Josh Briscoe

My body is not my own. What does that mean for intractable, hot button bioethical debates? open.substack.com/pub/familyme...

I regret that these technologies – which are powerful and could certainly be incredibly useful – have entered medicine in the way they have: unexamined, without rigorous patient-centered evaluation, mired in proprietary claims, regulatory capture, and credulous adopters.

Ask how many more shifts they’d let a surgeon work after a week in which they severely harmed 12-15% of their patients

Spent a plane ride reading Pope Leo's Encyclical on AI. Many thoughts to share later, but this will stick with me: "The quality of a civilization is measured not by the power of its means, but by the care it is able to offer, by its ability to recognize the other as a face not merely as a function."

This is a fascinating example because it's exactly what a bullshitter does and what gives him away. He leans into the little cues you give them, and riffs on those cues ,making stuff up. "It's a real, verifiable peer-reviewed publication" (To be clear: there is no "Swedish magpie" paper.)

Celeste Roberge’s sculpture “The Weight of Grief” #art

jamanetwork-com.proxy.lib.duke.edu/journals/jam... from @jama.com If AI were a medication, we'd be putting it through far more rigorous testing before wide deployment...

www.npr.org/2026/02/14/n... I wasn’t expecting “whether you want it or not” to feature so prominently so soon in using AI in health care…

What do clinicians do when trust runs thin? open.substack.com/pub/familyme...

My book has a cover! I wish I could share it with you right now, but unfortunately you'll have to wait until August 18, 2026. But you can preorder it now if you want. www.amazon.com/Resisting-Th...

Sure would be nice to have a functional federal regulatory agency techcrunch.com/2026/02/03/l...

Really troubled by this question in a popular surgical critical care study book… Surgical Critical Care and Emergency Surgery Topic is early v late dialysis and so much on this topic is know and just disappointing to this question…. The keyed answer was….

The consent form Louis Waskansky signed before undergoing the first-ever human heart transplant, in 1967.

Media outlets sharpened their pens by telling us that cars and trucks hit pedestrians and cyclists instead of drivers. Now they rinse and repeat with AI.

Every ad now

It is not "attribution and sourcing" to generate post-hoc citations that have not been read and did not inform the student's writing. Those should be regarded as fraudulent: artifacts testifying to human actions and thought that did not occur. www.theverge.com/news/760508/...

Coming back to this, I'm still struck by the implication that academics should care if the AI pushers "trust" all our work that's done without AI. I don't know, man, you all seemed to trust our work enough to steal it from us wholesale.

To what extent is it our job as consultants to manage or attend to clinician distress? What happens when that clinician distress leads to conflict? #medsky Guests Sara Johnson, Yael Schenker, & Anne Kelly. 👉 Post: bit.ly/GeriPalEp385 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

I took up this question in the latest issue of Notes: open.substack.com/pub/familyme...

this field biologist does a great job highlighting the insidiousness of AI editing these one-click AI edit buttons are incredibly appealing to many photographers, amateurs and professionals alike, and are framed as innocuous this is worth sharing and educating people about

I didn’t really get how much “health care contact days” is a meaningful patient outcome until I got sick thank you @ishaniganguli.bsky.social @dusetzinas.bsky.social @jamanetworkopen.com

Introducing ambient #AI scribes into a world in which clinicians write notes is very different from the future world in which no one has written notes. familymeetingnotes.substack.com/p/where-the-...

My final installment in a series of essays on medical authority. I worry we won't find a path forward by yelling at each other, but I see hope in a few places. familymeetingnotes.substack.com/p/a-power-gr... #medsky

Meaning, Medications, and Psychodynamic Psychopharmacology: Discussion with David Mintz Exploring medication effects mediated symbolically www.psychiatrymargins.com/p/meaning-me...

This is the 3rd time Google has offered a Gemini trial for college students since May. They're clearly tying trials around the academic calendar. It is no wonder college instructors are hostile toward AI companies pushing free premium AI for college students during finals.

Next up: medical authority and intervention. I approach a controversial case with the hope that this could provide a context for a more productive disagreement. familymeetingnotes.substack.com/p/here-to-he... #medsky

The most important thing to remember about all this fantasy-engineering of the Constitution is Madison's warning: If we suck as a people, no clever constitutional schemes will save us.

This will keep you stuck in the past, preventing you from healing. Even worse, your memories of your lost loved one will be polluted and overwritten by your memories of their AI-generated ghost, until you’ve forgotten the person you lost, and instead grieve only their caricature.

As a palliative care doc, I’m constantly navigating questions of the appropriate extent of medical authority. That was also a large part of my previous job as a psychiatrist. How do we figure out where the limits are? familymeetingnotes.substack.com/p/should-you...