NerdMDs | Efficiency Unlocked

🎧 NerdMDs StackBytes Episode Summary:In this deeply personal episode of NerdMDs StackBytes, Dr. Adam Carewe opens up about the emotional complexity that followed his departure from a major leadership role at Kaiser. Expanding on his Substack essay, “The Middle Part: What I Didn’t Share When I Left Kaiser”, Adam reflects on the period of uncertainty that came after the leap—the “middle part.” This raw, unscripted episode dives into identity shifts, quiet unraveling, and the hard-won journey back to clarity and creativity. It’s a powerful listen for anyone navigating a transition and wondering why the in-between feels so hard.🔹 00:00 – Intro & Personal SetupDr. Adam Carewe introduces the episode as a deeply personal unpacking of a difficult chapter in his life. He sets the stage by referencing his recent Substack post and promises to speak candidly about what came after his big decision to leave Kaiser.🔹 01:55 – Leaving Kaiser: Clarity vs. RealityWhile Adam felt aligned with the mission and team behind his new venture in stealth, he quickly learned that clarity on a big vision doesn’t shield you from emotional upheaval. “I thought the hardest part was the decision. It wasn’t. The hardest part was what came after.”🔹 03:42 – The Drift: Emotional & Mental DisarrayHe describes a fog of micro-anxieties and identity loss that crept in post-departure. With no full-time job for the first time in his career, Adam felt scattered and unsatisfied—like his brain had “a hundred browser tabs open.”🔹 06:13 – The Wake-Up CallA pivotal conversation with his wife brings the emotional buildup to a head. He takes the GAD-7 screening tool and finally admits to himself that this isn’t just a rough patch—it’s clinical anxiety. “That only works when the engine is fine. This time, the wiring needed attention.”🔹 08:22 – Facing Mental Health: SSRI & RebuildingAdam starts sertraline and notices a major improvement in sleep, focus, and overall mood. The fog lifts, and for the first time in months, he feels ready to create again and meaningfully re-engage with healthcare innovation.🔹 10:20 – Noticing the Signs: When Silence SpeaksHe recalls how friends checked in when he stopped blogging and podcasting—a subtle but powerful reminder that absence can be a symptom. “Sometimes mental health challenges don’t shout. They whisper.”🔹 12:05 – Closing Reflections: Hope for the Middle PartAdam shares a message of encouragement for anyone in their own “middle part.” Support, vulnerability, and timely nudges can be transformational. “Problems still exist, but they feel solvable again. And fun feels a lot better than anxious and worried.”Rewskidotcom by Adam Carewe MD is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

NerdMDs  StackBytesA rapid‑fire audio companion to NerdMDs Substack writing—each episode packs a recent essay, insight, or framework into a 10‑minute listen. Perfect for your coffee break or between meetings, StackBytes delivers:* Top takeaways from the latest Substack @ Rewskidotcom.substack.com* Actionable tips you can apply today in clinical practice, health tech, or productivity* Concise reflections that complement the written pieceWhen it drops: Between every main podcast interview, so you never miss a fresh StackByte. Tune in, think different—and stay efficient. Subscribing ensures you catch every byte, straight from the page to your ears.🎧 StackByte Episode Summary:In this StackByte episode of Efficiency Unlocked, the digital AI hosts (courtesy of NotebookLM) shares the story behind his bold departure from a secure Chief Medical Information Officer role at Kaiser Permanente to join a healthcare startup. Framed around his Substack piece "I Left My CMIO Role to Join a Startup - And Ended up Finding My Tribe", the episode delves into themes of reinvention, fulfillment, and building systems from the ground up. It's a thoughtful narrative on how stepping away from legacy institutions can lead to discovering one’s tribe and reshaping healthcare with agility, creativity, and purpose.🔹 00:00 – Intro & SetupThe hosts introduce the episode’s theme: a deep dive into Dr. Carewe’s transition from a prestigious informatics role to startup life. They frame the conversation around questions of innovation, fulfillment, and what it means to find your professional community.🔹 01:00 – Leaving Without BurnoutDr. Carewe’s story begins with him leaving his CMIO post, not out of burnout but driven by aspiration. He reflects on a pivotal moment of silence in his car, a symbol of the major shift he was about to undertake. “It wasn’t a reaction against something bad... but being pulled toward something else.”🔹 02:00 – The Inner Voice & Bigger QuestionsThe conversation touches on the internal nudges that led to his career pivot. Rather than merely improving existing systems, Carewe felt compelled to reimagine them entirely. He started asking: “What if your next chapter is defined less by security and more by creativity?”🔹 03:00 – From Continuity to InformaticsCarewe’s journey from family medicine into health tech is outlined. His desire to bridge technology with true patient-centered care guided his work, as he championed clinician voices in tech design and innovated within the EHR landscape at Kaiser.