William F Parker, MD, PhD
@wfparker.bsky.social
Critical care | Assistant Prof @UChicagoPCCM and
@UChicagoPHS | Assistant Director @MacLeanEthics | empirical bioethics, scarce medical resource allocation
@UChicagoPHS | Assistant Director @MacLeanEthics | empirical bioethics, scarce medical resource allocation
That means so much coming from you @iwashyna.bsky.social !
We have a long way to go, but are proud of what we have built so far
Check out our website and GitHub!
clif-consortium.github.io/website/
We have a long way to go, but are proud of what we have built so far
Check out our website and GitHub!
clif-consortium.github.io/website/
March 14, 2025 at 11:40 PM
That means so much coming from you @iwashyna.bsky.social !
We have a long way to go, but are proud of what we have built so far
Check out our website and GitHub!
clif-consortium.github.io/website/
We have a long way to go, but are proud of what we have built so far
Check out our website and GitHub!
clif-consortium.github.io/website/
Reposted by William F Parker, MD, PhD
The common longitudinal intensive care unit data format (CLIF) for critical illness research is among the most interesting new collaborative projects in critical care
This is a team to watch #ICU #RealWorldData
link.springer.com/article/10.1...
This is a team to watch #ICU #RealWorldData
link.springer.com/article/10.1...
A common longitudinal intensive care unit data format (CLIF) for critical illness research - Intensive Care Medicine
Rationale Critical illness threatens millions of lives annually. Electronic health record (EHR) data are a source of granular information that could generate crucial insights into the nature and optim...
link.springer.com
March 14, 2025 at 1:34 PM
The common longitudinal intensive care unit data format (CLIF) for critical illness research is among the most interesting new collaborative projects in critical care
This is a team to watch #ICU #RealWorldData
link.springer.com/article/10.1...
This is a team to watch #ICU #RealWorldData
link.springer.com/article/10.1...
Science is about testing hypotheses- many NIH funded grants will turn out to be a waste of money. But the ones that don’t lead to life-saving breakthroughs.
NIH study sections play an essential role ensuring the ROI on taxpayer $$ is as large as possible
NIH study sections play an essential role ensuring the ROI on taxpayer $$ is as large as possible
January 24, 2025 at 3:43 AM
Science is about testing hypotheses- many NIH funded grants will turn out to be a waste of money. But the ones that don’t lead to life-saving breakthroughs.
NIH study sections play an essential role ensuring the ROI on taxpayer $$ is as large as possible
NIH study sections play an essential role ensuring the ROI on taxpayer $$ is as large as possible
Getting extramural grant funding from the NIH is incredibly difficult- you need be in the top ~10% of all scientists in the country
I agree we should study and improve the review process but as a taxpayer I’m glad there is intense competition for these funds.
I agree we should study and improve the review process but as a taxpayer I’m glad there is intense competition for these funds.
January 24, 2025 at 3:38 AM
Getting extramural grant funding from the NIH is incredibly difficult- you need be in the top ~10% of all scientists in the country
I agree we should study and improve the review process but as a taxpayer I’m glad there is intense competition for these funds.
I agree we should study and improve the review process but as a taxpayer I’m glad there is intense competition for these funds.
Patients need AIs that provide life-saving clinical decision support to their doctors.
Patients don't need AIs that scour clinical documentation looking for ways to charge them more
Patients don't need AIs that scour clinical documentation looking for ways to charge them more
December 23, 2024 at 7:24 PM
Patients need AIs that provide life-saving clinical decision support to their doctors.
Patients don't need AIs that scour clinical documentation looking for ways to charge them more
Patients don't need AIs that scour clinical documentation looking for ways to charge them more
Reposted by William F Parker, MD, PhD
New @annalsats.bsky.social
Lest a Smoky Haze of Doubt Suffocate Progress Towards Better Pulse Oximeters
This was fun to write with Vincent Ni @jlynch13.bsky.social @hauschildt.bsky.social @drtomori.bsky.social
doi.org/10.1513/Anna... PubMed: 39700509
#FixPulseOx #FixTheDamnMachines
Lest a Smoky Haze of Doubt Suffocate Progress Towards Better Pulse Oximeters
This was fun to write with Vincent Ni @jlynch13.bsky.social @hauschildt.bsky.social @drtomori.bsky.social
doi.org/10.1513/Anna... PubMed: 39700509
#FixPulseOx #FixTheDamnMachines
Lest a Smoky Haze of Doubt Suffocate Progress Towards Better Pulse Oximeters | Annals of the American Thoracic Society | Articles in Press
doi.org
December 20, 2024 at 1:08 PM
New @annalsats.bsky.social
Lest a Smoky Haze of Doubt Suffocate Progress Towards Better Pulse Oximeters
This was fun to write with Vincent Ni @jlynch13.bsky.social @hauschildt.bsky.social @drtomori.bsky.social
doi.org/10.1513/Anna... PubMed: 39700509
#FixPulseOx #FixTheDamnMachines
Lest a Smoky Haze of Doubt Suffocate Progress Towards Better Pulse Oximeters
This was fun to write with Vincent Ni @jlynch13.bsky.social @hauschildt.bsky.social @drtomori.bsky.social
doi.org/10.1513/Anna... PubMed: 39700509
#FixPulseOx #FixTheDamnMachines
If you care about advancing healthcare access and outcome for marginalized populations, embrace AI now.
