Dr. Lalita Abhyankar and Dr. Kelly Nieves are family medicine physicians and technology advocates discussing the role that technology plays in supporting the delivery of primary care. Join us as we improve family medicine one click at a time!
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September 16, 202547 min
Steven Lin, MD: Family Physician and AI Implementator
Dr. Steven Lin is a practicing family physician, Chief of General Primary Care at Stanford University School of Medicine, the President of the Society of Teachers of Family Medicine, and the Founding Director of the Stanford Healthcare AI Applied Research Team (HEA3RT).
In this delightful episode, Steve shares his origin story including how he came to North America and how his childhood experiences primed him for a career as an educator and community oriented family physician. Steve also shares how he got into artificial intelligence by successfully partnering with Google, and the work that he's doing with HEAR3T to actually implement AI in both inpatient and outpatient settings (spoiler alert: they're doing some pretty remarkable things!) Ultimately, he shares how family medicine is in the perfect position to have a strategic role in AI, that might just lead to an exciting new chapter for our specialty.
September 10, 202554 min
Karim Hanna, MD: AI, Residency Training, Love and Service
In their quest to learn more about AI in family medicine education, Kelly and Lalita interview Dr. Karim Hanna, an associate professor and the program director of the University of South Florida Family Medicine Residency. A clinical informaticist, Karim also writes a regular substack on AI at https://www.karimhannamd.com/.
In this thoughtful, philosophical conversation, the three discuss how clear content can help engage a new generation of family doctors in a fragmented system, as well as the role of the family physician in the age of AI, and how to make sure that we love and serve patients.
Kelly ends this episode with some incredibly poetic thoughts of her own. An episode that gave us all goosebumps and hope, it's a must listen!
September 2, 202553 min
Anoop Raman, MD MBA: A Small Island of Aligned Incentives
In this episode, Lalita and Kelly have an expansive conversation with Dr. Anoop Raman, a family physician and the Chief Clinical Officer at AbsoluteCare, a value based care company that serves high-risk, complex patients. Anoop shares his journey from warehouse manager to working for Partners In Health in Rwanda to teaching global health at the Columbia School of Public Health, and finally to joining AbsoluteCare as CCO. He shares the concept of the "ambulatory ICU," how to find the right fit for the work, and the struggles of clinician retention post-pandemic. An interdisciplinary physician, problem-solver and educator, you won't want to miss this episode!
August 26, 202523 min
Kelly's UGM Hot Takes!
Kelly just got back from Epic UGM and we wanted to get the freshest of the fresh takes!
In this episode, Kelly spills her experience and her thoughts, especially now that Epic has shared everything from ambient documentation to their plans for agentic AI. Kelly talks upleveling family medicine's tech discernment skills, dedicating our speciality to innovation, and getting excited for what data stewardship can look like.
Max the Dog makes quite the excitable cameo!
August 19, 202553 min
Winston Liaw, MD: Teaching Family Physicians with AI
Dr. Winston Liaw is a family physician and the chair of the Health Systems and Population Health Sciences department at the Tilman J. Fertitta Family College of Medicine at the University of Houston. Winston was the former director of the American Academy of Family Physician's Policy Institute: The Robert Graham Center. In this episode, Kelly, Lalita and Winston weave through his past policy research, how primary care fits into health systems and how we can effectively utilize AI to teach medical students and residents. Key takeaway: Maybe it's not as scary as we think, but we'll definitely have to adapt to a new technology healthscape. Check out the Society of Family Medicine's Artificial Intelligence and Machine Learning for Primary Care Curriculum (AiM-PC) modules: https://stfm.org/teachingresources/curriculum/aim-pc/aiml_curriculum/. If you're interested in joining Dr. Liaw's pilot, please email him at wliaw@central.uh.edu.
Dr. Kameron Matthews is a family physician and Chief Health Officer for Cityblock Health, an innovative value-based care provider that leans on technology to integrate care. In this episode, Kelly and Lalita explore Kameron's journey through medical school and law school, her leadership at the Veteran's Health Administration, and what bringing innovation beyond tradition looks like. A key lesson: just because we've always done something in a certain way doesn't mean that we have to keep doing it that way if it's not working!
May 27, 202537 min
AAFPxRock Health: The Starfield Summit
In early May, Lalita and Kelly attended the Starfield Summit, a collaboration between the American Academy of Family Physicians and Rock Health, in Kansas City, MO! In this episode, they reflect on the conversation at the summit and their key takeaways on the principles that can guide AI development to support primary care with ground truths, including the 4 Cs of Primary Care (Comprehensiveness, First Contact, Coordination, and Continuity) which were inspired by research from the summit's namesake, Dr. Barbara Starfield. AI is a value-system encoded into our workflows, so how do we encode the vision of health care we wish to see? Join Lalita and Kelly to hear their takes on the intimate conversation with representatives from digital health, industry, legal, regulatory, insurance, and of course LOTS of primary care physicians.
1. Starfield Summit: www.starfieldsummit.com
2. Artificial Intelligence and Machine Learning for Primary Care Curriculum (AiM-PC). Society for Teachers of Family Medicine (STFM) https://stfm.org/teachingresources/curriculum/aim-pc/aiml_curriculum/
00:00 Introduction and Hosts
00:22 Casual Chat and Catching Up
01:04 Starfield Summit Experience
01:46 Round Table Discussions and Key Takeaways
04:02 Primary Care and AI Integration
04:38 Barbara Starfield's Legacy
06:38 Rock Health and AAFP Collaboration
07:36 AI in Primary Care: Survey Insights
10:45 Innovating for the Right Reasons
14:13 Challenges and Considerations in AI Implementation
18:25 Regulatory Concerns and Future Directions
20:07 Personal Reflections and Fulfillment
20:44 The Great Horse Manure Crisis of 1894
21:33 Healthcare Analogies and Challenges
22:05 Leveraging Family Medicine for Research
22:53 Adopting AI in Personal Practice
23:29 Clinical Decision Making with AI
24:55 AI in Knowledge Management
26:51 Ethical Considerations in AI
29:57 Future of AI in Medical Education
34:15 Concluding Thoughts and Future Topics
May 13, 202546 min
Reducing Administrative Burden for Family Physicians
In April, Kelly gave a talk called "Reducing Administrative Burden for Family Physicians" to the Texas Academy of Family Physicians at their Lectureship CME series. In this episode, she shares her talk with you, our One Click At A Time listeners! Using the AAFP mnemonic "The Triple Ts: Techniques, Technologies, and Transformations," she breaks down how to organize ourselves and where we can focus our attention when targeting administrative burden, whether it is through human centered design practices, stakeholder buy in for technologies, or advocacy efforts. Definitely take a listen!
May 6, 202536 min
Is Family Medicine Innovation?
Innovation is a word that is liberally used in technology spaces. Within family medicine circles, we believe that innovation is baked in to our self-perception. Bridging that gap is like leading a diplomatic mission. In a payment landscape where family medicine is the "upstream" problem to the "downstream solution," what is the innovative role of family medicine? In this episode, Kelly and Lalita break down the innovative origins of family medicine, and dissect the role that uncertainty and full-spectrum training have played in building creativity and systems thinking within family medicine.
1. Uncertainty in Medicine: Through Thick and Thin. The Nocturnists Podcast. Apr 17, 2025. https://thenocturnists.org/podcast/through-thick-and-thin
April 22, 202535 min
Repost: Breaking down the attack on Change Healthcare
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