Jake Lancaster, MD

Name a scene in a film that makes you cry, we’ll start:

@EconTalker Halfway through. I’ll be able to enjoy it more after having listened to the episode. I don’t mind the spoilers.

If you listened to the David Wyatt EconTalk episode this week, please give me your thoughts and tell me in the comments if you read the book or not:

@mhjrad It does what you'd expect. It provides a summary of the evidence and links to the articles in UTD. I found it very useful.

@JakeLancasterMD How is it?

I want to be able to ask UpToDate questions and get quick answers like I can on OpenEvidence

@chrissyfarr For us it’s been both. Doctors have more time outside of the system but have also increased the number of patients they see per day. We haven’t required an increase in patients per day but doctors have added them organically.

I have seen so much AI tech that claims to save doctors’ time by taking on the documentation burden. My next question: Is it going to mean doctors get more time with their existing patients? Or have to see more patients? With the way our system is structured, I‘ve got a hunch.

@chrissyfarr I’ve researched PBMs numerous times. I still don’t think I can explain them. I’d say less than 1%.

A survey I'd be fascinated to see if someone did it: What percentage of practicing clinicians could explain what a PBM is in detail if asked (without being able to look it up). Thoughts on what the % would be?

On this Ep of #TheDigitalPatient, @joshuapliu & Alan chat w @JakeLancasterMD, CMIO at @BaptistOnline, abt “Adapting How You Talk About AI to Get Stakeholder Adoption, Saving Nurses Time w/o Tech, Exploring Systemic Issues with Fiction & more” Listen here: bit.ly/4cMTDJg

@StefanKertesz To be fair, I’m not sure Martin is a human.

I have not previously seen a true showdown of diagnostic acumen between AI and a doctor. Our grand rounds today featured step by-step unspooling of a very challenging case, one that would stump many of us. ChatGPT 4 was good, very good. In this instance the human won.🥇

@Bob_Wachter @portfoliobooks The original is what prompted me to go into clinical informatics. You and @EricTopol spoke at an academic medical student conference back in 2011 or 12, and I’ve followed you both ever since. How about “I, Doctor”.

Excited to announce I'm writing a sequel to "Digital Doctor," on Healthcare-Meets-AI @portfoliobooks! Exploring genAI in medicine – from tech to ethics, politics to patient care, & the changing role of patients & MDs. Suggestions for a title? #HealthcareAI amazon.com/Digital-Doctor…

@fuzzymittens No

@asymmetricinfo Shameless plug: The Matter of Medicine a.co/d/i1xUHNj

Looking for high quality, enjoyable escapist fiction. I do not want to be emotionally challenged to come to terms with the bleak inevitability of death, or man's inhumanity to man. I do not want a 400 page political lecture. I just fancy some light diversion. Go.

I’m proud to have converted my book, The Matter of Medicine to an audiobook. I used @elevenlabs to clone my voice. I hope you enjoy my retelling of the Arthurian legend where Arthur as a modern day doctor uses Excalibur to remake our healthcare system. audible.com/pd/B0CVD2MF8K/…

Where does #healthcare leadership intersect with transformational technology? Hear about #AI and more in the @SliceofHC podcast w/ @JakeLancasterMD @BaptistOnline, Stacey Johnston, M.D., M.H.A., @BaptistHealthSF & our CMO @Colin_Banas, M.D., M.H.A. bit.ly/49HaviV

4 years later. The Matter of Medicine a.co/d/dfQgYqF

Doctor Arthur pulls the stethoscope Excalibur from the stone statue and leads the doctors of Camelot to restore the honor of the practice of medicine. #WriTweet

@Dr_Oubre The Matter of Medicine a.co/d/dfQgYqF

@JakeLancasterMD What ya working on??

Do you have a non clinical side-gig? What is it?

@Dr_Oubre I batch. I’m looking forward to using ambient scribes to capture the history and help remember the plan we discussed so I can come back later and finalize. The future is here. It’s just not evenly distributed.

I’m a bit of a hybrid model. My first day on service, I’m seeing patients and immediately writing interval history and physical exam and saving A&P for later. On subsequent days, sometimes I blitz sometimes I still write interval history and PE after each patient. I always bunker for my A&P’s.

@chrissyfarr Virtual peds urgent care is also lacking. Quality is lacking from what we’ve tried.

Something is very wrong when getting into the pediatrician with a sick baby is like getting Taylor Swift tickets. I called at 8am and by 8.02am every slot was taken (we got the last). So what do parents do? ER/ urgent care? This is where and why costs get driven up.

Now fully virtual, VUSM's Master of Science in Applied Clinical Informatics program equips healthcare professionals with informatics skills to address significant workplace challenges in health and biomedicine. Make a difference—apply now: ow.ly/hU2C50Q83by #MSACI #VandyMed

@adamatw @RyanTedfordMD @AMIAinformatics Here’s a good paper on how to do it with CDS. We plan to adopt something similar for our practices on Cupid and capture the EF discretely. pubmed.ncbi.nlm.nih.gov/35385798/

I thought this was an inspiring case example from @RyanTedfordMD about #GDMT in #HFrEF. Have any @AMIAinformatics colleagues used clinical decision support or pop health strategies to encourage / track #GDMT usage? What were your results?

@MattSakumoto @kaydaustin I think I’ve read 90% of those. Adding the rest to my list. Maybe @goodreads will be the next best bird app.

@kaydaustin I invest in many bookshelves (This is 1 of 3)