Dirty White Coat
Dirty White Coat
Mel Herbert for FoolyBoo Inc
AI Updates and Regressions
43 minutes Posted Oct 2, 2025 at 11:00 pm.
Catching Up With Gabe And Alex
Model Regressions And Hallucinations
Consumer vs Medical‑Grade AI
Planning, Context, And Evals
Internet Access And Learning AI With AI
Glass Health’s Ambient CDS Vision
Accuracy, Hallucinations, And Benchmarks
Human Oversight And Focus In The ED
Cost, Clarifications, And AI Personalities
Medico‑Legal Reality And HIPAA
Enterprise Tools, BAAs, And Model Flexibility
Education Risks And Over‑Reliance On AI
Jobs, Robots, And Tactile Medicine
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We examine how clinician-built AI can safely support emergency care, where consumer tools fall short, and why planning, context, and evaluation matter more than model hype. We also share a patient-facing approach to unify records and recordings for safer, clearer answers.

• differences between consumer and medical‑grade AI, HIPAA and BAAs
• model regressions, sycophancy, and hallucinations
• context engineering and planned prompting for safety
• ambient clinical decision support at the bedside
• evaluations, benchmarks, and model selection
• medico‑legal uncertainty and state regulations
• education risks of over‑reliance on AI
• human oversight, prioritization, and tactile care
• patient empowerment via unified records and encounter recordings
• interoperability gaps and practical workarounds


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