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Articles by Madhu
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Pole (polay)-Pole (polay): The Marketing Genius Who Convinced Me That Crawling is 'Strategic'
Pole (polay)-Pole (polay): The Marketing Genius Who Convinced Me That Crawling is 'Strategic'
The Kilimanjaro 8-day hike is essentially a masterclass in delayed gratification. You spend a week hiking up in the…
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Socrates said "Know Thyself"— I Found Out I’m Just 5 Layers of Spandex and a Willpower MuscleMar 12, 2026
Socrates said "Know Thyself"— I Found Out I’m Just 5 Layers of Spandex and a Willpower Muscle
Finally, I am back on flat land—land that doesn’t slope up, down, or try to kill me. My personal ethos has always…
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Verizon, we need to see other people.Mar 4, 2026
Verizon, we need to see other people.
I’ve finally made it to the starting point. Honestly, if anyone has a working prototype for a teleporter, now is the…
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Someone Asked ‘What’s Next?’ — I Should Have Said NetflixMar 2, 2026
Someone Asked ‘What’s Next?’ — I Should Have Said Netflix
The boots are out. The layers are being counted.
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Marathon #57: Powered by Subway and South Indian RiceSep 28, 2025
Marathon #57: Powered by Subway and South Indian Rice
LinkedIn says I’m an author. Technically true—if you count the zillion emails and Slack(ish) messages I’ve authored…
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Healthcare, Here We Go Again—Now with More Passport Stamps!Feb 1, 2025
Healthcare, Here We Go Again—Now with More Passport Stamps!
It’s that time of the year—no, not another marathon, another mountain trek (though Kilmanjaro you are on my mind). This…
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Part 1:: Snickers, Spirituality and a Porridge habit at 5,000 Meters:: Final Descent, My WayOct 28, 2024
Part 1:: Snickers, Spirituality and a Porridge habit at 5,000 Meters:: Final Descent, My Way
As I set off on my descent back to Lukla, famously known as the “danger airport” that I had skipped on my way up, I'm a…
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Part 2 :: Yak Roads and Tea House Codes: A guide to Himalayan wisdomOct 28, 2024
Part 2 :: Yak Roads and Tea House Codes: A guide to Himalayan wisdom
The Walk back to Lukla : A thousand thoughts are racing through my mind. The strongest one, though is gratitude.
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Cliff Bars and Cliff Edges :: When Trekking Becomes a Vertical MarathonOct 24, 2024
Cliff Bars and Cliff Edges :: When Trekking Becomes a Vertical Marathon
Today was, hands down, the toughest day of my life. Mentally.
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Everest Trek Day 8 :: Altitude, Attitude, and a Glimpse of Everest: A Day of Frosty GloryOct 22, 2024
Everest Trek Day 8 :: Altitude, Attitude, and a Glimpse of Everest: A Day of Frosty Glory
Ah yes, the day had finally come. Today was the magic moment—the day I was supposed to lay eyes on Mount Everest.
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Activity
5K followers
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Madhu N. shared thisThey say you find yourself on the mountain. Turns out, I didn’t find a enlightened monk; I found a guy in five layers of Gore-Tex arguing with a rock. It turns out that 'Self-Actualization' is a lot easier to achieve when you have a full tank of oxygen and a chair that doesn't move. But somewhere between the 12th and 13th 'Statue of Liberty' on summit night, I realized that the meaning of life isn't a destination—it’s just the stubborn refusal of your quads to give up before your brain does.Pole (polay)-Pole (polay): The Marketing Genius Who Convinced Me That Crawling is 'Strategic'Pole (polay)-Pole (polay): The Marketing Genius Who Convinced Me That Crawling is 'Strategic'Madhu N.
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Madhu N. shared thisSocrates said 'Know Thyself,' but he never had to climb the Barranco Wall in five layers of wool. 🧥🗿 I went up a rational man and came down a Gore-Tex-wrapped zombie, and I’ve never been more certain that "willpower is your only real weapon" - train it like any other muscle, may be the most important.Socrates said "Know Thyself"— I Found Out I’m Just 5 Layers of Spandex and a Willpower MuscleSocrates said "Know Thyself"— I Found Out I’m Just 5 Layers of Spandex and a Willpower MuscleMadhu N.
