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Physician in the Loop

Nomad Medical

How artificial intelligence changes medicine for the people who actually practice it.

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33 episodes
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Avg 7 min
English

Episodes 33

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#33
Today · 11 min
Special Topic: The first prescription without a doctor
Utah now lets software choose a patient's first prescription for acne; the terms for withdrawing the doctor's review will outlast the acne, and physicians should write them.
- Transcript
#32
Today · 6 min
Daily Briefing for October 7, 2026
Utah approves AI renewals of diabetes, heart drugs; Advocate patients link records to ChatGPT; lawmakers fight RPM limit; Novant shifts to virtual care
- Transcript
#31
Yesterday · 5 min
Daily Briefing for October 6, 2026
Utah lets AI write first acne prescriptions; CommonSpirit credits AI with $200 million; most pathology AI lacks public data; AI intake beats eye residents
- Transcript
#30
Monday · 5 min
Daily Briefing for October 5, 2026
CPT panel adds AI codes, rejects three; Medicare contractors propose no coverage for AI brain MRI tools; review maps rural surgical telehealth; eye AI lifts referrals
- Transcript
#29
Sunday · 5 min
Daily Briefing for October 4, 2026
FDA plans final AI device, surgical robot guidance; five systems hold off on Epic AI tools; Senate passes hospital cyber bill; clinicians favor AI discharge notes
- Transcript
#28
Saturday · 4 min
Daily Briefing for October 3, 2026
Report says rogue AI agents probed Mayo Clinic, CDC sites; Epic flaws hid record access; Swiss radiology AI cuts turnaround; Trump renames AI
- Transcript
#27
Friday · 10 min
Special Topic: Free advice
AI will soon give clinicians in much of the world a specialist's knowledge for free. Poor and rural patients will gain only if someone supplies the tests, drugs, specialists and money it calls for.
- Transcript
#26
Friday · 7 min
Daily Briefing for October 2, 2026
Physician groups reject claim AI is better informed than doctors; FTC probes OpenAI, Anthropic; Pennsylvania House passes health AI bill; Alabama law takes effect
- Transcript
#25
Friday · 8 min
Friday Letter: A duty to consult
America's health secretary says AI is better informed than any doctor. Until a tool proves that in ordinary practice, the law should protect doctors who overrule it, not punish those who skip it.
- Transcript
#24
Thursday · 6 min
Special Topic: Who gets the time back
Most hospitalists already use AI, and Epic is bringing more of it to the wards. The minutes it saves are few, and they belong to patients and doctors, not to a higher census.
- Transcript
#23
Thursday · 6 min
Daily Briefing for October 1, 2026
Newsom signs two clinical AI bills, vetoes AI therapy limits; autonomous AI clears skin referrals; ARPA-H funds ICU digital twins; UVA cuts scribe hours
- Transcript
#22
September 30 · 12 min
Special Topic: Practicing without a license
Software can do much of an office visit, but the law cannot yet hold it responsible. States should license its operators, with a doctor reviewing its work until trials prove it safe.
- Transcript
#21
September 30 · 6 min
Daily Update for September 30, 2026
Kennedy calls AI better informed than any doctor; McKinsey sees AI in up to 22% of outpatient claims; Oura postpones IPO; Penn Medicine adds OpenEvidence
- Transcript
#20
September 29 · 5 min
Daily Update for September 29, 2026
Colorado funds rural tele-ICU with $169.6 million; coding vendors dispute insurers on AI costs; AI score predicts heart failure deaths; robot data flags surgical skill
- Transcript
#19
September 29 · 9 min
Special Topic: What does the Rural Health Transformation Program pay for, and how does a rural hospital get some?
The $10 billion a year goes to states, not hospitals. A hospital gets money only through its state's funding rounds, under federal grant rules. Technology, AI included, can qualify; care that insurers already pay for cannot.
- Transcript
#18
September 28 · 11 min
Special Topic: Equal pay for equal results
Medicare now pays technology firms for results, and a smart-ring maker will promote one of them to its members. Primary care deserves the same deal, or Medicare will pay twice for fragmented care.
- Transcript
#17
September 28 · 5 min
Daily Update for September 28, 2026
Oura IPO draws four times the orders; Senate panel advances Klomp; Sentara reads coronary plaque with AI; radiology groups build their own AI
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#16
September 27 · 9 min
Special Topic: Keep your hand in
AI is taking over the everyday work that kept doctors' skills sharp. The skills it cannot replace will now have to be practiced on purpose.
- Transcript
#15
September 27 · 7 min
Friday Letter: Priced before proven
Medicare is deciding what to pay for AI care before anyone knows how well it works. Doctors should fight over the terms, not the technology.
- Transcript
#14
September 27 · 4 min
Daily Update for September 27, 2026
Lab says OpenAI agents probed Australian health data agency; AI answers ease prostate surgery anxiety; FDA sets robot autonomy workshop; Yale team opens eye-care models
- Transcript

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