🔹 04:00 – Cracks in the SystemDespite a successful career, Dr. Carewe began noticing “cracks”—tech adding complexity, patient journeys becoming convoluted. These realizations intensified his resolve to build anew, not just iterate on old frameworks.🔹 05:00 – Building New MusclesHe shares how he started immersing himself in the startup world, learning product, VC, and design thinking. He joined a Slack group for clinician-VCs and began absorbing insights, not through formal education but “learning by osmosis.”🔹 06:00 – The Opportunity & LeapCarewe responds to a job post in the Slack group—one that felt serious due to being shared by TJ Parker (of PillPack/Amazon fame). He joins a stealth startup focused on reinventing triage services, embracing a fast-paced, mission-driven environment.🔹 06:45 – Role & ImpactAt the startup, Carewe plays a pivotal role, serving as a translator between clinical needs and product design. He brings frontline insight while learning the startup language, contributing to the rapid success of the platform now known as General Medicine.🔹 07:44 – When the Time is “Right”The hosts reflect on Carewe’s idea that the timing wasn’t perfect, but it was “right.” The leap made sense not because of ideal conditions, but due to readiness and alignment with personal growth goals.🔹 08:40 – A New Way to Practice MedicineCarewe’s parting insight: “I didn’t leave medicine. I just started practicing it differently.” His story encourages others to see cracks as entry points for transformation and to seek out the communities that empower bold innovation.🔹 09:00 – Final Thoughts & Call to ActionThe episode ends by inviting listeners to reflect on their own paths—how might noticing the cracks in the system become the start of reimagining it? And what does it mean to truly find your tribe in professional life? Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

🎧 Episode Summary:In this insightful episode, emergency physician and healthcare innovator Dr. John Dayton (LinkedIn) joins host Dr. Adam Carewe to unpack the evolving landscape of physician upskilling. They explore how clinicians can thrive beyond traditional clinical roles by leveraging communities, embracing digital tools like AI, and rethinking medical education. From crafting personalized discharge instructions to advising health tech startups, Dr. Dayton shares how intentional career design, continuous learning, and professional risk-taking can empower physicians to shape the future of medicine on their own terms.Episode Resources:* Physician Upskilling Resource* Dr Dayton’s Slide Deck🔹 00:00 – Introduction & John's Career JourneyAdam introduces Dr. Dayton, highlighting his unique blend of emergency medicine, entrepreneurship, and policy work. John shares his path from clinical practice to health innovation, emphasizing the importance of designing a fulfilling and intentional career.“You have to be careful. We all have the same amount of time... but at some point, you realize what your priorities are and how your life should be.”🔹 07:50 – Do You Need an MBA?The duo explores the role of formal education like MBAs in non-clinical physician careers. John shares his tailored experience in healthcare innovation and venture capital and reflects on whether degrees are necessary or if curated resources and learning communities can suffice.🔹 14:15 – Modern Medical Education & AI ToolsJohn discusses the shift from textbooks to digital learning, advocating for tools like OpenEvidence and AI models to enhance decision-making and personalized care. They examine how today’s physicians must balance foundational knowledge with real-time, tech-enabled insights.🔹 21:30 – The Upskilling Resource GuideJohn dives into the upskilling guide he co-created—a crowdsourced list of tools, communities, and conferences to help clinicians explore health tech, policy, social media, and business. The guide aims to make self-directed learning approachable and actionable.“A lot of physicians want to know about medical business... and this guide gives them a starting place.”🔹 29:40 – Finding Community & Creating OpportunitiesJohn emphasizes the importance of finding your "tribe"—from attending conferences like HLTH and NextMed to joining groups like Physician Side Gigs. He shares how proactively reaching out—like cold messaging Jonathan Bush—led to impactful advisory roles.🔹 37:10 – When & Why to UpskillThey reflect on personal burnout, the employee-physician dynamic, and the need for career reinvention. John explains how COVID, professional stagnation, and a tragic colleague’s passing inspired his own pivot into innovation and VC.🔹 44:20 – Filtering the NoiseThe conversation shifts to how to stay focused when exploring new interests. John suggests aligning new ventures with personal values and long-term goals and starting small—advising a startup, joining an angel group, or enrolling in a micro-course.🔹 50:30 – Nerd Alert RoundIn a lightning round, John shares his ambition to master venture capital, how he's using AI to personalize patient discharge instructions, and the underrated power of finishing every patient encounter with a well-crafted final impression.“If their cast is janky, they’ll think I didn’t know what I was doing—even if I set the bone perfectly.”Rewskidotcom by Adam Carewe MD is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

