- Essays··10 min read
The Validation Report Nobody Reads at 23:00
Labcorp's nationwide rollout of PathAI's digital pathology platform is technically coherent and operationally incomplete. The press release announces a capability — one that omits the 60-case CAP validation set, the 57% LIS integration failure rate, and the data-drift risk that falls on the lab manager who answers the scanner page at 23:00. The gap between the announcement and a reliable first sign-out is measured in months of workflow redesign, not marketing copy.
digital-pathologyai-in-medicinehealthcare-deploymentlab-operationsRead - Essays··8 min read
The Scribe Writes Fluent Notes. Who Writes the Doctor?
Ambient AI scribes are reducing physician burnout across US teaching hospitals while quietly excising the cognitive act that residency training depended on. When a junior doctor reviews a machine-drafted assessment rather than articulating her own, the risk is not deskilling but never-skilling — a competency that was never developed rather than one that was lost. The design decision still open on almost every teaching service is whether to require independent reasoning before the scribe's draft.
medical-aiclinical-educationambient-scribesmedical-trainingRead - Essays··6 min read
The 16 Out of 237
A June 2026 scoping review mapped 237 AI-enhanced point-of-care diagnostic studies for infectious disease in resource-limited settings — and found that only 16 reported prospective field validation. Publication rates are exponential; validation rates are not. The clinician deciding whether a febrile patient receives antibiotics tonight or a referral tomorrow does not choose between 237 tools: they choose between 16.
ai-diagnosticspoint-of-careglobal-healthclinical-validationRead - Essays··9 min read
The Second Read That Happens Before You Press Send
A study published in Radiology found that general radiologists using an AI-driven workflow matched subspecialist cancer detection rates across nearly 578,000 scans. The result is real, but detection rate is not throughput, and the staffing crisis driving 2.5% annual attrition in radiology remains unmeasured. The clinical win and the capacity win require different budgets; the trial answered only one.
radiologymedical-aiai-workflowworkforce-shortageRead - Essays··8 min read
The PCCP Constraint
The Predetermined Change Control Plan is FDA's mechanism for letting AI-enabled medical devices update without a new submission. It is not a solution to the adaptive-AI problem. It is a scoping exercise written in advance. The modifications a vendor can ship without re-filing are precisely and only those the engineer defined eighteen months before knowing what the field would ask for.
medical-aifda-regulationpccpdigital-pathologyRead