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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Outstanding editorial by @RachelKon @MemariMD @UvaDOM in @JournalGIM #PIF link.springer.com/article/10.100…
Is entropy a new way to navigate uncertainty in clinical reasoning? Check out our new article in @JournalGIM led by @CoryRohlfsen link.springer.com/article/10.100…
But entropy is not ready to serve as a standard for diagnostic excellence until it becomes linked to values-based, decision thresholds & relevant outcomes. Any ideas on how it can become fit for purpose? To better define, measure, or enrich a clinical context. 2/3
Pub🚨 What does #entropy have to do w/ #clinicalreasoning? We answered this Q in the form of a narrative review of 20 studies👇 As a measure & construct of complexity, we can start measuring, modeling, & managing states of pt ambiguity. #microstates link.springer.com/article/10.100…
Day 1 of @MedicineUVA’s Clinical Reasoning Faculty Scholars Program! Coaching struggling learners is something I am very passionate about, and I am thrilled to have the opportunity to develop these skills in this year’s cohort. #MedEd #NeuroX 📚
No Immunity From Having to Choose: An Exercise in Management Reasoning from Grace Yi, MSPH @dgsomucla @JournalGIM #CR #MedEd link.springer.com/article/10.100…
Proud to represent @UNMCCOM at AMA ChangeMedEd, introducing novel endpoints of clinical reasoning that weren’t feasible prior to #AI Let’s reimagine how to measure #clinicalreasoning @doc_BLocke @shuhanhemd @andrewparsonsMD
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
@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
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
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…
🔔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
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
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.

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