Welcome back to On/Offcall!

We’re trying something new this week: a Wednesday edition of On/Offcall. Do you prefer mid-week updates or your usual Sunday morning routine? Reply and let us know!

Coming Tomorrow: Dr. Travis Bias on How I Doctor

Tomorrow, Dr. Graham Walker will sit down with Dr. Travis Bias, a family medicine physician and the Deputy Chief Medical Officer of Solventum. "Administrative burden" is the buzzword of the day, and Travis shares a candid look at how we can leverage AI to accurately code, better measure physician outcomes, relieve burden, and get back to the bedside.

Don’t Miss It! Dropping tomorrow at 7AM PT / 10 AM ET
Subscribe to How I Doctor here

Introducing: Graham’s First Office Hours!

The response to our first Office Hours was even bigger than we expected. Each month, Graham answers your questions honestly and with no agenda – about AI, the business of medicine, and practicing as a physician today.

This month’s episode features Dr. Michael Bass, Dr. Garrett Terracciano, Dr. Joshua Guttman, and Dr. Fatih Mehmet Gul.

👉 Catch the highlights and join the discussion!

Don’t Miss: The All Things AI Episode

We’ve rounded up some of the biggest names in medicine for a special compilation podcast recapping the current state of AI in healthcare. Is it hype or help? We’re cutting through the noise to find the tools that actually move the needle for your practice.

Featuring Dr. Robert Wachter, Dr. David Rhew, and Yann LeCun.

👉 Watch/listen to the AIl Things AI Episode here

“It’s Time to Fix Referrals in Healthcare”

It’s 2026, and referrals are still a fragmented mess of lost faxes and patient delays. We’re heartened to see physicians coming together to fix this. Our new private referral network is live in Columbus, and the momentum is growing daily.

A huge thank you to the clinicians who joined the movement this week! Dr. Sumanth Kaja, Dr. Parth Patel, Dr. Edna Flores, Dr. Rick Pescatore, Dr. Ramin Rafie, Dr. David Roth, Dr. Pragya Shrestha, Dr. Marshall Frieden, Dr. Maria Moreira, Dr. Alison Sullivan Berlin, Dr. Pamela Buchanan, Dr. Roger Friedman, Dr. Gwendolyn Williams, Dr. Kevin Hubbard, Dr. Jamie Redwing, Dr. Lauren Shirley, and many more!

👉 Add your name here

Physician Spotlight: Meet Dr. Michael Hobbs

5 questions with Dr. Michael Hobbs, who’s "bucking the system" by building his own AI agents and encouraging clinicians to stop meeting antiquated institutional expectations.

1. Michael, what do you think the public most misunderstands about being a physician in 2026? That we are humans too that get stressed, get tired, and are struggling to balance patient demands with system demands that the patients don't see. It's hard to walk into a room with a goal of empathy when it's not given in return.

2. Tell us your biggest workflow hack with AI? Building my own tools with AI agents, like Claude Code. I struggled with AI scribes, so I just built what I needed.

3. What’s one boundary you wish you set earlier? Not feeling like I have to meet others' expectations of how I do my job. I've found my own way despite institutionalized and antiquated ways of thinking.

4. What’s an under the radar AI tool recommendation? Warp.dev. It makes the terminal less scary for clinicians who want to build their own one-off solutions.

5. What’s one thing you’d tell a first-year resident that no one told you? You're a learner,  and you do work as part of your learning. You're not a worker first who then learns. I think this perspective resets everyone's expectations.

Be sure to check out Michael's AI 101 Guide for Clinicians, an exceptional free resource for clinicians. Michael and Graham are also currently hosting a 4-part AI residency webinar series. In case you missed it, see the first session replay here.

This Q&A was shortened for the newsletter, but you can read the full-length version here. Know someone else who should be featured? Reply or tag them in the comments!

4 Things to Read This Week

Public ratings for healthcare professions remain at historic lows (Gallup)
See where doctors and nurses rank.

Where Americans get their health info — and who they trust (Pew Research)
Where do patients rank clinicians vs. AI? Plus see Dr. John Dayton’s excellent commentary about this research.

Sense of Belonging, Burnout, and Work Intentions Among Physicians (JAMA)
From Lindsey E. Carlasare, Purva Shah, and Amanda Turzi: Are sense of belonging and teammate support associated with burnout and intent to leave among physicians?

Physicians, Corporatization, and the Unmeasured Quality of Care (NEJM)
From Lawrence P. Casalino: Society depends on clinicians to provide high-quality services in the vast areas in which quality isn’t measured. Corporate entities may not support this type of professionalism.

Highlights From Our Community

Each week, we celebrate career milestones, launches, & other goings-on in the physician community. Have something to promote? Reply and we’ll feature you.

🚀 Watch her video, Leila Javidi!
Dr. Leila Javidi posted an amazing video about how our new referral app is already helping physicians in Columbus, Ohio. Watch it here.

👉 Also read her commentary, Tina Amarnani
Dr. Tina Amarnani wrote about gaps in physician services marketplaces and the need for more targeted matching systems for patients and physicians with available appointments. Read it here.

🙌 Spot on, Elizabeth Vainder
Dr. Elizabeth Vainder shared a powerful essay about the dangers of AI clinical decision support and unanswered questions about liability with these tools. Read it here.

👉 Also see his post, Nicholas Stark
Dr. Nicholas Stark shared what he is building at Lotus AI and why he believes the biggest problem to solve for healthcare AI companies is fragmentation and coordination. Read it here.

💪 Way to go, Hardeep Phull
Dr. Hardeep Phull reflected on some of his key takeaways about physicians and AI after attending Doximity’s annual AI Medical Summit. Read them here.

⭐ Congrats Shantanu Nundy
Dr. Shantanu Nundy is returning to hospital medicine after 15 years in primary care and outpatient medicine. Congratulate him here!

⭐✨ Also congrats Mark Pearson
Dr. Mark Pearson has started a new position as Director of Clinic Operations at Baylor Scott & White Health - Hillcrest. Congratulate him here.

🎉 Well earned, Claudia Emami
Dr. Claudia Emami was named the new Chief Medical Officer of Ascension Sacred Heart Emerald Coast. Learn more here.

🎉🥳 More career moves, Nadia Huancahuari
Dr. Nadia Huancahuari recently became Associate Chief Medical Officer of Quality at Lahey Hospital and Medical Center. See the news here.

🎉👏🎊 And still more career moves, Alexander Billioux
Dr. Alexander Billioux joined Cityblock Health as Chief Health Officer, see more here.

🎉🥳🎉🥳 Still more career moves, Ayo Samuel Falade
Ayo Samuel Falade has been promoted to Assistant Professor of Medicine and Medical Oncology at Mayo Clinic. See it here.

👏 Welcome new residents, Korak Chakraborti and Joshua Anil
Korak Chakraborti matched into Case Western - University Hospitals Cleveland Medical Center for Internal Medicine and Joshua Anil is gearing up to start his Internal Medicine Residency at Brigham and Women's Hospital!

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