In this conversation, Dr. Graham Walker discusses with Host Dr Saba Fatima the evolving role of AI in healthcare, addressing both its potential benefits and concerns. He emphasizes the importance of clinical judgment, the impact of AI on job security, and the need for regulation and standards. Dr. Walker also highlights the biases inherent in AI systems and the ethical considerations surrounding their use in medical education and patient care. He expresses cautious optimism about the future of AI in medicine, advocating for a balanced approach that prioritizes patient safety and clinician engagement.

Graham Walker, MD is an emergency physician and health tech leader based in San Francisco. He serves as Co-Director of Advanced Development at The Permanente Medical Group, where he drives innovation and digital transformation for Kaiser Permanente’s 4 million Northern California members. As a clinical informaticist, he leads emergency and urgent care strategy for KP’s electronic health record.
Graham is also a software developer and entrepreneur. He founded MDCalc, the leading evidence-based medical calculator platform, and Offcall, a new digital hub supporting the physician workforce. His work bridges clinical practice and systems-level innovation, with a focus on reducing friction and burnout across care delivery.
He writes frequently on AI, tech, and the future of medicine, and authored The Physicians’ Charter for Responsible AI — a framework to guide safe, fair, and clinically sound AI adoption.

takeaways
AI in healthcare brings both promise and concerns.
Generative AI is often misunderstood as the entirety of AI.
AI can replace busy work but not clinical judgment.
Job security in emergency medicine is less threatened by AI.
AI's role in specialties like radiology may evolve.
Patients must be cautious when using AI for healthcare advice.
AI can assist in medical education by generating realistic scenarios.
Bias in AI reflects human biases and can impact healthcare disparities.
The ethical use of AI in medicine is still being defined.
Future AI tools must prioritize patient safety and clinician engagement.

keywords
#ai #healthcare #generativeAI, clinical judgment, job security, medical education, patient privacy, healthcare disparities, bias in AI, ethical use of AI, future of medicine #aihealthcare #chatgpt #openevidence

Chapters
00:00
Introduction to AI in Healthcare
03:48
The Promise and Concerns of AI
06:53
AI's Role in Clinical Work
09:51
The Future of AI in Specialties
12:47
Pitfalls of AI in Patient Care
15:58
AI in Medical Education and Practice
18:43
Regulations and Standards for AI
21:46
Bias in AI and Healthcare Disparities
24:47
Understanding AI's Role in Predictive Medicine
26:45
The Evolution of AI in Healthcare
28:43
Ethical Considerations in Medical AI
30:42
The Impact of AI on Medical Education
32:58
Future Prospects of AI in Medicine
34:45
Challenges and Risks of AI Adoption
36:49
The Human Element in AI-Driven Care
38:36
Navigating AI's Limitations and Misconceptions
40:48
The Balance of Compassion and Efficiency in AI
42:40
Final Thoughts on AI's Role in Healthcare
49:21
Conclusion

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

In this conversation, Dr Jared Rubenstein discusses with host Dr Saba Fatima, the importance of palliative care, the emotional challenges faced by healthcare professionals, and the need for open conversations about death and dying. He emphasizes the role of teamwork in providing care, the misconceptions surrounding palliative care, and the necessity of addressing cultural attitudes towards death. The discussion also highlights the importance of communication with families, coping strategies for healthcare workers, and the need for improved medical training on these topics.

Jared Rubenstein is a pediatric palliative care doctor and medical educator at Baylor College of Medicine and Texas Children’s Hospital in Houston, TX, USA. As a fellowship program director he works to train the next generation of healthcare workers in providing person-centered care. His academic interests include serious illness communication, biases around palliative care, and antiracism training. He is passionate about helping people talk about difficult things and believes that the use of satire,
animation, and humor can facilitate these conversations. His Youtube channel contains original animated videos utilizing these principles and addresses topics including serious illness, mental health, gender equity, and racism in medicine. The videos have been viewed over 150,000 times and are used nationally and internationally as teaching tools.
When he’s not talking about palliative care, he loves traveling and spending time in nature with his wonderful wife and two hilarious kids.

https://youtu.be/BbNi_-wYXJE?si=A39z5krdg951e15t

Takeaways
Palliative care is a team sport, essential for patient support.
Conversations about death are often avoided in medical training.
Coping strategies are vital for healthcare professionals dealing with death.
Cultural attitudes towards death vary significantly.
Palliative care should be introduced early in the treatment process.
Communication with families about death is crucial but often lacking.
Empathy and compassion are different but both are necessary in care.
Misconceptions about palliative care can hinder patient support.
A good death is defined by the individual and their family.
Healthcare workers need to support each other emotionally.


