A new @ekoermann et al paper in @NatureMedicine compares Gemini with Open evidence with ChatGPT: the winner is.... ... It doesn't matter the paper is already obsolete drvinayprasad.com/p/a-new-pa… via @VPrasadMDMPH

The Eight Stages of Narcissistic Psychological Warfare : Which One Are You In? via #DanielRyanCotler medium.com/@Thehealloudlymov…

Could this be Britain’s worst maternity scandal? @NHSEngland chiefs in @LeedsHospitals were warned against splitting neonatal care over two sites, The @thetimes has found. Sources fear up to 3,000 cases of possible harm via @davidcollinsST thetimes.com/uk/healthcare/a…

Critique of @ravi_b_parikh et al paper on generalizability of oncology trials via @f2harrell discourse.datamethods.org/t/…

Google owns one of the most powerful learning tools in the world. It’s free. It’s been available for months. Yet 95% of people still use it the wrong way. Here are 8 NotebookLM use cases that can save you hours of time. 🔖 Bookmark this — you’ll thank yourself later.

A six-word clause from 1935, written to address that era's specific banking politics, became the foundation on which a century of monetary theory, deficit orthodoxy, and financialization was constructed

Rigorous evaluation of medical AI is good for everyone, and we welcome it. Counter to a half-dozen independent studies from institutions such as the Mayo Clinic that were highly positive on OpenEvidence—a lone paper now purports to show that generalized AI beats specialized clinical AI (@UpToDate, @EvidenceOpen). The paper has a massive undisclosed conflict of interest and irredeemable methodological flaws. Behind the scenes: The study authors run a competing in-house medical AI at their hospital, and asked OpenEvidence for an API to power it — including rights to build a "competing product" with OpenEvidence's own API. OpenEvidence declined. Then, this paper coincidentally appeared. Point-by-point, looking closely at the datasets used in the study, the disingenuous and fatal flaws become immediately apparent 🧵.

General-purpose large language models outperform specialized clinical AI tools on medical benchmarks nature.com/articles/s41591-0… via @ekoermann et al

At the last moment, ahead of next week’s action, the Government has moved and made a new offer for resident doctors in England. Strikes for 15–19 June have been called off while members vote on a new offer covering jobs, pay and progression. The choice is yours: Vote YES and accept the offer, or vote NO and return to escalated industrial action.

If we wanted a 20-40% increase in resources we could stop doing the 20-40% of activity that adds no value to patients (and often causes harm). A bit of humility needed. Our treatments are often not as helpful as we’d like to think..

Relative importance and interactions of factors influencing low-value care provision: a factorial survey experiment among Swedish primary care physicians via @MRoczniewska et al qualitysafety.bmj.com/conten…

Biased AI writing assistants shift users’ attitudes on societal issues science.org/doi/10.1126/scia… via @morwork et al

Here is a big idea the NHS doesn't get: "A queue is not a store of work. It is a generator of work." Queues in the NHS are usually a sign of huge amounts of failure demand.

So why am I lashing out at the AMA, an organization I was a proud member of and worked very hard for when I was at JAMA? The X-world will learn, as I release documents regarding my litigation against them for firing me for what has been determined by the appropriate agencies as a 'civil rights violation.' You can use your imagination what that means in the context of their being all-in with DEI at the time. They claimed that I denied the existence of racism in medicine - the exact opposite of what I said in a podcast the AMA edited and published after review by my supervisor. I had no control of that process. The courts agreed with my claim of libel and defamation, a decision the AMA appealed and lost in a unanimous decision. Along the way the courts described the AMA as disingenuous. An organization that holds itself out as representing Americas Physicians to policy makers should not engage in libel and if they do, they should be disqualified from representing us. You have not heard much recently because the AMA asked the courts to keep the proceeding secret-They do not want the physician community to learn how they do business. However, the closed nature of the documentation is over, and I'll be able to share what I learned during the proceedings. It's not pretty and it shows how the AMA actually functions. This is not what I wanted in life. I am an academic surgeon. I have no interest in politics. But the AMA destroyed my career and reputation for capricious reasons. I cannot let that stand. The AMA needs to be held accountable, no matter how wealthy they are compared to me.

A FeAsibility items Checklist for assessing implementation characTeristics of patient reported Outcome measures in Research, Regulation and Routine clinical care (FACTOR3): development and evaluation via @cpgale3 et al sciencedirect.com/science/ar…

The world’s wealthy are migrating like never before economist.com/business/2026/… via @TheEconomist

How to win the @FIFAWorldCup : @Being rich helps, but being open to immigration works best of all economist.com/international/… via @TheEconomist

LLM-assisted systematic review of large language models in clinical medicine via @ekoermann et al nature.com/articles/s41591-0…

A bigger problem in private primary care is the use of diagnostic tests in those with no symptoms or unusual risk factors