Thoughts

Signals – quick single insights or data points
Notes – medium-length reflections
Longer in-depth essays

Joel Selanikio Joel Selanikio

One Step Closer: AI Prescribing Drugs

The FDA just cleared UpDoc, software that adjusts medication doses between doctor visits — close to what Doctronic has been running in Utah. In both, AI does what only a licensed prescriber used to, and both stay inside the system for now. Sustaining innovation for the system, potentially disruptive for the doctor.

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Joel Selanikio Joel Selanikio

AI Is Already Practicing Medicine

A surgeon posted on on LinkedIn that Silicon Valley, incorrectly, believes AI will be practicing medicine "momentarily." But AI has been diagnosing diabetic retinopathy with no physician since 2018, and this year another began renewing prescriptions in Utah. Both AI vendors carry malpractice insurance — because both AI systems are practicing medicine.

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Joel Selanikio Joel Selanikio

Your Doctor’s Favorite AI Has Never Been Tested

40% of U.S. physicians use OpenEvidence. DoxGPT had 300,000 clinician users last quarter. UpToDate just launched Expert AI. Not one of these tools appears to have been independently tested for accuracy or safety. A profession built on evidence-based medicine is adopting AI with no evidence.

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