🎧 Episode Summary: In this episode of Efficiency Unlocked, hosts Dr. Adam Carewe and Dr. Dale Gold welcome Dr. A. Alexander and Dr. Brian Tsui, co-founders of CoreViva, a health and wellness startup pioneering next-generation whole-body MRI. Both experienced radiologists and physician-entrepreneurs, Drs. Alexander and Tsui share their motivations, personal stories, and the clinical and technological foundations behind CoreViva. They highlight how AI-enhanced imaging, faster scan protocols, and patient-centric design address long-standing challenges in early detection, false positives, and healthcare navigation. Listeners will gain a deep appreciation for how CoreViva is setting a new standard in preventative care—blending precision diagnostics with compassionate follow-through. This is a company that co-host Dr Adam Carewe became an early investor in as well, recognizing the potential for this technology in health and wellness and the future of medicine.🔹 00:00 – Intro & Background The episode kicks off with introductions of Dr. A. Alexander (CEO) and Dr. Brian Tsui (CMO), both decorated radiologists with entrepreneurial flair. Host Adam Carewe discloses his investment in CoreViva, emphasizing his conviction in their approach and inviting even skeptical listeners to hear them out.🔹 03:20 – Personal Journeys to Radiology and Innovation Alan and Brian share their unconventional paths into radiology and tech innovation. Alan reflects on his time at McKinsey and his frustration with non-patient-centric systems. Brian recounts how radiology's tech-forward nature drew him in and how gaps in patient outcomes sparked his desire to found a better solution.“I get angry when I see things that are not being done in a patient-centric way.” – Dr. A. Alexander, MD, MSc🔹 07:15 – Personal Stories Driving Early Detection The founders recall real-life cases of friends and patients who suffered from missed or delayed diagnoses. These stories underscore the emotional drive behind CoreViva’s mission—making early detection accessible, accurate, and actionable.🔹 12:01 – Why CoreViva Now? Brian outlines three main industry issues: lack of physician leadership, inconsistent image/report quality, and poor follow-up care. CoreViva tackles all three by building superior imaging, using clear reporting, and including direct radiologist consultations.🔹 17:06 – What Sets CoreViva Apart They explain their unique edge: faster scan times (~35 minutes), highest-quality images, and comprehensive reporting using custom AI. These advances reduce false positives/negatives and empower patients with understandable, actionable data.“We’re using AI at every level—from scan to interpretation to report.” – Dr. Alan Alexander🔹 23:45 – AI and Augmented Radiology The team dives deeper into how their AI augments radiologist efficiency and accuracy. It automates tedious tasks like fat and muscle segmentation, improves lesion detection, and supports seamless physician communication.🔹 28:01 – The Core Score & Ongoing Monitoring CoreViva introduces a "Core Score" assessing brain, musculoskeletal, and visceral fat health—offering a personalized baseline that patients can track over time. They envision regular annual scans becoming a wellness standard.🔹 30:33 – Physician-Led, Patient-First Model The conversation emphasizes their physician-backed, VC-free approach. Over 20 physician investors and a broad advisory board ensure CoreViva stays grounded in real clinical needs, not just tech hype.🔹 35:16 – Early Results and Impact In testing over 100 healthy volunteers, CoreViva found life-threatening or significant findings in 10%—a statistic that compelled even the founders to scan themselves. Their early impact validates the value of proactive, whole-body diagnostics.🔹 37:50 – Ideal Users and Population Trends While targeting adults, CoreViva especially sees value for health-conscious individuals seeking peace of mind and longevity. They also note that younger age groups are increasingly affected by serious conditions once considered age-related.🔹 39:52 – Future Vision and Reflections The team imagines a Star Trek-style future of instant diagnostics and sees CoreViva as a stepping stone toward that vision. They close with personal insights, humor, and aspirations—from surfing to jiu-jitsu to mastering violin.“Know your body.” – Dr. Alan Alexander Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

Jay Parkinson, founder of Automate Clinic, is a pioneer in digital healthcare, known for his innovative house call practices. He shares insights on reshaping primary care and the transformative role of AI in clinical workflows. The conversation delves into his journey of integrating technology with medicine, emphasizing the importance of personal communication in healthcare. Jay discusses the challenges of automation and AI, highlighting the need for genuine interdisciplinary collaboration. Listeners will be inspired by his visionary approach to improving patient care.

