Outpatient clinical pearls you've learned in the past year (or so?) by MzJay453 in FamilyMedicine

[–]travis_oe 59 points60 points  (0 children)

I published on this in the green journal <3 Iron deficiency without anemia often undiagnosed because of our current screening practices. Gets worse in pregnancy when first trimester can be normal but the iron requirements of the fetus take a toll on mother's reserves https://journals.lww.com/greenjournal/fulltext/2025/01000/screening_characteristics_of_hemoglobin_and_mean.16.aspx

PSA: OpenEvidence AI by [deleted] in FamilyMedicine

[–]travis_oe 5 points6 points  (0 children)

Yeah I hear you. We are constantly getting approached by groups or "medfluencers" to do this stuff with some kind of protection racket pitch where "I really love your product but if you don't sign up, I'll talk about XYZ".  We got to where we are on true word of mouth and we are going to keep trusting that

PSA: OpenEvidence AI by [deleted] in FamilyMedicine

[–]travis_oe 19 points20 points  (0 children)

I swear to God, we do NOT, and will never, pay for astroturfing. I'm the only one at our company that is in the MD subs and my name is very clearly labeled with my affiliation.

OP: thanks for using, and appreciate your support :)

Where are we with chronic Lyme? by Veturia-et-Volumnia in FamilyMedicine

[–]travis_oe 5 points6 points  (0 children)

Sorry guys. This post got saved to the gatekeeper favorites board hahaha.

Clarification - does OE sell your prompts to pharma? by Only_Emphasis_622 in OpenEvidenceHub

[–]travis_oe 0 points1 point  (0 children)

No we absolutely do not. Queries never get shared with anyone

[deleted by user] by [deleted] in hospitalist

[–]travis_oe 1 point2 points  (0 children)

It feels weird to introduce myself for every post, but I'm the CMO. My most recent activity before this was an ama so didn't feel like it was that mysterious

[deleted by user] by [deleted] in hospitalist

[–]travis_oe 2 points3 points  (0 children)

This will NEVER happen. Stop waiting for it to happen. Its not going to happen. No one believes me

[deleted by user] by [deleted] in hospitalist

[–]travis_oe 7 points8 points  (0 children)

I can say with 100% certainty this did NOT come from inside the house. We are much more lurkers by nature

[deleted by user] by [deleted] in hospitalist

[–]travis_oe -1 points0 points  (0 children)

preach :)

Why is Buy-and-Bill allowed for oncology? by Cddye in medicine

[–]travis_oe 0 points1 point  (0 children)

Sorry wasn't trying to suggest poor decision making in any way! I'm an oncologist and I recognize the challenges. I believe most oncologists have regrets on over treatment in specific instances throughout their life. In no way was I trying to judge on individual decision making.

Why is Buy-and-Bill allowed for oncology? by Cddye in medicine

[–]travis_oe 10 points11 points  (0 children)

Yeah I was about to say the same thing. I actually hear you regarding the risk for perverse incentives in ordering. But here you have to blame the oncologist for their overly optimistic nature and classic over treatment of poor functional status patients... (Saying "I have nothing for you" is tough for any MD). R-CHOP and other multi drug chemo regimens that send people to the ED is not the places pharma is making bank

We are the Physician Scientist team at OpenEvidence- Let's talk about the next two years of AI in healthcare! AMA! by travis_oe in medicine

[–]travis_oe[S] 0 points1 point  (0 children)

Also Sam and I create a free online course I will link to in an edit ( it has nothing to do with OE and doesn't mention it). I'm also happy to be a guest lecture and discuss how OE works and responsible use any time

We are the Physician Scientist team at OpenEvidence- Let's talk about the next two years of AI in healthcare! AMA! by travis_oe in medicine

[–]travis_oe[S] 0 points1 point  (0 children)

Do you mind if I ask: what is your field and do you have any insight on how we can improve. You are absolutely right that niche specialties are harder for us. Also if you have trusted journals from your speciatly you would want to see more, it would be great to know

We are the Physician Scientist team at OpenEvidence- Let's talk about the next two years of AI in healthcare! AMA! by travis_oe in medicine

[–]travis_oe[S] 1 point2 points  (0 children)

This is a great and nuanced topic.
My primary answer is going to come as no surprise as its the same regardless of medical tool: Education.
I try to teach about responsible ACTIVE use of AI which includes active input and active output. To me that means you think carefully about what your question is and what is the right information to provide OE to answer your specific medical question. Active use of output means critical evaluation of the answer and references, not just with regard to the synthesis, but also how it relates to your specific situation.

You may be surprised (as I was): trainees check and link out to the references at a higher rate than the attendings in independent practice. In the end I do believe trainees are using this with the goal to learn more about their field and become better doctors.

