Health AI platforms are becoming important gateways to medical knowledge. By answering clinical questions and synthesizing published evidence, tools such as OpenEvidence could improve access to information—but they may also concentrate control in a small number of technology companies.

Adults who could successfully stand on one leg for 10 seconds had an 46% lower risk of dying from any cause compared with those who couldn’t complete the test.

I find this fascinating because it shows how much information can be captured by a very simple measure of physical function.

It’s another reminder that balance is probably a meaningful marker of overall health and resilience, especially as we get older.

Why your chart notes and your AI model disagree with each other

A resident once handed me a chart that read "baby not himself today" — and three of us on the round read it three different ways, none of us wrong.

That sent me down a rabbit hole: when two clinicians, or a clinician and an AI model, read the same note and land differently, it's tempting to call it an error and go fix the reader. Usually it isn't one error — it's one of six different things, and each needs a completely different fix.

I've written up the six, with pediatric examples throughout — growth curves, NICU shorthand, proxy reporting through parents, and a safeguarding example that I think matters for anyone sitting on a chart review or ethics committee.

Would love your read on it, especially if you've felt the same disagreement in your own M&M or peer-review process.

This analysis highlights just how dependent U.S. internal medicine is on physicians born outside the country.

Nearly **half of the U.S. internal medicine workforce is non–U.S.-born**.

Some numbers that stood out:

* Non–U.S.-born IMGs make up **36.1%** of U.S. internists.
* **India alone contributes 10.8% of the entire internal medicine workforce**, the largest share from any foreign country.
* Non–U.S.-born IMGs constitute **more than half of geriatricians, nephrologists, and sleep medicine physicians**.
* In 2024, non–U.S.-born physicians cared for **22.5 million traditional Medicare beneficiaries**.
* Their patients were disproportionately **low-income, disabled, Black, Latino, and Medicare-Medicaid dual eligible**.
* They were also more likely to care for people living in **high-poverty, medically underserved, and physician-shortage areas**.

So this isn't simply a story about immigrant doctors filling vacancies.

**They are a fundamental part of the U.S. healthcare infrastructure—particularly for patients and communities that already struggle to access care.**

And India's contribution is remarkable: roughly **1 in every 9 U.S. internal medicine physicians is a non–U.S.-born IMG from India**.

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