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Madhu N. shared thisI’ve officially reached the base of Kilimanjaro and realized two things: the "African Massage" is just a polite term for spine-shaking roads, and my refund window is officially closed.. I traded my dual-monitor setup for a pair of trekking poles and a distinct lack of oxygen. After a "scenic" flight detour and a briefing that turned my jitters into existential dread, I’m officially OOO. If you’ve ever wondered what happens when a coffee-dependent professional tries to "reconnect with nature" at 19,000 feet, this is for you. #Kilimanjaro #AdventureTravel #Hiking #CoffeeLovers #OutofOffice
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Madhu N. shared thisFive flights, zero showers, and one mountain that doesn't care who you are. Trading meetings for mountaintops - again ;). Adventure begins. #Kilimanjaro #trekkingSomeone Asked ‘What’s Next?’ — I Should Have Said NetflixSomeone Asked ‘What’s Next?’ — I Should Have Said NetflixMadhu N.
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Madhu N. shared this57 marathons in, and still no loyalty card. This weekend I ran through fog, forests, and a graveyard (yes, really) in Keene, NH—chasing fall colors and questioning my life choices at mile 22. The bacon at the finish line helped. Why do I keep doing this? Because finishing marathons is my version of stubborn optimism. Each one is a lesson in perseverance, scenery, and the strange things people eat before running 26.2 miles. Full story below—with a few laughs, a few hills, and a lot of carbs.Marathon #57: Powered by Subway and South Indian RiceMarathon #57: Powered by Subway and South Indian RiceMadhu N.
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Madhu N. shared thisNew Job, New Timezone, A Familiar Mission, and a Return Home"Healthcare, Here We Go Again—Now with More Passport Stamps!Healthcare, Here We Go Again—Now with More Passport Stamps!Madhu N.
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Madhu N. shared thisSurviving a trek through the Himalayas isn’t just about breathtaking views and endurance. It’s about personal hygiene hacks, mastering yak diplomacy, finding humor in the altitude, patience in the process, a strange appreciation for suspension bridges, and rediscovering what it means to be resilient. My non-serious take on trekking close to heaven. (Part 1)Part 1:: Snickers, Spirituality and a Porridge habit at 5,000 Meters:: Final Descent, My WayPart 1:: Snickers, Spirituality and a Porridge habit at 5,000 Meters:: Final Descent, My WayMadhu N.
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Madhu N. shared thisReflecting on my Everest trek, I’ve come away with more than just sore calves and yak encounters. From Himalayan tea houses to surprise friendships on the trail, each step was a story and every mile a reminder of the simple wonders I often overlook. (Part - 2)Part 2 :: Yak Roads and Tea House Codes: A guide to Himalayan wisdomPart 2 :: Yak Roads and Tea House Codes: A guide to Himalayan wisdomMadhu N.
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Madhu N. shared thisEver feel like your to-do list looks like a village six mountains away? Welcome to my day on the trek. Between dodging yaks and scaling cliffs, I learned a lot about perseverance, patience, and how not to share energy bars with local kids (read ahead to see what is better)…”Cliff Bars and Cliff Edges :: When Trekking Becomes a Vertical MarathonCliff Bars and Cliff Edges :: When Trekking Becomes a Vertical MarathonMadhu N.
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Madhu N. liked thisSo happy to be here 😊Madhu N. liked thisThe energy at ExaCare AI right now is unmatched 🚀 We keep leveling up, landing top talent to tackle some of healthcare’s toughest challenges with AI. Thrilled to welcome Isha Satoor and Kang Wang to our team as Software Engineers, joining us in our New York office! As we continue building an exceptional engineering team, it’s exciting to add people who are passionate about making a real impact. Isha and Kang bring strong technical expertise, fresh perspectives, and a drive to build from day one. We’re excited for what’s ahead. Welcome to the team! 💙
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Madhu N. liked thisMadhu N. liked thisI’m pleased to welcome Stanley Crittenden, MD, FASN as Chief Medical Officer of Cigna Healthcare. Dr. Crittenden brings deep clinical and operational experience, along with a clear passion for improving health outcomes and building strong clinical teams. In this role, he’ll lead our clinical organization advancing more personalized, high‑quality, and affordable care, and helping make the health care experience simpler for the people we serve and the clinicians who care for them. His experience spans managed care, population health, and value‑based care, further strengthening our clinical expertise to accelerate innovation and improve experiences. He’s a thoughtful leader who brings together data, clinical insight, and teams to deliver better outcomes. We’re excited to have Dr. Crittenden on the team and look forward to the impact ahead. https://lnkd.in/eSBBP3AjThe Cigna Group Appoints New Chief Medical Officer for Cigna HealthcareThe Cigna Group Appoints New Chief Medical Officer for Cigna Healthcare
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Madhu N. liked thisSuper excited about your new journey, Eshaan Vipani. There are many who are rooting for you and wishing you the very best. A proud moment …Madhu N. liked thisExcited to share that I’m starting a new chapter in my career as a Staff Software Engineer - Agentic AI Platform at Tenable! Especially grateful to my mentors and teammates whom I have had the chance to work with. I also want to give a special thank you to LaMont Price for all the help throughout the recruiting process. Looking forward to this new journey and excited to join Raj Agrawal and the incredibly talented team at Tenable!
