Mike Moore, DO FAAFP

"I’m sorry that I have no words of wisdom or inspiration. I get sad and scared too. I think maybe it’s part of the natural price of wanting to do this kind of work." ~David Foster Wallace mcsweeneys.net/pages/memories…

Addressing patient concerns, no matter their background, is always top of mind for family physicians. However, patients in your local Hispanic communities may have unique vaccination-related questions and concerns. Explore our resources on building vaccine confidence with Spanish-speaking patients: bit.ly/3OH6c1R

What gives @MikeMooreDO hope for the future of family medicine? The people. From the passion of his peers to the support of AAFP staff, this community is what moves the specialty forward. Experience it at #FMX2026 in Nashville, Oct. 20–24. ter.li/cuapat

During college, I got a job in an immunology lab despite not majoring in a biological science. Asked my PI how I should go about learning immunology. He said, "Immunobiology by Charles Janeway." I bought & read it. Apparently, no previous undergrad hire had ever done this.

The academic publishing model: * Spend years becoming an expert * Spend ~1-3 years working on a project & writing manuscript * Editor takes weeks to assign reviewers * Most reviewers say no or don't reply to invites * Reviewers eventually get around to it months later * Reviewer reads for 0.5-1.0 hours and says - not interested, not good, not perfect * Spend next 1.5 - 2.0 years addressing reviewers/editors concerns which are often taste or tangential (often shopping across 3+ journals) * Postdoc has moved on, students have moved on

@LocasaleLab Thoughtful 🤔

Mr. Cuban is right that nonprofit medical schools attached to massive hospital systems have no business charging $300,000+ in tuition while university and hospital administrators collect seven- and eight-figure compensation packages. If the mission is public health, the financial structure shouldn’t resemble a corporate executive pyramid. But tuition is only one issue. A deeper distortion is the artificial scarcity they created. Medical schools, their accrediting bodies, and their professional associations have tightly limited enrollment for decades, deliberately constraining physician supply. At the same time, the training pathway is unnecessarily long, delaying meaningful earnings into midlife and effectively forcing physicians to command higher salaries later to compensate for a lost decade of income. In an era of AI and self-directed learning, we should be asking which parts of training are truly educational necessities and which are simply institutional gatekeeping. The current regulatory structure protects salaries and administrative hierarchies while undermining access and market dynamics. If workforce expansion and healthcare access is the goal, supply constraints and training design — not just tuition — have to be on the table.

Would you like to play a game?

Congratulations to the U.S. Men’s and Women’s hockey teams, Alysa Liu, Breezy Johnson, Mikaela Shiffrin and all the amazing Olympic athletes representing @TeamUSA.

Cardiologist wins 3rd place at Anthropic's hackathon. Out of 13,000 applications. Built in 7 days by Michał Nedoszytko MD. Coded day and night - in the hospital, in the cloud, while flying from Brussels to San Francisco. A few years ago, it would have been impossible for a doctor to build this alone in just a couple of days. AI changed that. The project is called postvisit.ai. It is an AI agentic care platform for patients. Including reverse AI scribe it is a companion that guides the patient from the moment they leave the doctor's office. Powered by the massive context window of Opus 4.6, it allows patients to explore their full medical history, connected devices, Evidence Based resources and external data sources — all in one place. Today, the barrier to entry has vanished; even a practicing physician can build an application from scratch.

From climbing on roofs, to falling out of trees, to flying airplanes off of ships and rockets into space, I’m kind of shocked both of us made it this far. Happy Birthday.

One of the side effects of well-meaning progressive policies was creating a system where everyone is constantly lying to get ahead. Lying about your fake 1/64th Native American identity to get into college, about your fake disability so you can have a dog in your dorm, about your sick grandma so you can get out of midterms, about the token representation on your "diverse" board, about your "joint venture" with a black-owned business so you can get a government contract, about your fake daycare, about your "home office" so you can get a tax writeoff, about your kid's ADHD so they get extra time, and on and on. The progressive instinct is that everything should be heavily regulated (to make it safe / fair), but also that we should have tremendous leniency for people in hardship. And then there's this bull-headed resistance to the idea that people might be cheating, because you're worried about unfairly excluding someone legitimate. These are well-intentioned instincts, but they result in really high returns to cheating. And then people cheat, and the instinctually honest people look around and say, "wait am I a sucker?" No small part of U.S. success over the generations was social trust, a system where most people felt like working hard and being honest was the way to get ahead. If that continues to erode, it will be catastrophic. Obviously there are many factors and groups to blame, but progressives have been running the institutions for a generation and need to recognize how damaging this combination of over-regulation + leniency has been. At elite colleges, students are *surrounded* by people cheating the system in small ways, getting away with it, and getting ahead. It's incredibly toxic and will make them all a little less trusting and a little less honest for their whole careers. This is part of why elite students these days want to get private equity jobs instead of starting social enterprises. They're learning early that everyone is looking out for only themselves and you're a fool if you do otherwise.

@paulnovosad We see this in healthcare all too much: x.com/DrDiGiorgio/st…

Founders taking a team photo with their first 10 employees

The most consequential innovation in agentic AI this year was not produced by a model. It was produced by a guy in Austria who talked to AI instead of typing, shipped 6,600 commits in a month, and then turned down a billion dollars because he thought the idea mattered more than the company. No large language model was going to arrive at that insight on its own. That tells us something important: humans are still the most important part of the system. The Vector and the Velocity: open.substack.com/pub/mikemoored…

@DavidBroderDO @DrDiGiorgio 😇

@DrDiGiorgio @MikeMooreDO Who me?

Imagine whatever your job is. Now imagine someone who has never actually done that job designs the software you are required to use to do it. Every single task now takes an extra 50 clicks. Things that could be handled with a quick verbal order now require logging in, navigating slow pop up windows, and clicking through reminders that add nothing to the outcome. Now imagine your inbox fills with several hundred notifications a day. Most are useless. Buried somewhere in there might be the one message that actually matters. When you want a simple improvement to the system, you are told it has to go through layers of committees and governance meetings, only to be denied. Yet when an administrator wants to add 20 more clicks or a new mandatory alert, there is no requirement to ask the doctors and nurses who actually use the software every day. That is what is wrong.

A story: Looking for the 동방박사 open.substack.com/pub/mikemoored…

I'm joining @OpenAI to bring agents to everyone. @OpenClaw is becoming a foundation: open, independent, and just getting started.🦞 steipete.me/posts/2026/ope…

I got 99 problems, but as a scientist, being replaced by AI ain’t one. The interesting AI isn’t the kind that replaces scientists, it’s the kind that frees and sharpens scientists. That’s @qedScience.

So, the US Army personnel is not allowed to attend….. MIT I am sorry, at this point, I have no other explanation to what’s happening than an extremely successful Russian sabotage operation. Or that this entire administration is nuts. I mean, 80% of your military equipment would not even be developed, or able to fly, or sail, or move otherwise without MIT