 6, 2026 at 10:26 PM
Educational takeaway: If learners rely on AI tools, we must explicitly teach reasoning evaluation, not just answer validation.
This study strengthens the case for:
• Teaching metacognition
• Assessing reasoning processes
• Designing AI-aware curricula
@bidmcreseach.bsky.social
This study strengthens the case for:
• Teaching metacognition
• Assessing reasoning processes
• Designing AI-aware curricula
@bidmcreseach.bsky.social
Key insight from this study: LLMs can often reach correct answers despite flawed or inconsistent reasoning paths - and may sound confident even when logic is weak.
For educators, this reinforces a core principle:
Correctness ≠ sound clinical reasoning
#MedEd #MedTwitter
For educators, this reinforces a core principle:
Correctness ≠ sound clinical reasoning
#MedEd #MedTwitter
January 6, 2026 at 10:26 PM
Key insight from this study: LLMs can often reach correct answers despite flawed or inconsistent reasoning paths - and may sound confident even when logic is weak.
For educators, this reinforces a core principle:
Correctness ≠ sound clinical reasoning
#MedEd #MedTwitter
For educators, this reinforces a core principle:
Correctness ≠ sound clinical reasoning
#MedEd #MedTwitter
Unlike prior evaluations focused mainly on final answers, this study benchmarks LLMs using structured clinical reasoning tasks: testing diagnostic logic, stepwise reasoning, & vulnerability to cognitive errors.
ai.nejm.org/doi/full/10....
ai.nejm.org/doi/full/10....
January 6, 2026 at 10:26 PM
Unlike prior evaluations focused mainly on final answers, this study benchmarks LLMs using structured clinical reasoning tasks: testing diagnostic logic, stepwise reasoning, & vulnerability to cognitive errors.
ai.nejm.org/doi/full/10....
ai.nejm.org/doi/full/10....
LLMs are increasingly used for clinical support & #meded but how well do they actually reason?
A study in NEJM AI from @adamrodmanmd.bsky.social et al rigorously evaluates LLM performance on clinical reasoning tasks, moving beyond superficial accuracy to see HOW answers are generated
A study in NEJM AI from @adamrodmanmd.bsky.social et al rigorously evaluates LLM performance on clinical reasoning tasks, moving beyond superficial accuracy to see HOW answers are generated
January 6, 2026 at 10:26 PM
LLMs are increasingly used for clinical support & #meded but how well do they actually reason?
A study in NEJM AI from @adamrodmanmd.bsky.social et al rigorously evaluates LLM performance on clinical reasoning tasks, moving beyond superficial accuracy to see HOW answers are generated
A study in NEJM AI from @adamrodmanmd.bsky.social et al rigorously evaluates LLM performance on clinical reasoning tasks, moving beyond superficial accuracy to see HOW answers are generated
To deepen #meded expertise in inclusive teaching design & policy implementation, structured development helps: Training to Teach in Medicine @harvardmed.bsky.social explores policy, pedagogy, & eval frameworks that elevate educational systems. learn.hms.harvard.edu/programs/tra... #MedTwitter
January 5, 2026 at 2:35 PM
To deepen #meded expertise in inclusive teaching design & policy implementation, structured development helps: Training to Teach in Medicine @harvardmed.bsky.social explores policy, pedagogy, & eval frameworks that elevate educational systems. learn.hms.harvard.edu/programs/tra... #MedTwitter