iiinova — where your digital self keeps evolving

Dr John Kiel | Medical Education @mededcases.bsky.social · 21h

Reposted by dave

🧬 Ehlers-Danlos Syndrome More than flexible joints! Ehlers-Danlos syndrome is a group of inherited connective tissue disorders associated with joint instability, stretchy skin, and easy bruising. Features vary by subtype, and joint hypermobility alone does not establish the diagnosis. 🔍 🔗 Link in

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dave @davembmd.bsky.social · 21h

We are hiring a PA! If you know of anyone who would want to work at PCH in Phoenix probably mostly east valley suburbs (Gilbert/Mesa) please email me dbennett2@phoenixchildrens.com

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dave @davembmd.bsky.social · 22h

A hill I will die on: This musical pre-op plan and preference card I generated truly bumps. The lyrics are my idiosyncratic steps.

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Reposted by dave

Pediatric Imaging @pedsimaging.bsky.social · 06/10/2026

Infant being worked up for suspected child abuse AP radiograph show bilateral symmetrical periosteal reaction along the medial diaphyses of the tibiae. #FOAMed #MedEd #FOAMRad #radiology #pediatrics #radiologia #Ortho #Orthopedics #Orthopaedics #OrthoTwitter #paediatrics #pediatria

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Reposted by dave

George Gantsoudes @pedsortho.bsky.social · 06/10/2026

I think most orthos are still on Twitter, but if any are here, please fill this out for my friend Dave. It’s a quick survey.

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Reposted by dave

dave @davembmd.bsky.social · 05/10/2026

Orthopaedic surgeons increasingly answer for the consequences of decisions they don’t control. “Causal legibility” means transparently mapping out the decision process from inception to execution. This helps surgeons negotiate commensurate decision rights for their stewardship.

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If you will fill this out for me and/or send to all your residents, it doesn’t matter if you’re ortho or peds ortho or not. Any doctor or med student can fill it out. I’ll post the results too here.

dave @davembmd.bsky.social · 05/10/2026

Need your help. I’m submitting a research survey on meeting preferences to POSNA, and one requirement is that a pilot survey be done first on a test population. I have made it into a pilot survey as a Google form and need 30 people to fill it out. docs.google.com/forms/d/e/1F...

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dave @davembmd.bsky.social · 05/10/2026

This is my grandboy Clay

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dave @davembmd.bsky.social · 04/10/2026

Agree and it probably won’t get better as AI improves.

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I am encouraged by this a little bit, because it leaves room for the effect of agency. But the trait that may eventually prove most valuable could be closer to something like “epistemic curiosity plus calibration” than simply generic open-mindedness.

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But conclusively, the “effect of AI” isn’t just one thing to all people and attempts to dismiss it as such are probably too reductive. Individual differences in how people engage with AI appear to influence the type and magnitude of benefit or harm they obtain from it.

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The available research does not establish that only creative people receive the greatest overall benefit from AI, since substantial gains have also been demonstrated among people with lower baseline task performance and across users with different characteristics.

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BUT curiosity without verification can also increase exposure to plausible errors. So AI can create an “illusion of understanding” that can narrow diversity of thought and it’s been reproduced in experimental conditions.

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Curious users may be more likely to explore unfamiliar questions, test assumptions, and pursue information beyond the first answer something they memorized and internalized as a central truth. Open-minded users may be more willing to examine evidence that conflicts with their existing beliefs.

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Emerging evidence suggests that curiosity, openness to experience, reflection, and accurate calibration of one’s own knowledge can influence how much value people extract from generative AI.

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The “effect of AI” (especially in medicine) isn’t one thing to all people. And the benefit (and/or harm) of AI may not be something we can capture or conceptualize though the metric frameworks we are used to using.

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dave @davembmd.bsky.social · 02/10/2026

My scribe Rylie Jung is applying for PA schools and she is very very good. Runs our scribe-scholar program and knows all of my best joke. Please consider her if you’re on a decision committee. We already got a slot for her here once she graduates!

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Normalize answering rhetorical questions with recursive tautological answers.

dave @davembmd.bsky.social · 02/10/2026

I have set up an agent that scours all my texts, posts, emails, publications, op plans, interactions and AI conversations, identifies patterns in my behavior, and vets the things I’m becoming most dogmatic about against the sum of evidence accounting for the latest literature.

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Reposted by dave

dave @davembmd.bsky.social · 30/09/2026

On behalf of the AOS we want to thank our delegates John Elfar MD (char of U of AZ orthopaedic surgery, Megan Tatusko MD (UAT ortho) Nicholas Bonazza MD UAT Orthopaedic Surgery) @ Katelyn Koschmeder MD (Mayo clinic AZ orthopaedic surgery who today met with @senmarkkelly in DC!

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dave @davembmd.bsky.social · 02/10/2026

Every year we fly to Chicago and write this test from scratch for all the ortho residents in the country. American Academy of Orthopaedic Surgeons (AAOS)

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dave @davembmd.bsky.social · 30/09/2026

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dave @davembmd.bsky.social · 30/09/2026

I register my most morningly vibes to you and your kinfolks.

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Reposted by dave

Daniel Abraham @abraham.bsky.social · 26/09/2026

I have been reminded of an old line: Authors don’t get paid to write. We get paid to suffer the casual judgment of others.

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dave @davembmd.bsky.social · 29/09/2026

Proud of the Arizona delegation to congress to advocate for Orthopaedic Surgeons and their patients in Arizona!

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Reposted by dave

Digital Brain @yourdigitalbrain.bsky.social · 28/09/2026

Descartes set forth this maxim in his Principles of Philosophy (1644). He was not proposing permanent skepticism, but rather a methodical doubt to question acquired prejudices and certainties, examining which knowledge could be safely maintained.

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Residents: see as many patients as you can during training, and see them attentively. An encounter examined closely early in training teaches lessons that later require many routine encounters to acquire. Early, attentive experience has disproportionate educational yield.

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Kids hate reading reams of discharge paperwork, so I have transitioned to employing the majesty of song:

If you want me to show you how to use AI whilst I subtly mock it: join our convo tomorrow at 5pm Arizona time. What time zone is that for you? Nobody knows and there is no way to figure it out. us.list-manage.com/4E6fQvtyAhC?...

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When you ask AI it says “flex nails” but I say plate. Read below to hear an old man yell at a cloud.

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There are probably exceptions, but the admittedly deterministic heuristic “don’t send out a kid who can’t walk from the ER at least until you know why” has never steered me wrong.

Haters will probably say this is AI instead of unimpeachable evidence of my surgical prowess and judgement.

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The doorman fallacy is a category error in which a complex human role is reduced to a function, leading to the assumption that it can be replaced with an automated substitute without loss of value, with decision-makers failing to understand the indirect, intangible, non-visible value they provide.

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Pardon the inherent tautology of my previous post. I accept full blame.

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