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Madhu N. liked thisMadhu N. liked thisToday my heart is overflowing with pride as my son, Hayden Callery, graduates from medical school and begins his journey into an Emergency Room residency. This moment didn’t come easy. It came after years of relentless dedication, long nights of studying while the world slept, missed holidays, and countless sacrifices that most people will never fully see. Hayden chose a path that demanded everything from him—and he gave it, without hesitation. There were moments of exhaustion, doubt, and pressure that would have broken many, but he kept pushing forward with quiet determination and an unwavering commitment to helping others. That’s who he is at his core—someone who shows up when it matters most. Now, as he steps into the fast-paced, unpredictable world of the ER, I know he’ll carry not only his knowledge and skill, but also his compassion, resilience, and strength. The same qualities that got him here will make a difference in the lives of so many patients and families. Hayden, I couldn’t be prouder of the man you’ve become and the doctor you are about to be. Your hard work, your sacrifices, and your heart have brought you to this incredible milestone. The journey continues—and I have no doubt you’re going to do amazing things.
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Madhu N. liked thisMadhu N. liked thisWhile on the west coast, I was blessed to spend some time with my best friend Aakar Patel, President of Power Center+. Aakar has been in the power business since we graduated UCONN together. He has played multiple roles over the years, including that of Founder. Consistent throughout his career journey, however, has been his creative & innovative spirit, his passion for excellence and his drive for success. On top of all of that, he is an awesome human being. His latest venture, Power Center+ is a great example of his innovative work. a Duracell Authorized Licensee https://lnkd.in/emUmHfyt
Experience & Education
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Cigna Healthcare
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Volunteer Experience
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Encouraging Girls in STEM
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Encouraging middle school girls to become interested in computer science, critical thinking and leadership skills.
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Oracle Health's new AI-native EHR is now “available” to ambulatory providers, with their AI hospital EHR coming out in 2026. My 4 thoughts… First, the cliff notes on the announcement: → A push for “voice-first” where clinicians can retrieve patient data by just verbally asking: “What meds is this patient on?” → Smart AI assistants to surface patient summaries, clinical insights, evidence-based guidelines, clinical trial opportunities, etc. → Built on Oracle Cloud Infrastructure (OCI) → “Open” - meaning that health systems can use Oracle’s AI agents, build their own agents or integrate with third parties → Note: Certification is pending final regulatory approval - not yet in production Now onto my 4 thoughts (or speculations): 1️⃣ The No. 1 goal is to motivate health systems to move to Oracle Cloud Infrastructure I don’t know how much Oracle truly cares about the EHR, but they’d love everyone to be on OCI - regardless of what systems sit on top of it. The healthcare cloud market will grow to $200B in 10 years and Oracle wants a big chunk of that. 2️⃣ The No. 2 goal is to maximize customer retention - by being competitive on AI for the clinician UI/UX to minimize churn. Epic’s been testing 100+ AI use cases in the EHR with health systems over the past year, so just to stay in lock step, Oracle needed to release something beyond the Digital Assistant and add more clinical value. 3️⃣ Voice has so many exciting use cases, but it’s not going to be enough to leap frog the competition. I think many people actually underestimate how much faster they could operate if they did things more by voice and less by text. Many of us don’t do “voice messages” or use the mic to write texts… but as someone who has started to try it, it’s WAY faster. For Oracle to make voice a killer feature, they not only have to make the tool available, they have to truly evangelize its use. BUT… it’s going to be table stakes. They need something much bigger to win back customers, especially the big AMCs. 4️⃣ Despite the messaging around an “open” system, I suspect the push for Oracle’s own AI assistants / agents will be prioritized over making it third party friendly - BUT I think flipping this and demonstrating true openness is an advantage Oracle should grab. There’s a reason why third party AI scribes have flourished with Epic health systems, and I can’t name a single health system on Oracle that’s using one of those third parties (I’m sure there are exceptions but they are clearly rare) So I think health systems will want Oracle Health to prove the openness is truly there. And they SHOULD… because that’s a way to compete with Epic whose own customers often raise concerns isn’t as open as it should be. The problem, of course, is that being “open” and maintaining so many integrations with third parties is a LOT of work… fair. Providing their own MCP endpoint and making it easier for third-party Agents to connect makes this possible. What do you think?