🎧 Overall Summary:In this episode, Dr. Jackie Gerhart, VP of Clinical Informatics and Chief Medical Officer at Epic, joins Adam and Dale to discuss how Epic is transforming healthcare through generative AI, interoperability, and data-driven tools like Cosmos. She shares her journey from family medicine into health tech and offers an inside look at how Epic is using technology to reduce clinician burden, personalize care, and shape future healthcare policy.🔹 The Person – Dr. Jackie Gerhart’s Journey to Epic (00:00–09:50)Jackie shares her path from biomedical engineering into medicine, driven by a passion for solving problems with people rather than machines. She practiced full-scope family medicine for 7–8 years before transitioning into informatics at Epic to make broader system-level impact. She continues to practice urgent care to stay grounded in real-world clinical needs.🔹 The Company/Product – Epic’s Physician Role, Mission, and Evolution (09:51–21:15)Jackie outlines how Epic physicians evolved from demoing software to becoming strategic partners and informaticists influencing product development, R&D, and customer support. She emphasizes Epic’s commitment to usability, patient-centered design, and building tools that are meaningful, efficient, and clinically impactful.🔹 Under the Hood – GenAI, Ambient Tech, and Smart Integration (21:16–35:55)Jackie dives into how Epic is using generative AI across the healthcare stack. Applications include AI-powered ambient charting, inbasket automation, clinical summarization, and decision support. She emphasizes the need to match tech with organizational problems and to avoid jumping on “shiny object” solutions without a clear use case.🔹 The Data Behind the Product – Cosmos and Precision Care (35:56–48:50)Cosmos, Epic’s collaborative dataset of 293 million patient records, is now powering decision support at the point of care. Tools like Best Care Choices for My Patient and Lookalikes allow providers to tailor treatment plans or diagnose rare conditions by comparing patient-specific data to nationwide trends. Future aspirations include patient-facing tools to promote shared decision-making and personalized guidance.🔹 Policy, Interoperability & TEFCA (48:51–56:50)Jackie shares Epic’s historical commitment to interoperability, sparked by a tragic story that led to the creation of Care Everywhere. She explains Epic’s leadership role in TEFCA, which aims to establish common data standards across EHR systems, and how this framework will bring long-tail providers and digital health vendors into the fold.🔹 The Future of Healthcare & What Excites Jackie (56:51–59:30)Jackie envisions a world where empowered patients and AI-informed clinicians collaborate with precision data to make truly personalized medical decisions. She wants medical education to reflect this dynamic and constantly updated reality.🔹 Lightning Round – Nerd Alert (59:31–End)Jackie shares:* Favorite productivity hack: Using ChatGPT and Copilot; clinically, she loves chart search and Epic’s secure messaging.* Last book/podcast: Good to Great, Brotopia, and a STAT podcast on JPM 2024.* Comfort food: Popcorn, pasta, matzo ball soup, and nostalgia for Blue Moon ice cream.* Surprising fact: She was once bitten by a penguin in South Africa!* Must-have tech (non-phone): Podcasts and online learning platforms—critical for lifelong learning in medicine. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

In this episode, David Nussbaum, founder/CEO of Proto Hologram, joins hosts Adam Carewe and Dale Gold to explore the future of holographic communication, especially in healthcare. From beaming celebrities and doctors across the globe to integrating AI for conversational holograms, Nussbaum shares the journey and vision of making holograms a transformative technology for human connection.Episode Breakdown & Section Summaries1. Introduction and the Problem with Traditional Virtual Communication⏱️ [00:00:05 – 00:01:42]Adam and Dale introduce the podcast and set the stage by discussing the limitations of video communication in healthcare, especially during the pandemic. They reflect on how traditional virtual tools fail to replicate the presence and connection of in-person interaction.2. Meet David Nussbaum: From Broadcasting to Holograms⏱️ [00:01:42 – 00:04:15]David shares how his background in broadcasting and podcasting led to the idea behind Proto. He imagined “beaming” people into each other’s homes like in science fiction and wanted to evolve communication beyond audio or video.3. The Aha Moment