Andrew Parsons @andrewparsonsMD
Assoc Dean for Clinical Competency @medicineUVA | Director of Research, Hospital Medicine | @MaastrichtU PhD Candidate | Author #ClinicalReasoning rb.gy/nyrrn Charlottesville, VA Joined June 2010-
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Andrew Parsons retweeted
Niche multi-class reasoning pt 2: I fixed an error in this: when you define a set of "one-vs-rest" LRs (ie. likelihood ratio for dx A vs not A, B vs not B, etc.), you want to ensure the resulting post-test probabilities sum to 1 (coherence)
Niche multi-class reasoning pt 2: I fixed an error in this: when you define a set of "one-vs-rest" LRs (ie. likelihood ratio for dx A vs not A, B vs not B, etc.), you want to ensure the resulting post-test probabilities sum to 1 (coherence) https://t.co/1xztZFmCFG
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Andrew Parsons retweeted
@andrewparsonsMD nice piece. Deskilling, mis-skilling, never-skilling... nejm.org/doi/pdf/10.105…
Are A.I. Tools Making Doctors Worse at Their Jobs? - The New York Times nytimes.com/2025/08/28/wel…
Wow! Thank you @AMEE_community @ameefacdev #AMEE2025 @MedicineUVA @UVAResearchNews @UVaSOMFacDev @UvaDOM
Andrew Parsons retweeted
Used to recommend openAI as preferred LLM for clinical reasoning support- last week I’m now team gemini until @OpenAI @OpenAIDevs sort this out and allow us to at least choose o3 by default as legacy model
Andrew Parsons retweeted
The Impact of Definitions of Disease on Overdiagnosis jamanetwork.com/journals/jamai… via @KariTikkinen et al
Reimagining diagnosis in the age of artificial intelligence with @CoryRohlfsen degruyterbrill.com/document/doi/1…
Andrew Parsons retweeted
🔔pub on poverty of diagnostic essentialism🔔 Essentialism served us well before AI but how about now? Do end point diagnoses exist? Answers👇 degruyterbrill.com/document/doi/1… @AdamRodmanMD @DeryaTR_ @ASanchez_PS @phlegmfighter @doc_BLocke @adamcifu @andrewparsonsMD @MedEdFlamingo
Andrew Parsons retweeted
MINOCA is not an end point diagnosis. Great example of how diagnosis is not an endpoint but a waypoint. Excited for a new paradigm: ✅ cardiac MRI ✅ coronary functional testing ✅ role of AI in pattern recognition of previously ‘non essential’ data @andrewparsonsMD
MINOCA is not an end point diagnosis. Great example of how diagnosis is not an endpoint but a waypoint. Excited for a new paradigm: ✅ cardiac MRI ✅ coronary functional testing ✅ role of AI in pattern recognition of previously ‘non essential’ data @andrewparsonsMD
Andrew Parsons retweeted
Yes. Writing is not a second thing that happens after thinking. The act of writing is an act of thinking. Writing *is* thinking. Students, academics, and anyone else who outsources their writing to LLMs will find their screens full of words and their minds emptied of thought.
Andrew Parsons retweeted
🧠📱 Just published in @NEJM_AI, we explore the promise and the perils of using #GenAI to prepare students for OSCEs. #AI can simulate patients, but it can’t replace the cognitive work of becoming a clinician. #MedEd Read more here: doi.org/10.1056/AIe250…
Andrew Parsons retweeted
How should one evaluate the usefulness of a question (or test or experiment) e.g. for medical diagnosis? ✅ Information gain, KL Distance, Probability Gain, Impact ⛔️Bayesian Diagnosticity [=Max(LR)] Niche, but cc: @CoryRohlfsen @shuhanhemd
Andrew Parsons retweeted
Disruptions—new, neglected, and insidious—are reshaping medical education. In this NEJM editorial, we challenge ourselved us to move beyond “business as usual” and reimagine how we prepare future physicians. nejm.org/doi/full/10.10… @NEJM
This looks like a powerful AI tool by @BageLeMage and team. Real-time feedback on the reasoning process — can’t wait to try it out! #MedEd medrxiv.org/content/10.110…
Andrew Parsons retweeted
Unsurprisingly @cyrilzakka says it better than I could. These are the exact concerns I have about the way we are integrating LLMs into clinical care. It *might* not matter, but we are all participating in an educational Pascal's wager right now. A 🧵🔽
Unsurprisingly @cyrilzakka says it better than I could. These are the exact concerns I have about the way we are integrating LLMs into clinical care. It *might* not matter, but we are all participating in an educational Pascal's wager right now. A 🧵🔽
Andrew Parsons retweeted
For your listening pleasure on the PedsCrit Podcast - @drmjsacco (@UVAPediatrics/#PedsICU) and @andrewparsonsMD (@UvaDOM) on clinical reasoning #FOAM #MedEd pedscrit.com/clinical-reaso…
Andrew Parsons retweeted
@samweisenthal @DrDatta_AIIMS @arjunmanrai The context for these decisions *is* explicable and modellable, though the management reasoning field is in its infancy (@andrewparsonsMD and Thilan Wijesekera are on the cutting edge here)
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