On/Offcall: Are Doctors Liable If AI Prescribes the Wrong Drug?

🚨 AI is now prescribing. So when AI picks the drug without a doctor in the loop — and something goes wrong — who’s responsible?

This week on How I Doctor, we did something completely new. Offcall co-founder Dr. Graham Walker brought together four people who see prescribing from completely different sides:

💊 Dr. Simon Chang, DO internal medicine physician and founder of eNavvi
📦 Tanvi Patel VP and General Manager of Amazon Pharmacy
🛡️ Deepika Srivastava, COO of The Doctors Company
⚖️ David Simon, Associate Professor of Law at Northeastern University

They get into what actually happens after a physician clicks “sign,” why doctors often have no idea whether a patient ever gets their medication, and what happens to physician liability as AI starts making more of the decisions. 👀

Can we use AI to fix prescribing without taking the physician out of the loop?

🔥 New How I Doctor Roundtable is out now

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How Independent Physicians Are Using AI to Run Their Practices

Independent physicians: AI can do more than answer questions, it can help run your practice.

Join Offcall + Ultralight for: How Independent Physicians Are Using AI to Run Their Practices, a free live workshop on what an AI-supported independent practice actually looks like.

DPC pediatrician and AI educator Dr. Michael Hobbs and Dr. Hillary Lin, Co-founder & CEO of Curator, will share practical tools and workflows independent physicians can use to do more with a lean team. Plus, Ultralight co-founder and CEO Sunita Mohanty will give a live demo of how Ultralight is being used in independent practices.

We'll cover:

👉 Running your practice: What an AI-supported practice actually looks like day to day
👉 Working with patients: Help patients use AI to research their health while becoming more critical of what they find
👉 Research: Use AI to stay current on new treatments and evidence without drowning in papers

RSVP here

3 Things to Read This Week

Impact of a Primary Care Value-Based Compensation Model (JABFM)
Can moving primary care physicians off RVUs and onto value-based pay actually work at an academic medical center? A new study examines the transition at Brigham and Women's Hospital. From Erin Sullivan, Lindsey Ulin, Lisa Rotenstein, Richard Gitomer, Lipika Samal, Salina Bakshi, Lance Rachelefsky and more.

Primary care deserves more. Why asking for it isn't enough. (Breaking the Healthcare Rules)
From Dr. Robert Pearl: “Despite the pleas and promises of primary care, payers have not made the investment. Why?”

How AI Can Screw You (Dr. Rob Orman)
From Dr. Sam Ashoo: “As clinicians lean on it more for documentation and clinical decisions, the pitfalls are getting harder to ignore.”

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.

Excellent work, Marco Fernandez
Dr. Marco Fernandez hosted an inaugural Independent Physician Summit to give independent physicians a stronger voice. See his recap post featuring Senator Elizabeth Warren who spoke at the summit about the need to restore physician autonomy in healthcare.

Well said, Blake Miller
Dr. Blake Miller posted a heartfelt essay about why being a great specialist demands continuing to ask why and challenging what physicians were taught in training. Read it here.

Good read, Andrew Detty
Dr. Andrew Detty published an essay about How to safely use AI for health advice in the Columbus Medical Association’s “Ask the Doc” column. Read it here.

Go and buy the book, Bryan Jepson (h/t Patrick O'Malley and ShiftChange)
Dr. Bryan Jepson and Dr. Fred Dennis published a new book entitled “The Long Game: Building Wealth, Meaning, and Freedom Through Career Transitions, Retirement, and Beyond exploring how physicians can create a fulfilling life beyond a high-impact career. Read more and download the book here.

Well done, Bernice Fokum
Dr. Bernice Fokum delivered a talk at the ACEP emergency medicine conference about how to navigate medical misinformation with patients following her recent journal article with colleague Marina Del Rios "Scroll at your own risk: Misinformation, mistrust, and the infosphere in emergency care." Learn more here.

Career highlights, congratulations all
Dr. Raj Chand has accepted the role of President, Inova Loudoun Hospital. Congratulate him here. Dr. Yosef Berlyand has taken on a new role as Assistant Medical Director of the Emergency Department at Morton Hospital, part of Brown University Health. Dr. Adil Ahmed is starting a new position as Founder & Orthopaedic Surgeon at Houston Upper Extremity Center! Dr. Monica Verduzco-Gutierrez has been named a Top 2% scientist in the world by a ranking by Stanford and Elsevier. Dr. David Selander is starting a new position as Chief Medical Officer at Providence Swedish! Dr. Rajan Gadhia was featured by Houston Methodist for his leadership role and work as a mentor to the next generation of trainees. Read more here. Dr. Jean Wassenaar was promoted to Assistant Professor of Cardiovascular Medicine and received the NOA for her first NIH award (h/t Meena Madhur). Read more here.

More congratulations to go around!
Dr. Minal Shah is starting a new position as Chief Medical Information Officer at Presbyterian Healthcare Services! Dr. Olcay Aksoy began an exciting new chapter as Chief of Cardiology at Mount Sinai Medical Center in Miami! Dr. Kunal Agarwal is starting a new position as a Sleep Medicine Physician at Piedmont. Dr. Al’ai Alvarez received the (SUNY) University at Buffalo College of Arts and Sciences 2026 Distinguished Alumni Award. Dr. Candace Tannis is starting a new position as Associate Professor at Icahn School of Medicine at Mount Sinai! Dr. Stephanie Wahab is starting a new position as Attending Physician, Anesthesiology & Interventional Pain Medicine at Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center, Inc.!

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