My thoughts echo these in so many ways. For the longest time, MD identity has been tied to being walking reference manuals, but with evidence at your fingertips, that is less and less necessary. However, background understanding of phys/pathophysm and ability to reason over information, remains more important than every. In my view, access to information is never a bad thing; it just is about how it is used. I see trainees’ learning being accelerated by rapid access to knowledge, as long as that knowledge is being actively used with the intent of self-improvement and the benefit of future patients in mind, not just to accomplish daily tasks.
I think @ZekeEmanuel and others are wrong about AI replacing physicians, but AI is already playing an important role in my clinical life. I’ve come to rely on @OpenEvidence enormously, and I believe it’s making me a better doctor. At the same time, I worry that frictionless access to clinical decision support is making my learners worse.
I wrote about this for @nytopinion: nytimes.com/2026/09/25/opini…
Sep 25, 2026 · 9:56 PM UTC
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