Guarding against (-) effects of AI use by students is not surveillance, indeed.
A thoughtful integration of AI in edu /#MedEd requires curricular re-design w/ high face2face interactions.
Med Schools need to understand what faculty: student ratios mean for quality education.
MIT published a brutally honest report on what AI is doing to students.
A committee of professors and students spent five months studying how AI changed learning on campus, and the findings read like a warning to every university on the planet.
Study groups are disappearing. Office hours are emptying out. Problem sets and take-home exams no longer prove anything, because AI can produce credible solutions to almost any written assignment in the undergraduate curriculum. Students who lean on chatbots lose mastery and confidence, and some slip into what the report calls cognitive surrender, reaching for AI at the first hint of struggle.
The numbers are rough. 46 percent of surveyed MIT undergrads use LLMs daily. 90 percent worry about their own overreliance. Undergrads who feel AI makes them replaceable now outnumber those who feel it makes them capable.
The committee's answer surprised me. They refused to fight AI with surveillance. The report calls AI detectors unreliable, says lockdown browsers feel like spying, and warns that policing students builds a classroom atmosphere of mutual distrust.
Instead, MIT wants to rebuild education around the things AI can't replace. That means oral exams, semester portfolios, in-person project work, and a required social component in every subject. The report even floats the idea of rethinking grades entirely, since without a GPA to optimize, much of the incentive to cheat with AI evaporates.
The committee warns professors against replacing undergrad research assistants with AI agents just because they're cheaper, because a university exists to grow people, not output.
The most famous tech school on earth admitted the machines broke its way of teaching. Its answer is more humans, not more software.
This thread should be part of Med School Foundations 101.
We are happy as long as we can maintain hope & idealism. We are over-identifying w/our careers for most of our lives. We need to learn & accept that real life requires better negotiations, before we reach mid-career
Many physicians tell me they were happier during residency.
Even though they worked more hours, had less autonomy and carried heavy student loans.
Their happiness was rooted in a compelling story.
The idea that life would be better when they became an attending.
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Great @OUPAcademic paper. At first, it's about faculty happiness, but it's more about systems. An efficient system is one which nurtures researchers autonomy, meaning & stability as conditions for creativity/ingredients of a genuine research enterprise.
academic.oup.com/rev/article…
This paper reminded me of your commitment to raise awareness about importance of meaning in work, authentic 360 well-being, and the systemic root causes of things @DrDimitrios
This is why we started our movement.
We are committed to being the most author-friendly and reviewer-friendly journal in the world.
-easiest submission process in existence
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Opensourcecardiology.org
Our lead author just pulled one of our papers from a prominent #MedEd journal because it’s been 8 months and the editors still couldn’t find any reviewers.
You were wondering when this #PeerReview model would hit its breaking point?
That time is now.
If you just control for metabolic health tightly enough (selecting the youngest, fittest, leanest, healthiest etc. participants) then elevated ApoB/LDL-C doesn't explain plaque.
This is the healthy-of-the-gaps argument. The god-of-the-gaps argument applied to lipidology.
🧵1/9
wait, what on earth??
in listening to dave in that clip, what is he truly trying to say? on one hand, these people are (according to his criteria) "healthier than average" and some people like the woman he mentions or the other person with the high CAC before entering the study, may not have been healthy beforehand. ok sure, I get that. but they clearly were in different/better states of metabolic health by the time they entered the study and after a year of it were they not?
so now is it that LMHR does not appear to more substantially increase risk for plaque development if the person is a super healthy, fit athlete with little to plaque before starting eating keto?
this makes no sense.
the question at hand as I understand it is what happens when you go on keto regardless of your state of health beforehand, especially when we consider that many people choose this path because they are not in a good state of health. you could even make the argument, that the results on the less healthy people in their cohort are the MOST IMPORTANT OF ALL to pay attention to, when it appears as though he is trying to explain their rapid progression rates away based on their prior health metrics.
What an unfortunate title.
How about ~Residency publication pressures fuel a surge in low-rigor OS studies ~
How about actually listening to what #Medstudents have to say about research?
It's not them. It's us. (1/n)
science.org/content/article/…
#MedEd needs to take clinical and outcomes research education seriously. Knowing how to click through a database is not the same as knowing how to conduct research.
Research methods require dedicated curricular time and educators with genuine methodological expertise.
Perhaps it's time #MedEd acted accordingly. Otherwise, we're not educating future researchers, we're teaching bad habits. By failing to provide rigorous research education, we're disregarding our students' genuine intellectual curiosity & true potential.
It's not them. It's us.
Academic publishing is overdue for reinvention.
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Doctors are taught to think in probabilistic terms.
They also know that most of the risk functions they use have huge uncertainties when applied to individuals and may also be miscalibrated.
As a result, docs are often comfortable describing relative scale risks (low, medium, high) but uncomfortable with adding numerical precision.
Fascinating & intriguing paper, challenging data architecture
Lifestyle Med folks will rejoice. Geroscience/metformin folks will be grumpy a bit ;-)
Lifestyle vs. Metformin on multi-comorbidity delay-of-onset at 21 yrs in DPP-OS population.
Caveats-->
(1/n)
Lifestyle intervention was associated with lower multimorbidity burden than placebo, while #metformin showed no difference, among older adults with prediabetes followed for 21 years.
#Diabetes#Multimorbidityja.ma/3ScJ5hs
Likely legacy effect mediated chiefly through early divergence in diabetes incidence
Recall, behavioral differences (weight, PA ) converged by ~6 years
(-) left-truncation, claims-based, floating time 0 , Dx up coding, survival bias, attrition/selection bias, detection bias, all the fun happenings when all you have is fragmented observational data.
(+) RCT base, long term outcomes, ITT-preserving design, sensitivity analyses.