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Surjeet Thakur, CHCIO, CDH
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How can a country of 1.4 billion people lead the way in digital healthcare transformation? In my recent article for CXOtoday, I explored how India, despite its size and healthcare challenges, is quietly leading a digital health revolution. From the Ayushman Bharat Digital Mission and interoperable EHRs to the integration of AI in diagnostics, India is proving that resource constraints can coexist with scalable innovation when public intent, policy, and infrastructure align. This transformation is about building trust, inclusion, and resilience in healthcare systems. ✅ Build open and interoperable public digital infrastructure ✅ Design with diversity and accessibility at the core ✅ Balance innovation with strong governance and privacy frameworks ✅ Invest in both human capital and ethical AI India is not just digitising healthcare—it’s humanising it, and a smart, inclusive health system is happening now. #triotree #digitalhealth #healthcareinnovation #aiinhealthcare #healthtech #digitaltransformation
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Pawan Jindal
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🚀 MCP is spreading like fire and catching up with FHIR! 🔥 As the Model Context Protocol (MCP) rapidly gains traction in the LLM ecosystem, many are eager to see these capabilities integrated directly into EHRs. While we’re hopeful that MCP-native features will become standard within EHR platforms, the good news is that we don’t have to wait. Thanks to SMART on FHIR, we can build apps today that launch either within the EHR ("EHR Launch") or as standalone apps. Regardless of how the app is launched, it obtains: • An access token (with scoped permissions), and • A clinical context, such as the selected patient. This can be preserved and propagated downstream into the MCP flow, enabling highly relevant, secure, and controlled interactions with FHIR resources and other tools. Below is a simplified draft of the sequence diagram to illustrate the conceptual flow for 𝗠𝗼𝗱𝗲𝗹 𝗖𝗼𝗻𝘁𝗲𝘅𝘁 𝗣𝗿𝗼𝘁𝗼𝗰𝗼𝗹 (𝗠𝗖𝗣) in action, bridging an EHR-integrated app, LLM, and external tools like FHIR APIs. It's meant to show the high-level interactions, but not all accurate technical details are covered. Feedback is welcome! One of the most common misconceptions about MCP is the belief that LLMs directly invoke external tools. It's essential to note that the app in the flow below (the Host with a client in MCP terminology) is always in charge. 🔄 𝗛𝗼𝘄 𝘁𝗵𝗲 𝗙𝗹𝗼𝘄 𝗪𝗼𝗿𝗸𝘀 (𝗜𝗻 𝗮 𝗡𝘂𝘁𝘀𝗵𝗲𝗹𝗹): 1. The app obtains the token using SMART for the FHIR flow. 2. 𝗧𝗵𝗲 𝗔𝗽𝗽 starts by requesting available tools from the 𝗠𝗖𝗣 𝗦𝗲𝗿𝘃𝗲𝗿 3. It then sends the user’s prompt and tools metadata to the 𝗟𝗟𝗠, which decides whether a tool is needed to answer the query. 4. If tool usage is required, 𝘁𝗵𝗲 𝗔𝗽𝗽, 𝗻𝗼𝘁 𝘁𝗵𝗲 𝗟𝗟𝗠, 𝗲𝘅𝗲𝗰𝘂𝘁𝗲𝘀 𝘁𝗵𝗲 𝘁𝗼𝗼𝗹 𝗰𝗮𝗹𝗹 by asking the MCP Server to retrieve data (e.g., from a FHIR Server). 5. The 𝗔𝗽𝗽 𝗿𝗲𝗰𝗲𝗶𝘃𝗲𝘀 𝘁𝗵𝗲 𝗿𝗲𝘀𝘂𝗹𝘁𝘀, passes them back to the LLM, and finally surfaces the LLM’s response to the user. ✅ The app holds the orchestration logic, user session, and access context. This clear separation of responsibilities ensures that the app: • maintains complete control and context, • operates within the user’s scope, • generates context-rich, accurate outputs from the LLM. This design preserves a high degree of control, security, and auditability. Note: This flow is designed to operate within a 𝘂𝘀𝗲𝗿 𝗰𝗼𝗻𝘁𝗲𝘅𝘁 and is ideal for interactive, point-of-care tasks. For use cases like population health, 𝗯𝗮𝗰𝗸𝗲𝗻𝗱 𝗦𝗠𝗔𝗥𝗧 𝗼𝗻 𝗙𝗛𝗜𝗥 𝗳𝗹𝗼𝘄𝘀 can be leveraged to support system-level operations differently. Topic for another post :) 🧠💬 We Darena Solutions | MeldRx are actively building and testing this with our own FHIR servers. If you’re exploring similar territory, I would love to compare notes, trade demos, or just geek out over the architecture! #FHIR #AIinHealthcare
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Manik Gangopadhyay
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Proud to lead some of these clinical AI agents development and deliveries. After deploying Oracle Health Clinical AI Agent, St. John's Health experienced a breakthrough in clinical productivity—including an average reduction in physician documentation time of 74%. https://lnkd.in/gSMzJAmb
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Robbie Freeman
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David Chou