#palliativecare, #death , #dying , #healthcare , communication, #empathy , #compassion , #medicaltraining, emotional challenges, cultural attitudes #endoflifecare #hospicecare #endwell

Chapters
00:00
Introduction to Palliative Care and Death
02:03
The Journey to Palliative Care
04:39
Challenges in Discussing Death
06:34
Cultural Attitudes Towards Death
10:52
Finding Peace with Death
16:56
Understanding Palliative Care Misconceptions
24:27
The Importance of Early Palliative Care
26:06
Emotional Challenges in Palliative Care
27:30
Reforming Medical Education for Death Conversations
30:05
Navigating Conversations About Death
33:18
Defining a Good Death
36:06
Cultural Perspectives on Death and Honesty
40:33
Communicating with Children About Death
42:11
Burnout in Palliative Care
43:48
Final Thoughts and Resources for Healthcare Workers
51:17
Conclusion

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com

In this conversation, Dr. Jennifer Bacani McKenney shares her journey with Host Dr Saba Fatima, as a rural health advocate and physician in Fredonia, Kansas. She discusses the challenges and rewards of practicing in a rural setting, including the importance of community relationships, the impact of healthcare policies, and the need for innovative solutions to improve access to care. Dr. McKenney emphasizes the significance of building trust with patients, navigating emergency situations, and the unique experiences that come with rural medicine. She also highlights the importance of community engagement and leadership in fostering a healthier environment for all.

Jennifer Bacani McKenney, MD, FAAFP, is a family physician in her hometown of Fredonia, Kansas, a community of approximately 2,200 people. She has owned and managed her practice Fredonia Family Care alongside her father and other great colleagues since 2009. Dr. McKenney was named the “2021 Rural Health Practitioner of the Year” by the National Rural Health Association and received the “Early Career Achievement Award” by the University of Kansas School of Medicine in 2021. She serves as the Wilson County health officer as well as the Fredonia city health officer. She is the Associate Dean of the Office of Rural Medical Education at the KU Medical Center where she focuses on rural health issues and rural workforce. She served as the President of the KAAFP and serves on the board of directors and as the Vice-Chair for the Kansas Health Foundation. She is a member of the Kansas Patients and Providers Engaged in Prevention Research (KPPEPR) board and participates in practice-based research. Contributing to the rural health pipeline, Dr. McKenney created the Fredonia Medical Academy, a two-week program for high school students to gain valuable exposure to medicine. She also established the Fredonia Area Community Foundation and Cultivate Fredonia, a community-wide growth initiative, and she serves on the board of directors for both. Dr. McKenney provides outpatient, inpatient, emergency department, surgical, and endoscopic services to her community. She is also the medical director of the local home health and hospice agency. She has made numerous recent appearances on national news and television programs covering COVID-19 and rural health, including CNN, CNBC, CBS, MSNBC, the New York Times, Washington Post, the Today Show, and NPR.

takeaways
Rural medicine presents unique challenges, including access to specialists.
Emergency situations can be particularly daunting in rural settings.
Building trust with patients is crucial for effective care.
Healthcare policies significantly impact rural communities.
Innovations like telemedicine can help bridge gaps in care.
Combating isolation and burnout is essential for rural physicians.

Chapters
00:00
Introduction to Rural Healthcare Challenges
02:18
Dr. McKenney's Journey to Rural Medicine
06:23
The Landscape of Rural Healthcare
09:12
Navigating Specialty Care in Rural Settings
12:32
The Role of Community in Healthcare
15:29
The Personal Touch in Patient Relationships
18:02
Challenges of Misinformation and Public Health
21:07
Impact of Policy Changes on Rural Health
23:55
Innovations and Future of Rural Healthcare
27:15
Staffing Challenges in Rural Medic

The views and opinions expressed in this episode are those of the guest and do not necessarily reflect the official policy or position of the 'Muted in Medicine' podcast or its host. The information shared is intended for educational and informational purposes only and should not be taken as professional advice.

© 2024 Muted in Medicine. All rights reserved. Unauthorized use, distribution, or reproduction of this content is strictly prohibited. For permissions or inquiries, please contact mutedinmedicine@gmail.com