Barry P. Chaiken, MD

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Human Oversight and Conscience in Healthcare AI

Human Oversight and Conscience in Healthcare AI

by Barry P Chaiken, MD | Oct 22, 2025 | Artificial Intelligence, Healthcare Technology

Healthcare has long understood that safety depends on process, not perfection. Checklists, timeouts, and structured handoffs exist to prevent the predictable human errors that arise in complex environments. These principles—refined through aviation safety models and...
Governance Over Fear: Building Safe, Transparent Healthcare AI

Governance Over Fear: Building Safe, Transparent Healthcare AI

by Barry P Chaiken, MD | Oct 22, 2025 | Artificial Intelligence, Healthcare Policy, Healthcare Technology

When new ideas challenge long-held medical beliefs, fear often delays progress. In the 1980s, researchers Barry Marshall and Robin Warren were ridiculed for suggesting that a bacterium, Helicobacter pylori, caused most ulcers. Years passed before the medical community...
Adoption Curves: Managing Change in Healthcare AI

Adoption Curves: Managing Change in Healthcare AI

by Barry P Chaiken, MD | Oct 20, 2025 | Artificial Intelligence, Healthcare Technology, Patient Experience

Change has always been uncomfortable. Clinicians trained for decades to master their craft often find new technologies disruptive, slowing down well-established routines. Patients, too, hesitate when asked to manage their health differently, even when change promises...
Building the AI Social Contract

Building the AI Social Contract

by Barry P Chaiken, MD | Sep 23, 2025 | Artificial Intelligence, Patient Experience

The idea of a “social contract” is as old as political philosophy itself. Thinkers from Hobbes to Rousseau argued that individuals willingly surrender some autonomy to governing bodies in exchange for protection and order. The contract legitimizes authority by...
Trust in Healthcare AI: Lessons for Leaders

Trust in Healthcare AI: Lessons for Leaders

by Barry P Chaiken, MD | Sep 16, 2025 | Artificial Intelligence, Healthcare Policy, Healthcare Technology

Healthcare has always struggled to balance innovation with trust. In the early 1990s, as personal computers became affordable and the Internet became widespread in hospitals, electronic health records (EHRs) promised a revolution. Paper records were hard to access,...
Who Should Lead AI in Healthcare?

Who Should Lead AI in Healthcare?

by Barry P Chaiken, MD | Aug 26, 2025 | Artificial Intelligence, Essential Reading, Healthcare Policy, Healthcare Technology

This summer, I explored how artificial intelligence is reshaping healthcare—and why its most significant potential will remain untapped unless we change not only how we use it, but who leads its deployment. AI is no longer theoretical. It is here, embedded in...
AI Must Augment Clinical Judgment, Not Replace It

AI Must Augment Clinical Judgment, Not Replace It

by Barry P Chaiken, MD | Aug 12, 2025 | Artificial Intelligence, Healthcare Policy

In aviation, the path to safety was paved not by better engines but by better communication. In the aftermath of several deadly airline accidents in the 1970s, the problem was not mechanical—it was human. Pilots and crew failed to speak up, share critical...
Debunking 5 Common Myths About Healthcare AI

Debunking 5 Common Myths About Healthcare AI

by Barry P Chaiken, MD | Jul 29, 2025 | Artificial Intelligence, Healthcare Technology

Despite the breathless headlines and lofty promises, artificial intelligence in healthcare is not a magic bullet. It is not sentient, intuitive, or even particularly wise. It is a tool—and like any tool, its effectiveness depends entirely on how it is designed,...
Why I Ride: 41 Years for Cancer Research

Why I Ride: 41 Years for Cancer Research

by Barry P Chaiken, MD | Jul 22, 2025 | Artificial Intelligence, Essential Reading, Patient Experience

On August 2–3, I will once again ride 192 miles across Massachusetts in the Pan-Mass Challenge (PMC), an extraordinary event that raises critical funds for cancer research at the Dana-Farber Cancer Institute. This year marks my 41st consecutive PMC ride.It also marks...
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