About working as a hospital employee, from “The Young Physician Trap: Trading Autonomy for Salary” in Claim Denied:

And then comes the pay cut. It’s framed as “efficiency.” Or “underperformance.” The implication is clear: you’re the problem.

By now, the hospital knows they have you.

You bought a home. You structured your life around the salary they dangled. Maybe you counted on loan forgiveness. There might be a non-compete at play. Maybe your spouse’s career is tied to the area. Leaving suddenly isn’t easy.

// 01.02.26

In 2025, I shared something like 90 regular posts and 30 asides (clearly, I have not fully embraced the microblog component of the site I added during the 2023 redesign). The total wordcount of all that writing is a bit over 70,000 words (closer to 55,000 excluding blockquotes). So I wrote a book this year. Kinda. Well, it’s something at least.

I also have 65 articles drafted, some of which will definitely never generate photons on any of your devices, but many of which just need polishing and will appear here in 2026. As a reminder, all regular posts find their way to the archive list, and the asides are collected here. Happy New Year!

 

// 12.31.25

From The World I See, a memoir by the godmother of AI, Dr. Fei-Fei Li:

This, collectively, is the next North Star: reimagining AI from the ground up as a human-centered practice. I don’t see it as a change in the journey’s direction so much as a broadening of its scope. AI must become as committed to humanity as it’s always been to science. It should remain collaborative and deferential in the best academic tradition, but unafraid to confront the real world. Starlight, after all, is manifold. Its white glow, once unraveled, reveals every color that can be seen.

// 12.30.25

Medicine’s narrowest job board, Independent Radiology—the home of radiology private practice—is sitting pretty again at 150 groups. A few groups sadly closed for good, and some—fantastically—are fully hired up, but it looks like we’ll close the year back at that nice round number. If you’re looking for an opportunity, perusing the listings is good holiday homework.

// 12.22.25