What happens when physicians cede AI to direct-to-consumer startups

Rural doctors hit a ceiling around 35 patients a day, and hiring more clinicians will not move it. Tod Stillson, a family physician, medical device inventor, and health care entrepreneur, argues that the physician shortage is not a headcount problem but a knowledge-scaling problem, and that AI with a doctor in the loop is the only realistic way to extend a physician's judgment to more patients without replacing the human relationship. This episode is based on his article "How artificial intelligence scales physician extension," published on KevinMD. You will hear why he spent two years codifying his own clinical judgment into software, why his text-based triage system outperformed general-purpose AI in a recent study, and what physicians risk if direct-to-consumer companies keep capturing demand while doctors stay on the sidelines. You will also learn why governance of the medical knowledge base has to come from physicians, not from startups in San Francisco or Boston. Listen for a grounded case for AI as capacity multiplier, not replacement.

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