and the Birth of Proto⏱️ [00:04:15 – 00:08:40]David recalls discovering unused Pepper’s Ghost patents, originally used for magic tricks, and adapting them to bring back late celebrities as holograms. Eventually, he shifted from resurrecting the dead to connecting the living, building Proto as a scalable, affordable solution.4. Early Use Cases and Proto’s Entertainment Impact⏱️ [00:08:40 – 00:11:21]Proto gained attention through entertainment and marketing, including a breakthrough moment when Kane Brown performed as a hologram during the iHeart Music Festival. Collaborations followed with Elton John, UFC, and more.5. How Proto Works and What It Looks Like⏱️ [00:11:21 – 00:17:15]David describes the Proto device as a holographic window—essentially a framed glass panel with internal lighting that creates life-size 3D visual presence. From large units to desktop models, Proto offers interactive, hyper-realistic visuals that create a sense of true presence.6. Proto in Healthcare: Applications and Impact⏱️ [00:17:15 – 00:24:37]Proto’s biggest opportunity lies in healthcare. From teaching at the University of Central Florida to remote consultations at West Cancer Center, Proto is transforming patient-provider communication. HIPAA compliance and data security are top priorities.7. Patient and Doctor Use Cases⏱️ [00:24:37 – 00:30:44]David discusses current deployments where clinics host the Proto units, and doctors or patients beam in remotely. He shares personal stories, including how Proto helps his own children interact with their grandparents across the country.8. Conversational AI Integration⏱️ [00:30:44 – 00:38:56]David explains how Proto is evolving to support conversational AI avatars. Each avatar can be customized with specific knowledge bases and personality traits. An AWS event showcased two Proto AI avatars debating topics, offering a glimpse into collaborative AI-human interaction.9. Future Use Cases: Wayfinding, Medical Assistants, and Multilingual Avatars⏱️ [00:38:56 – 00:41:04]Proto’s applications go beyond healthcare. From airport information booths (like the one in Jacksonville, FL) to hospital navigation and multilingual communication, the technology is versatile and expanding rapidly.10. Lightning Round: Personal Stories & Influences⏱️ [00:41:04 – 00:52:28]David shares fun personal insights, including his love for MAD Magazine, his favorite podcast guest (Sam Simon), and his dream lunch dates: Howard Stern, Larry David, and Howie Mandel. The segment ends on an emotional note about family, podcasting, and memories. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

Overall SummaryDr. Zak Kohane, a pioneering figure in AI and biomedical informatics at Harvard Medical School, discusses the transformative potential of AI in healthcare, its challenges, and its future. He highlights the inertia of the healthcare system, the impending doctor shortage, and how AI-driven innovations can revolutionize patient care and medical practice.Episode BreakdownIntroduction (00:00:08 – 00:01:39)Hosts Adam Carewe and Dale Gold introduce their guest, Dr. Zak Kohane, a leader in AI-driven healthcare innovation. The episode sets the stage for a deep dive into AI’s role in medicine and its impact on the healthcare system.Zak Kohane’s Background and Mission (00:01:39 – 00:03:33)Kohane shares his journey from a PhD student in AI to becoming a leader in biomedical informatics. He reflects on his early realization that medicine, despite its noble intent, lacked systematic scientific approaches and could be vastly improved with technology.The Frustration with Traditional Healthcare (00:03:33 – 00:09:58)Kohane describes the inefficiencies in medical decision-making and patient care. He compares medicine to aviation, arguing that while planes prioritize passenger safety with systematic checks, medicine often relies on outdated, inconsistent practices.The Rise of AI and Patient-Led Change (00:09:58 – 00:11:51)The conversation shifts to how AI is already influencing patient decisions, providing second opinions, and identifying misdiagnoses. Kohane highlights a crucial moment where the healthcare system must recognize itself as an information-processing discipline that must adapt to AI advancements.Medical Informatics and the Evolution of EHRs (00:11:51 – 00:20:43)The discussion delves into the history of medical informatics, explaining how AI and computer science have shaped modern healthcare. Kohane critiques the slow evolution of electronic health records (EHRs), explaining how the lack of innovation has kept