These tools are publicly available and customizable to make way more productive
These tools are publicly available and customizable to make way more productive
December 19, 2024 at 12:46 AM
If you care about advancing healthcare access and outcome for marginalized populations, embrace AI now.
These tools are publicly available and customizable to make way more productive
These tools are publicly available and customizable to make way more productive
My new year resolution is that every data and normative analysis in my quantitative bioethics lab will be assisted by a fine-tuned AI
December 19, 2024 at 12:44 AM
My new year resolution is that every data and normative analysis in my quantitative bioethics lab will be assisted by a fine-tuned AI
Reposted by William F Parker, MD, PhD
Totally agree with @wfparker.bsky.social! #AI will be integrated in everything we do in medicine, so should get used to it now.
Using it as a #Co-Intelligence, as @emollick.bsky.social suggests, is most appropriate. These examples by Dr. Parker are great!
Using it as a #Co-Intelligence, as @emollick.bsky.social suggests, is most appropriate. These examples by Dr. Parker are great!
Every critical care physician should be doing an AI powered search for every patient, especially if they are teaching trainees
I used to be ashamed when I did this, but I realized it was because of the myth of the omniscient doctor.
Here’s a thread of just a few I did last week in the ICU:
🧵 1/
I used to be ashamed when I did this, but I realized it was because of the myth of the omniscient doctor.
Here’s a thread of just a few I did last week in the ICU:
🧵 1/
December 17, 2024 at 6:04 PM
Totally agree with @wfparker.bsky.social! #AI will be integrated in everything we do in medicine, so should get used to it now.
Using it as a #Co-Intelligence, as @emollick.bsky.social suggests, is most appropriate. These examples by Dr. Parker are great!
Using it as a #Co-Intelligence, as @emollick.bsky.social suggests, is most appropriate. These examples by Dr. Parker are great!
Reposted by William F Parker, MD, PhD
I'm crabby today but I wish we could have a little less pearl-clutching over "the children are citing AI hallucinations" and a little more over "tenured academics are citing documents that cite documents that cite documents that cite documents that don't support their claims."
December 11, 2024 at 5:43 PM
I'm crabby today but I wish we could have a little less pearl-clutching over "the children are citing AI hallucinations" and a little more over "tenured academics are citing documents that cite documents that cite documents that cite documents that don't support their claims."
Sister Generose Gervais, a longtime administrator of the Mayo Clinic, is often quoted as saying, “No money, no mission.” A hospital can’t care for patients if it can’t pay for itself. But, O’Donnell told me, “people forget the second half of what she said: no mission, no need for money.”
December 14, 2024 at 6:48 PM
Sister Generose Gervais, a longtime administrator of the Mayo Clinic, is often quoted as saying, “No money, no mission.” A hospital can’t care for patients if it can’t pay for itself. But, O’Donnell told me, “people forget the second half of what she said: no mission, no need for money.”
The value judgments in the #ADAPT trial design are more interesting than the results
I give broad spectrum antibiotics to almost every patient on a vasopressor in the MICU. It’s because I value human life orders of magnitude more than antibiotic “stewardship” in my decision making
I give broad spectrum antibiotics to almost every patient on a vasopressor in the MICU. It’s because I value human life orders of magnitude more than antibiotic “stewardship” in my decision making
This is just ludicrous misvaluation of the relative importance of one day of antibiotics vs a human life
December 10, 2024 at 2:07 AM
The value judgments in the #ADAPT trial design are more interesting than the results
I give broad spectrum antibiotics to almost every patient on a vasopressor in the MICU. It’s because I value human life orders of magnitude more than antibiotic “stewardship” in my decision making
I give broad spectrum antibiotics to almost every patient on a vasopressor in the MICU. It’s because I value human life orders of magnitude more than antibiotic “stewardship” in my decision making
Reposted by William F Parker, MD, PhD
This is just ludicrous misvaluation of the relative importance of one day of antibiotics vs a human life
December 10, 2024 at 12:26 AM
This is just ludicrous misvaluation of the relative importance of one day of antibiotics vs a human life
December 10, 2024 at 2:02 AM
Reposted by William F Parker, MD, PhD
Can someone please explain to me: “where the noninferiority margin was set at 5.4%” for 28 day mortality?
