Importance: Telemedicine use increased during the COVID-19 pandemic and has remained a regular component of health care delivery. However, the financial implications of this change for health systems' reimbursement and utilization remain unclear.Objective: To compare 30-day episode charges and subsequent visits after telemedicine and in-person index visits.Design, setting, and participants: The target trial emulation conducted… Continue reading Episode Charges and Subsequent Visits After Telemedicine vs In-Person Care
Category: practice
Human-large language model collaboration in clinical medicine: a systematic review and meta-analysis
Human- #AI collaboration (H + AI) using large language models ( #LLMs ) offers a promising approach to enhance clinical reasoning, documentation, and interpretation tasks. Following PRISMA 2020 (PROSPERO registration: CRD420251068272), we systematically compared H + AI with human-only (H) workflows, searching four databases through June 28, 2025. Ten peer-reviewed studies met eligibility criteria, with… Continue reading Human-large language model collaboration in clinical medicine: a systematic review and meta-analysis
Effective prompt design for large language models in clinical #practice
Large language models ( #LLMs ) have emerged as transformative healthcare tools for clinical documentation, diagnostic reasoning, and medical education. However, effective utilization requires understanding prompt engineering principles—the strategic design of inputs to optimize performance while mitigating hallucination, bias, and outdated information.MethodsThis narrative review synthesizes evidence from a structured PubMed search through December 2025 using… Continue reading Effective prompt design for large language models in clinical #practice
Understanding #Migration Intentions of Albanian #Physicians and Nurses
Introduction: Migration from Albanian healthcare professionals to Western countries has been widespread since Albania emerged from communism in 1991. The migration of Albanian physicians and nurses has significant impacts on the country's healthcare system.Objective: The manuscript addresses the migration intentions of Albanian healthcare professionals, including #physicians and nurses focusing on their inclination to emigrate to… Continue reading Understanding #Migration Intentions of Albanian #Physicians and Nurses
The Future of #Artificial #Intelligence in Medical Education and Continuing #Medical Education
In this article, we explore the transformative potential of artificial intelligence (AI) in medical education and continuing medical education. We discuss the rapid evolution of AI technology, particularly generative AI and large language models, and their implications for teaching and learning. We emphasize the importance of AI literacy, ethical considerations, and evidence-based approaches to integrating… Continue reading The Future of #Artificial #Intelligence in Medical Education and Continuing #Medical Education
Beyond human ears: navigating the uncharted risks of #AI scribes in clinical #practice
Artificial intelligence (AI) scribes have been rapidly adopted across health systems, driven by their promise to ease the documentation burden and reduce clinician burnout. While early evidence shows efficiency gains, this commentary cautions that adoption is outpacing validation and oversight. Without greater scrutiny, the rush to deploy AI scribes may compromise patient safety, clinical integrity,… Continue reading Beyond human ears: navigating the uncharted risks of #AI scribes in clinical #practice
#Thimerosal as a #Vaccine #Preservative
Preventing #pressure #ulcers by increasing pressure: An unorthodox alternating-pressure mattress
Despite the devastating effects of pressure ulcers (PUs), little is understood about how they can be prevented using alternating-pressure (AP) mattresses. Such mattresses typically aim to minimize the pressures imparted while alternating between different states of pressure to prevent areas of tissue from being persistently occluded of blood flow. In this work, we built an… Continue reading Preventing #pressure #ulcers by increasing pressure: An unorthodox alternating-pressure mattress
Human– #AI collectives most accurately #diagnose #clinical vignettes
Large language models (LLMs) have great potential for high-stakes applications such as medical diagnostics but face challenges including hallucinations, biases, and lack of common sense. We address these limitations through a hybrid human–AI system that combines physicians’ expertise with LLMs to generate accurate differential medical diagnoses. Analyzing over 2,000 text-based medical case vignettes, hybrid collectives… Continue reading Human– #AI collectives most accurately #diagnose #clinical vignettes
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