Blackford Middleton

Physician & health informatics innovator committed to transformation...curing what ails healthcare. google scholar ALso on @bfm_md

[Blackford Middleton @bfm]

Is @Waymo really ready for @NashvilleScene an 18 minute drive home from the airport is taking 59 minutes. Waymo Support says this is the optimal route. Google maps shows no slow downs on the highways. Ridiculous.

[Blackford Middleton @bfm]

What fun to see many friends and colleagues at @AMIA2026! @AMIAinformatics

[Blackford Middleton @bfm]

Fitting ticker for $ANT. Real ant colonies need worker policing because the incentive to cheat survives even at high relatedness. Scaling intelligence doesn't solve governance. Piece here: https://t.co/sxaKjJjXNt

[Blackford Middleton @bfm]

Simply too hard to resist…

https://t.co/EShEXNoAcP

[Blackford Middleton @bfm]

I am playing around with some of the new tools, and found this one to be interesting. Delphi. Try speaking to a digital version of me on Delphi https://t.co/uVEq435dqJ. It is loaded up with papers and presentations.

[Blackford Middleton @bfm]

https://t.co/8rpWjNTnbD

[Blackford Middleton @bfm]

Where Are the AI Guard Rails? Metacognitive Capability Envelopes as a Framework for Thinking About User Competence and AI Scope, by @bfm
https://t.co/3IztUidic6

[Eric Topol @EricTopol]

The GLP-1 family of drugs is emerging to be potentially transformative for addiction medicine. This new @jclinicalinvest paper succinctly reviews the biology, epidemiology, randomized trials, and the gaps needed to fill in @Lorenzo__Leggio
https://t.co/UKkt7c5VNu

[Blackford Middleton @bfm]

@zakkohane You are now one with the internet 🤣

[Blackford Middleton @bfm]

https://t.co/gTqxVZ4Yfd

[Blackford Middleton @bfm]

The 300-Millisecond Myth: Thinking Fast, Slow, and the Design of Clinical Decision Support, by @bfm https://t.co/jEDue2l2i0

[Blackford Middleton @bfm]

https://t.co/Fu1h2vDM1U

[Blackford Middleton @bfm]

@LlamasNBC @NBCNews usually love the reporting but beware too much angle swings on set perspective (side to side). … felt a bit vertiginous for a sec. Go #hcx #ux

[Blackford Middleton @bfm]

https://t.co/L3fzQVA2e2

[Blackford Middleton @bfm]

https://t.co/L3fzQVA2e2

[Blackford Middleton @bfm]

The Diagnosis Problem: GAI Gets the Final Answer Right — and the Reasoning Wrong, by @bfm https://t.co/STRInln4A9

[Isaac Kohane @zakkohane]

Outstanding debate at https://t.co/BPGQzZRkBg about whether AI will cause deskilling in medicine and whether it matters. East-West-coast swords crossed and shots fired. And what should medical board certification mean in the AI era?

[Blackford Middleton @bfm]

Just joined the waitlist for PandaOS to unify my entire vibe stack into one local AI workstation. 🛠️✨

Get early access: https://t.co/FUFT85P5Pi

[Blackford Middleton @bfm]

no more #vibecoding
I'm moving toward #tribecoding
where i use Claude Code and ChatGPT to check each others' work. it's a dream

[Arjun (Raj) Manrai @arjunmanrai]

🧵1/ Our new study on AI and physician reasoning just came out in @ScienceMagazine. As co-senior author, I'm excited about our findings, and I do think AI will reshape medicine. But after seeing some of the discussions, I'm also worried about how our findings may be misinterpreted.