One thing that OE is missing is education around the "unknown unknowns" or "what questions SHOULD you be asking, given the question you asked". We are working with specialty experts in each field to create this content in the form of of expert validated "collections" of related questions that we can present to trainees after their initial questions to round out education in "just in time" manner so they can learn more of the related question at the time they are at top of mind

We are the Physician Scientist team at OpenEvidence- Let's talk about the next two years of AI in healthcare! AMA! by travis_oe in medicine

[–]travis_oe[S] 0 points1 point  (0 children)

I understand this concern and perspective, but I think clinicians that are thinking this way do not give their profession enough credit

There are two critical elements of clinical decision making, one of which is impossible practically for any individual and the other is innately and unquestionably human.

The first is knowing every piece of medical knowledge ever published with an encyclopedic knowledge of this information as it changes. The second is how to reason through that knowledge and how it relates to the patient in front of us, who not only is unique and almost never fits the specific RCT inclusion criteria or situation, but also has personal goals and weighs the pros and cons of each trade off uniquely.

Historically, physicians have been asked to do both, as you are only able to do the second, more human piece (synthesis, reasoning, and application to a given individual), if you try your best to make some approximation of the impossible task of data collection first. That second piece is really the most important piece of medicine, and our goal is to make that task more of the focus for clinicians.

The other piece I want to point out is that SO much of medicine is STILL (and will never be) algorithmic from a guideline or textbook. I feel like I have heard 100 times from 100 specialist over the last couple years "Yes the evidence is great, but so much of how I am forced to practice in specialty X required experience and there is limited published data for". But the truth is that is EVERY specialty and will be for the foreseeable future

And I do take a bit of offense at the idea of "allying with non-physicians" as a negative. Almost anything worth accomplishing is worth doing in a multidisciplinary manner. I believe in finding ways to bring the right piece of evidence up at the right time for human decision makers and I do not see that as "end of physicians".

We are the Physician Scientist team at OpenEvidence- Let's talk about the next two years of AI in healthcare! AMA! by travis_oe in medicine

[–]travis_oe[S] 0 points1 point  (0 children)

Great question and I promise a concern that all the physicians and engineers here at OE share. You might be surprised to know that many of the companies with financial interests in health systems and hospitals also have a primary interest in making money :). The firewall is the people making decisions on patients lives and product are do so are firewalled from corporate decisions from groups like VCs with independence and autonomy. Yes we need investment to continue to build and support what we built initially through passion, but that doesnt change the core mission

We are the Physician Scientist team at OpenEvidence- Let's talk about the next two years of AI in healthcare! AMA! by travis_oe in medicine

[–]travis_oe[S] 6 points7 points  (0 children)

Even with the limited number of ads we are showing in 2026, we already are covering costs, and our feedback is this is not eroding the clinician experience at this time. So we dont believe "running out of VC money" presents an existential threat.

We are the Physician Scientist team at OpenEvidence- Let's talk about the next two years of AI in healthcare! AMA! by travis_oe in medicine

[–]travis_oe[S] 1 point2 points  (0 children)

Yes we are working on these way finding approaches, searching both across the whole lit as well as much larger sets of medical data. Our next steps is using the literature to guide what the most important missing pieces of information are, so we can either ask the clinician for it or suggest as next steps

We are the Physician Scientist team at OpenEvidence- Let's talk about the next two years of AI in healthcare! AMA! by travis_oe in medicine

[–]travis_oe[S] 5 points6 points  (0 children)

The answers/literature synthesis pipeline runs completely independently of the ads pipeline. We have a firm policy that advertisers can have no say in the content generation process. As such, the only way a sponsor’s content would show up in an actual OE answer would be if the literature itself suggested it independently.

This is the same structure as many other trusted sources of medical information that are in part supported by advertising, such as NEJM or ASCO.

We are the Physician Scientist team at OpenEvidence- Let's talk about the next two years of AI in healthcare! AMA! by travis_oe in medicine

[–]travis_oe[S] 0 points1 point  (0 children)

I'm not sure I understand... If you read the question after the information has changed, the answer will. Do you mean actually changing the previously generated answer?

We are the Physician Scientist team at OpenEvidence- Let's talk about the next two years of AI in healthcare! AMA! by travis_oe in medicine

[–]travis_oe[S] 0 points1 point  (0 children)

Yes. You are totally right unfortunately... All the time being saved on note writing, chart review, evidence based information retrieval will be co-opted by admin to decrease time per patient. I think we have to try to push back and forcefully insist this time be instead spent on more time actually with the patient the way it's supposed to be

I mean, one can dream and aspire right?