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A recent CHIME Foundation survey, sponsored by CliniComp, reveals strong support among #healthcare #CIOs for integrating AI to automate administrative tasks. Over 80% of health IT leaders prioritize AI automation, with 81% specifically targeting the reduction of administrative tasks to alleviate clinician burden. Furthermore, CIOs identify enhancing clinical decision support and improving revenue cycle management as other significant priorities for AI adoption, emphasizing the crucial role of AI in optimizing provider workflows and enhancing patient outcomes. The survey also indicates that nearly half of CIOs consider it extremely important to embed AI capabilities natively within their EHR systems, aiming to reduce reliance on third-party software. While many CIOs are already utilizing or evaluating AI tools, they continue to assess the most effective integration strategies. Overall, CIOs view AI as essential for enhancing data access, analysis, and driving innovation within the healthcare sector. What's Next? 👇 - The industry continues to move toward a consolidated EMR-centric model. The key question: Will this momentum persist, or will we see a return to best-of-breed systems focused on integration? - Embedding AI isn't a plug-and-play fix. Clinicians and staff must redesign their workflows to apply AI-driven insights and automation effectively. - Healthcare professionals must still think critically and validate AI recommendations before acting on them. - While we all recognize AI will transform healthcare operations, we must stay focused on critical thinking and reworking operational processes to make that transformation meaningful.
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Rohit M.
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New Podcast Alert, The Big Unlock ! Insightful conversation with Michael Marchant Director of Digital Applications, Sutter Health . Michael shares how interoperability and AI adoption are powering a more connected, intelligent healthcare ecosystem. He also discusses how health systems can optimize data exchange, the role of AI in enhancing care delivery, and Sutter Health’s approach to scaling digital transformation. The Big Unlock Podcast:https://lnkd.in/eAZam_YB #Interoperability #HealthcareAI #DigitalHealth #HealthIT #TheBigUnlock #Podcast #DataStrategy
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Dr Sitt Paing
Pun Hlaing Hospitals • 3K followers
Voice AI in Healthcare: Why Adoption Still Lags Behind Voice-to-text systems have been around in healthcare for nearly three decades, yet they’ve never reached the ubiquity of EMRs. With today’s rapid advances in AI, a wave of AI scribing and ambient voice solutions is emerging — all aiming to capture this largely untapped market. According to recent reports, only 33% of healthcare organizations are piloting ambient Voice AI solutions today. Yes, radiologists were the earliest adopters — using voice dictation to speed up reporting — but even there, adoption is far from universal. Among clinicians in outpatient, inpatient, and emergency settings, uptake remains even lower. Why? Based on my experience talking with specialists from different countries, here are the key barriers: 1️⃣ Nature of practice Every specialty is different: some emphasise physical exams, others history-taking or patient conversations.Many doctors feel uncomfortable dictating in front of patients. Not every conversation belongs in the medical record — seamless filtering is needed. 2️⃣ Workflow integration Most solutions are tied to EHRs with a stationary mic setup. But many clinicians expect on-the-go documentation, like a digital assistant that follows them. 3️⃣ Customizable note formats While SOAP and HOPI are common, doctors often adapt note structures per patient. Rigid formats limit usefulness. 4️⃣ How doctors are trained Medical education in most countries still follows traditional, paper-centric methods. This makes change management harder, and some feel reviewing voice notes takes more time than typing. 5️⃣ Multi-language challenges In many countries, doctors speak with patients in local languages but record notes in English. Translating layman’s terms into accurate medical English is tough, even for humans. 6️⃣ Connectivity Current solutions are mostly cloud-based, requiring stable and secure networks. Lightweight, device-based models may be more practical in the future. My belief: Voice AI will absolutely benefit doctors and nurses — but adoption will only scale if we address technology, UI/UX, training, and cost together. The potential is real, but so are the hurdles. Curious to hear: what’s your experience with voice AI in healthcare? #VoiceAI #AmbientAI #AIDrivenCare #ClinicalScribing #VoiceToText #HealthcareTransformation #HealthIT #ClinicalWorkflow #ChangeManagement #MedicalDocumentation #PunHlaingHospitals #HealbyPunHlaing
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