Itzel Fer

Clinicians using AI were more likely to record an appropriate diagnosis, write a more complete note, and document an appropriate treatment plan. We need more studies like this: AI tested in real clinical workflows, not only on benchmarks. What’s your take? I share more studies like this inAIMedily:itzelfer.com

Patient satisfaction and consultation time were also similar. No serious adverse events were judged to be related to the AI tool. The clearest benefit was documentation.

What happens when an LLM is tested in real primary care? A Nature Medicine trial tested a GPT-4o clinical decision support tool across 16 facilities in Kenya, involving 103 clinical officers and 9,347 patients.

Also in this week’s issue: • @Updock FDA clearance for between-visit care • @claudeai Science from Anthropic • 3 in 10 adults using social media or AI for health info • Tools: @VisualDx , @PearlHealth_ , and @Shortwave AIMedily is for clinicians who want to keep up with medical AI. Subscribe free - itzelfer.com

Medical AI is moving closer to patient care. This week, I covered 2 studies: 1️⃣ Strong medical AI scores can hide fragile reasoning. 2️⃣ In a real-world primary care trial, LLMs support improved documentation quality. AI may help clinical workflows. But we still need evidence that it improves outcomes that matter to patients.

I write AIMedily for clinicians trying to keep up with medical AI without spending hours searching. Short weekly update. Free. Join here: itzelfer.com

This week’s AIMedily also includes: • 3 AI tools • Health scanner news • WHO guidance on AI and evidence-informed policy • OpenAI and rare genetic disease diagnosis • Philips Future Health Index 2026 • 6 research papers from NEJM AI, Nature, JMIR, and JAMA

❓What happens when AI moves from answering clinical questions to taking clinical steps? That question came up in this week’s AIMedily. I covered two studies that show where medical AI may be heading.

@stephsmithio Roblox is like Mario for Gen X.

Nothing has ever made me feel older than a potential intern saying he’s been playing Roblox for the last 13 years 🥲

@stephsmithio Deciding to do it.

What’s stopping you from getting in the best shape of your life?

I summarize studies like this weekly for clinicians exploring AI in medicine. 👉 Subscribe to AIMedily (link in bio)

🔑Key takeaways •GPT-5 hallucinates less, but risk persists. •It writes better, reasons slightly better — but still predicts, not thinks like a clinician. •Missing disclaimers = new safety concern.

👾 Is GPT-5 really safer and smarter in medicine? @Nature Medicine analyzed its reliability, safety, and reasoning in clinical settings. 🧵👇

i've been thinking about sora 2 (what it means for you, where the $$ can be made): 1/ someone will buy a synthetic Sora 2 style account for $10M and it will be a good deal but will look crazy 2/ whoever builds the “no-AI instagram” that takes off makes $100M-$1B. because social feeds will drown in Sora spam. networks that ban AI content, add verification layers will thrive. 3/ people start selling their own likeness. “rent my face for $99/month.” agencies become gatekeepers of likeness rights. the scarjo fight is the first domino. 4/ someone will build a daily Sora channel, flip it into a $50M+ AI startup within 18 months completely bootstrapped. 5/ in 3 months, feeds will be unrecognizable. 1-person “ai-first creators” dropping 200 vids/day. the ones who figure out hooks + branding → next gen MrBeasts. 6/ creation goes to zero cost, so ppl who own the pipes (big accounts, media pages, curation brands) will tax the flood. 2010s meme pages all over again, but cinema-quality. 7/ someone will mint a Sora-native character that builds an empire (music, merch, movies). think hello kitty x mrbeast. content making influencers are the new influencers 8/ people start selling their own likeness. “rent my face for $99/month.” agencies become gatekeepers of likeness rights. the scarjo fight is the first domino. 9/ 1,000 ad variations overnight is the new normal → cpm wars. who wins? the ppl who build the distribution machines that can test + filter that flood. 10/ tooling gold rush - watermarking, copyright detection, brand overlays. when the world drowns in video, verification tools become choke points. 11/ movies won’t die, but they’ll be swallowed by endless serialized micro-shows. one breakout sora-native series hits, netflix panics. 12/ memes/genres that used to last years now die in weeks. whoever masters the rhythm of fast-burn cycles builds audience the fastest. 13/ platforms double dip - they’ll host the flood and sell you boosts to cut through it. organic reach might fall (i hope not, but manage your risk accordingly) 14/ vertical content studios rise - apps for niches: Sora-for-fitness, Sora-for-real estate listings, Sora-for-crypto memes. packaged prompts + workflows + export buttons. 15/ hollywood talent agencies will pivot into “likeness funds.” they’ll securitize the rights to actors’ faces and voices like IP portfolios. sidenote: hollywood prob not feeling so great about this 16/ Synthetic “how-to” teachers will dominate niches. Think Khan Academy, but cloned 1,000x and personalized to every learner. 17/ distribution curators will be the new venture capitalists. Whoever can guarantee views will become gatekeepers. 18/ copyright courts will get nuked. The first $1B+ lawsuit over Sora likeness rights will set precedent for a new industry. 19/ a religion will literally form around a Sora-generated prophet. sounds insane. it will happen. 20/ synthetic nostalgia startups will raise hundreds of millions. recreate your 7th birthday, your grandma’s kitchen, your lost dog. It’ll be addictive. 21/ a real estate startup will generate cinematic walk-throughs of homes before they’re built, then sell them instantly. $1B company. 22/ in 5-10 years, people won’t ask “what’s your favorite show?” they’ll ask “what’s your favorite generator?” in the next tweet I’ll outline the steps I’d personally take to make $$/earn distribution from sora 2 in a few steps sora 2 is a big deal i can't sleep thinking about it, idk about you

@stephsmithio That’s so awesome

3 years and counting 🥰 Verdict so far: marriage is unexpectedly awesome