healthcare technology decades behind consumer-facing industries.Doctor Shortage and the Future of Primary Care (00:20:43 – 00:25:36)Kohane emphasizes the impending shortage of primary care doctors, predicting a deficit of 30,000 to 80,000 physicians by 2030. He argues that AI must play a key role in flipping the traditional clinic model to accommodate the growing patient population.AI’s Impact on Physician Workloads and Efficiency (00:25:36 – 00:29:38)The conversation touches on AI’s ability to reduce administrative burdens, such as documentation and coding, but also warns that increased efficiency might lead to higher patient loads rather than reduced physician stress.Consumer-Driven AI Adoption in Medicine (00:29:38 – 00:34:10)Kohane predicts that AI-driven medical advancements will initially emerge in boutique, high-end healthcare services before becoming mainstream. He suggests that employer-driven demand for better healthcare services will push AI adoption forward.Data Liberation and the Future of Patient-Centric Care (00:34:10 – 00:37:08)Kohane highlights the importance of patient access to healthcare data, referencing Apple’s integration of EHR data into Apple Health. He believes that freeing patient data from legacy hospital systems will lead to personalized and AI-enhanced healthcare experiences.Closing Thoughts and Fun Questions (00:37:08 – 00:41:30)The hosts conclude with lighthearted questions, where Kohane shares his love for teaching, his appreciation for Boston’s academic environment, and his wish to master playing a musical instrument. He also expresses interest in hearing insights from leaders in health insurance on how they plan to integrate AI into their business models. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

Overall SummaryIn this episode of NerdMDs | Efficiency Unlocked, hosts Adam Carewe and Dale Gold interview Dr. Jared Pelo, co-founder of Bionic Health. They discuss the transformative power of AI, data aggregation, and personalized medicine in healthcare, exploring how these innovations are shaping a future that prioritizes preventative care and patient empowerment.Introduction and Setting the Stage (0:00-2:04)Adam and Dale introduce the episode’s focus on personalized and individualized medicine. They reflect on the importance of integrating patient data into workflows while minimizing overload and highlight the demand for evidence-based, precision care. The hosts welcome Dr. Jared Pelo, introducing him as a physician-entrepreneur transforming healthcare through innovation.The Journey to Entrepreneurship (2:05-5:20)Dr. Pelo shares his entrepreneurial background, rooted in a family of innovators, and how his experiences as an ER physician inspired him to improve healthcare processes. From creating educational tools for patients to experimenting with Chromecast in hospitals, he explains how systemic barriers pushed him to innovate outside traditional hospital settings.The Origin of Bionic Health and Early Innovations (5:21-11:53)Dr. Pelo discusses the inception of Bionic Health and his early contributions to virtual scribing technology, such as the use of Google Glass and audio-recording tools. He recounts how these innovations evolved into Nuance’s Dragon Ambient Experience, underscoring the impact of AI on clinical efficiency and documentation.The Vision for Personalized Medicine and Bionic Health (11:54-19:23)Dr. Pelo describes the mission behind Bionic Health: to prevent diseases and extend health spans by leveraging AI and data. He details their approach to aggregating patient data, utilizing AI to synthesize it, and offering HIPAA-compliant platforms for personalized health guidance. He also shares progress on building a nationwide clinic network for scalable care delivery.Defining Medicine 3.0 (19:24-24:25)The conversation shifts to defining “Medicine 3.0,” characterized by personalized, predictive, data-driven, and preventative care. Dr. Pelo outlines its focus on optimizing long-term health risks and maintaining mobility and strength to improve quality of life. The hosts and Dr. Pelo discuss how this shift could reduce dependence on traditional hospitals and emergency care.Challenges and Opportunities in Scaling Preventative Care (24:26-30:23)Dr. Pelo highlights gaps in traditional healthcare, such as the lack of widespread preventative care and the difficulty primary care physicians face in staying updated. He explains how Bionic Health bridges these gaps with AI-driven solutions and personalized patient referrals. The team also discusses the importance