Published in JAMA with #CCRdownunder:
In critically ill adults with suspected sepsis, antibiotic regimens were safely reduced when guided by measurement of procalcitonin but not by C-reactive protein. @criticalcarereviews.com
ja.ma/3BovM5v
In critically ill adults with suspected sepsis, antibiotic regimens were safely reduced when guided by measurement of procalcitonin but not by C-reactive protein. @criticalcarereviews.com
ja.ma/3BovM5v
December 10, 2024 at 12:14 AM
Can someone please explain to me: “where the noninferiority margin was set at 5.4%” for 28 day mortality?
Every critical care physician should be doing an AI powered search for every patient, especially if they are teaching trainees
I used to be ashamed when I did this, but I realized it was because of the myth of the omniscient doctor.
Here’s a thread of just a few I did last week in the ICU:
🧵 1/
I used to be ashamed when I did this, but I realized it was because of the myth of the omniscient doctor.
Here’s a thread of just a few I did last week in the ICU:
🧵 1/
December 5, 2024 at 12:32 AM
Every critical care physician should be doing an AI powered search for every patient, especially if they are teaching trainees
I used to be ashamed when I did this, but I realized it was because of the myth of the omniscient doctor.
Here’s a thread of just a few I did last week in the ICU:
🧵 1/
I used to be ashamed when I did this, but I realized it was because of the myth of the omniscient doctor.
Here’s a thread of just a few I did last week in the ICU:
🧵 1/
It’s not you Colleen- it’s the absurd idea of complete critical care mastery (e.g. “knowing everything”)
I’m constantly up-to-dating/looking up trials on rounds in front of trainees to normalize our limitations as humans
Can’t wait till it’s all AI supported…
I’m constantly up-to-dating/looking up trials on rounds in front of trainees to normalize our limitations as humans
Can’t wait till it’s all AI supported…
Back on 2019 Twitter I would share my struggles as a resident and get validation and support. And then it changed and it would be "you shouldn't be a doctor" nastiness.
can I say here that sometimes as a new ICU attending I feel like I truly don't know anything? #medsky #pccm #womeninmedicine
can I say here that sometimes as a new ICU attending I feel like I truly don't know anything? #medsky #pccm #womeninmedicine
November 26, 2024 at 3:56 AM
It’s not you Colleen- it’s the absurd idea of complete critical care mastery (e.g. “knowing everything”)
I’m constantly up-to-dating/looking up trials on rounds in front of trainees to normalize our limitations as humans
Can’t wait till it’s all AI supported…
I’m constantly up-to-dating/looking up trials on rounds in front of trainees to normalize our limitations as humans
Can’t wait till it’s all AI supported…
Excited to re-engage in a positive and productive social media environment.
To kick things off:
Every health services researcher or healthcare data scientist should be using chatGPT (or a competitor with equivalent zero shot task performance) as part of their daily workflow
To kick things off:
Every health services researcher or healthcare data scientist should be using chatGPT (or a competitor with equivalent zero shot task performance) as part of their daily workflow
November 23, 2024 at 4:31 AM
Excited to re-engage in a positive and productive social media environment.
To kick things off:
Every health services researcher or healthcare data scientist should be using chatGPT (or a competitor with equivalent zero shot task performance) as part of their daily workflow
To kick things off:
Every health services researcher or healthcare data scientist should be using chatGPT (or a competitor with equivalent zero shot task performance) as part of their daily workflow
Reposted by William F Parker, MD, PhD
What could a “populist approach to public health” look like?
basicincome.org/wp-content/u...
basicincome.org/wp-content/u...
November 18, 2024 at 6:51 AM
What could a “populist approach to public health” look like?
basicincome.org/wp-content/u...
basicincome.org/wp-content/u...
Reposted by William F Parker, MD, PhD
And now Monica Peek, offering her expertise on the role of using race in clinical algorithms.
November 8, 2024 at 8:04 PM
And now Monica Peek, offering her expertise on the role of using race in clinical algorithms.
Reposted by William F Parker, MD, PhD
@wfparker.bsky.social opening our panel on clinical algorithmic fairness at the 36th annual MacLean Center conference.
November 8, 2024 at 8:01 PM
@wfparker.bsky.social opening our panel on clinical algorithmic fairness at the 36th annual MacLean Center conference.