A Good Omen
A Good Omen Podcast
Bryan Carmody (Sheriff Of Sodium)-On Evaluating Incentives In Medicine, The Constraints of Changing MedED, & Expertise in A.I. Driven Medicine
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Bryan Carmody (Sheriff Of Sodium)-On Evaluating Incentives In Medicine, The Constraints of Changing MedED, & Expertise in A.I. Driven Medicine

J. Bryan Carmody, MD | Pediatric Nephrology | CHKD

Dr. Carmody is a pediatric nephrologist and host of a popular Youtube channel called “Sheriff of Sodium”. In our conversation, we have a wide ranging dialogue about his approach to evaluating the problems in MedED and what might be sustainable solutions to solving them as well as how A.I. changes how we think of “expertise” as doctors.

You can find him on Twitter, Youtube, and his personal website.

Show Notes:

[0:00] Introduction + Being an Academic & Youtuber

[1:50] How Dr. Carmody learns about topics like private equity, residency compensation, and other topics

[5:00] Dr. Carmody’s approach to evaluating evidence to justify his takes on artificial intelligence, medical education topics, and other problems in medicine

  • Dr. Carmody’s video on the myth of the physician shortage

[11:20] How do tools like artificial intelligence shift our notions of expertise as physicians?

  • Tools inform what it means to have expertise as a doctor (stethoscope, radiographs, and artificial intelligence reasoning tools)

  • Expertise can be hidden from non-physicians and may not be rewarded by market forces

[23:50] How much should MedED capitulate to the economic incentives of the practice of medicine?

[27:40] Does MedED need broad reform?

[29:50] How should Gen Z react to broad critiques of medicine and the amount of complaining that happens in social media?

[37:00] A case example of how incentives shape med student behavior: Learning Critical Appraisal As A Student

[40:00] Avoiding Doomerism when trying to improve systemic problems about medicine

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