On the human work of medicine in the AI era.
I am building the governance, talent pipelines, and operating systems that let academic medicine translate AI into durable patient and population benefit. I am writing here about what that work asks of us.
Explore
Three voices, one harmony
The Nonalgorithmic essays, the Standing Orders, and the interior work of Kidney Love. Each opens what the other cannot.
Most recent from each voice
The Essays
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A Thousand Kisses Deep in Otherness
Borges, Buzzati, García Márquez were not tools that thought in my place. On the third choice the Economic Index does not name, amplification, through…
The Standing Order
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When we call AI a clinician, what evidence comes with the name?
Joshua Rothman and Steven Barrie-Anthony, six days apart, on the work we ask a word to do.
Kidney Love
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There is no easy way to say goodbye
A house at Pere Bosica 11 in Brčko, a rented apartment in Istanbul with three families inside it, and a row of magnolias in…
The Essays
D Phrygian
The nearest measurable proxy is never the thing itself.
One essay every Friday at 7 AM, delivered by email. On academic medicine, the identity of the human, and what the practice of medicine must not let go of.
The Standing Order
D major
An instruction, once written, holds until someone changes it.
Policy, implementation, safety and education in clinical AI. One object at a time: a rule, a bill, a regulation, a trial, a number. Published here Tuesday, Wednesday and Thursday, and published here first.
Kidney Love
D mol
On vulnerability, aging, and the bright home in which I live.
The interior of the work. Language, music, memory, mortality, and what the newsletter cannot say.
Speaking
Keynotes, panels, and institutional convenings
On the AI-native academic medical center, medical education in the AI era, and the governance that has to hold underneath both.
About
Physician, scientist, institution builder
Why this site exists, what I am building at the University of Florida, and what the practice of medicine must not let go of.
Selected work
Reconceiving the architecture around AI
Two recent papers on how the governance of biomedical AI should be reconceived: Co-creating Consent for Data Use in NEJM AI, with legal scholar Barbara J. Evans, and Reconceiving Safety Regulation for AI and ML Medical Software in the Vanderbilt Journal of Entertainment and Technology Law, with Evans and Eric S. Rosenthal.
Translating clinical intelligence into music
Whether clinical intelligence can travel in a form other than a paper. Human Systems: Translating Clinical Intelligence into Music is seven compositions with José Valentino Ruiz of the UF College of the Arts, among them Human Before the Chart and Threshold at the Door. I am executive producer and co-principal investigator.
2026 Communicator Award of Excellence, Emerging Tech: AI Utility Integration.
Essays each Friday
On academic medicine, the identity of the human, and what the practice of medicine must not let go of.