of making these innovations more accessible over time.The Data Behind Bionic Health’s Success (30:24-34:40)Dr. Pelo shares early outcomes from Bionic Health’s programs, including significant risk reductions and improved patient experiences. He emphasizes how behavior change, health coaching, and technology have driven notable improvements in weight loss, muscle gain, and patient satisfaction, with a retention rate of nearly 99% in the first 18 months.The Future of Precision and Personalized Medicine (34:41-40:11)Dr. Pelo envisions a future where advanced data aggregation, wearable devices, and AI make personalized care accessible and scalable. He highlights the importance of combining micro and macro data trends to optimize patient health and reflects on the exciting possibilities for AI and precision medicine to drive healthcare innovation.Lightning Round: Fun and Insights (40:12-47:14)The hosts and Dr. Pelo engage in a light-hearted Q&A. Dr. Pelo reveals his favorite health gadget (Eight Sleep), his admiration for Alan Turing, and his thoughts on quitting social media. He also shares an inspiring message for clinicians: to engage in innovation and bring their deep understanding of patient care to the forefront of healthcare transformation.Closing Remarks (47:15-End)Adam and Dale thank Dr. Pelo for sharing his journey and insights, emphasizing the importance of clinicians driving healthcare innovation. The episode concludes with excitement for the future of Bionic Health and its role in shaping Medicine 3.0. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe

Guest: Dr. Stephon Proctor from Children's Hospital of Philadelphia Hosts: Adam Carewe and Dale GoldOverall Summary: In this episode, Dr. Stephon Proctor discusses his journey from clinical psychology to informatics, the implementation of AI in healthcare, and the future of technology in the medical field. He shares insights on the challenges and successes of integrating AI tools to improve efficiency and reduce clinical burden.Section SummariesIntroduction [00:00:08]The hosts introduce the podcast and the guest, Dr. Stephon Proctor, highlighting his role as a behavioral health clinician and informatics director at Children's Hospital of Philadelphia.Dr. Proctor's Journey [00:03:04]Dr. Proctor shares his background, from his early interest in technology and psychology to his current role in informatics. He discusses his educational path and how he combined his passion for technology with his clinical work.Informatics and Clinical Workflow [00:09:56]Dr. Proctor explains the role of informatics in bridging the gap between clinical workflows and technology. He emphasizes the importance of understanding both the clinical and technical aspects to create effective solutions.AI in Healthcare [00:11:23]The discussion shifts to the implementation of AI in healthcare, specifically the use of large language models (LLMs) like ChatGPT in the EHR system. Dr. Proctor talks about the benefits and challenges of using AI to draft patient messages and reduce clinical burden.Pilot and Implementation [00:13:30]Dr. Proctor describes the pilot phase of implementing AI tools at CHOP and the transition to a full-scale rollout. He shares data on adoption rates and time savings, highlighting the differences in usage between physicians and nurses.Prompt Engineering [00:14:48]The conversation delves into prompt engineering, where Dr. Proctor explains how instructions are given to LLMs to guide their responses. He discusses the art of creating effective prompts and the challenges of adapting to changes in AI models.Addressing Privacy Concerns [00:18:23]Dr. Proctor addresses privacy concerns related to AI in healthcare, particularly in pediatric settings. He explains how CHOP ensures that sensitive information is protected when using AI tools.Future of AI in Healthcare [00:27:30]The hosts and Dr. Proctor speculate on the future of AI in healthcare. They discuss the potential for AI to handle more complex tasks, the integration of domain-specific models, and the importance of maintaining human oversight.Nerd Alert Round [00:37:37]The hosts engage Dr. Proctor in a rapid-fire round of questions, covering topics like his favorite efficiency hacks, home automation, and his interests outside of work.Closing Remarks [00:49:51]Dr. Proctor offers advice to early-career clinicians interested in informatics and technology. The hosts thank him for his insights and wrap up the episode. Get full access to Rewskidotcom by Adam Carewe MD at rewskidotcom.substack.com/subscribe