On/Offcall: Inside Evidently, an AI Tool That Physicians Love and Trust

Welcome back to On/Offcall!

Dr. Kalie Dove-Maguire is building one of the top AI tools for healthcare…that’s deeply trusted (and beloved!) by clinicians…And she’s this week’s How I Doctor guest! 

Kalie is a former emergency physician at UCSF who’s now the President and Chief Product Officer at Evidently. Evidently’s entire aim is to build AI that augments, rather than replaces doctors. They’ve built a game-changing product to read the entire medical record and provide intelligence to help make better clinical decisions. She joined Offcall’s co-founder Dr. Graham Walker for a hopeful and dynamic conversation about:

🧠 The early clinical moments that exposed Kalie to how broken hospital technology really is
⚙️ How she made the leap to the startup world and became President and CPO at Evidently
🤖 Why AI should never replace clinical judgment and how to build tools that earn physician trust
📡 Why real-world insights from physicians is what Silicon Valley is missing
💡 Practical, no-BS advice for any physician thinking about making a move into startups

If you’ve ever said, “There has to be a better way in healthcare,” this is the episode for you.

Listen to the full episode now

P.S. We’ve been so honored to feature one impressive healthcare leader after another these past few weeks on How I Doctor! And our entire aim is to continue to bring you more incredible guests who inspire and are working to pave a better way forward in medicine. So with that in mind, we wanted to ask you directly: Who’s one guest you’d like to see us invite to the show before the end of the year?! Reply or tag them directly in the comments and we’ll reach out!

P.P.S. Know someone who would benefit from joining us? Help us grow our tent by forwarding this newsletter to your physician colleagues and subscribing here.

Most Talked About On Offcall

Inside the Bullying Pandemic in Medicine

From Dr. Sarah Nasir: Here’s what physicians learned when we finally spoke openly (also featuring: Dr. Amna Shabbir, Dr. Gloria Esoimeme, Dr Nondumiso Makhunga-Stevenson, Dr. Jen Fraser, Dr. Ravi Yarid, Dr. Aleobe Eruemulor, Dr. Dominic Corrigan, Kim Downey, Dr. Raji Akileh, Dr. Gabrielle Horne, and Dr. Raffia Qutab.

Independent Physician Spotlight: Dr. Steven Murphy

Meet the Medical Director of Concierge Medical Associates and one of less than 100 internists in the entire country who have training in genetics.

Why Direct Primary Care is the Right Beachhead for Healthcare AI

From Dr. Bhaven Murji: Here's why independent medicine is precisely where clinical AI needs to prove itself first.

Physician Builder Spotlight: Alex Mohseni

We’re shining light on MD-entrepreneurs! Each week, we feature an entrepreneurial doctor who’s building a cool product, company, or working on a big idea that you definitely want to know about. This week, meet Alex Mohensi, Founder of ClinX Academy, a CME course that teaches physicians how to get paid non-clinical roles like medical director, pc owner. You can connect further with Alex on LinkedIn.

1. Alex, what inspired you to become a physician entrepreneur? I was an entrepreneur before being a physician. In college, I sold ties through dry cleaners and installed ethernet cards that we imported from China (mind you, this is before Amazon and Alibaba existed) across campus. Later, I used my med school loan to buy a HUD home and rented out the rooms to other students. The inspiration came from a combination of the typical immigrant hunger and a desire not to feel shame for being less well off than my peers.

2. Tell us what your company does and what problem you're trying to solve. ClinX Academy is a learn-on-your-own asynchronous mini healthcare MBA program designed to help physicians grow into leadership and entrepreneurial roles. We provide graduate-level training on the following topics, which we think are critical for any person wishing to become an executive in healthcare:

• Medicare, Medicaid & Managed Care — how the system works, how money flows, how organizations succeed
• Value-Based Care & Risk Models — MA, ACOs, delegated medical groups, payment models, and risk contracting
• Healthcare Operations — UM/CM, credentialing, audits, RCM, compliance, payer contracting
• Physician Entrepreneurship Pathways — concierge medicine, clinical contracting models, collaborating physician roles, friendly PC owner
• Regulatory, Legal & Emerging Trends — CPOM/MSO structures, interoperability, and AI/automation in healthcare, key healthcare statutes

The problem we are solving is that physicians are never trained on the above topics and even actual healthcare MBA programs don’t provide the depth that is needed and that we provide. So, without this sort of training, physicians become passive participants in a broken system instead of being leaders of positive change for the system and for their own careers.

3. What's your advice to anyone who's thinking about entrepreneurship or a nontraditional career in medicine? Just start doing something small. You may fail, that’s ok. You have the most amazing back up plan of any entrepreneur — you can just pick up shifts and make good money. As Tim Ferris says, what’s the worst that could happen? That you’ll eat just beans for a while? You’d rather just be miserable? Don’t be cocky — there’s a lot to learn, so be curious, talk to folks, ask lots of questions, seek out folks who have succeeded and get their mentorship. Pick up projects. MAKE YOURSELF USEFUL to others and good things will happen.

4. How can a physician get over the "start" problem and overcome their biggest fear to start a company? Well, I’m not sure starting a company if you have zero experience and exposure to the business space is the optimal path for many folks. What might be easier but still a great learning experience is to find a couple startups to start helping and get involved in as much as you can — product, UX/UI, billing/coding and other RCM work, data analytics, and especially sales. Sales I think is the most important experience to build because most of the companies that I see fail don’t fail because they had a bad product, rather, they fail because they lack distribution.

5. What's the #1 lesson you've learned since building your company that wasn't obvious to you before? I have 3 important lessons:

1. Always create a detailed pro forma before you decide to start a company. Force yourself to model out the income and expenses, both optimistic and pessimistic scenarios. I would say almost 100% of the time you will learn something about the business that you had not considered and you may decide to build it a different way or not at all. This takes only a day to do but so many folks don’t do this and then they end up building a business in a way where it’s nearly impossible for them to earn a real margin (like a restaurant with too few tables).

2. Go way deeper in your understanding of the buyer and the market: Do deep dive interviews with a bunch of buyers and domain experts; ask each domain expert who they think knows even more than they do and then go talk to them.

3. Start small and hyper focused, then iterate: Solve “the problem” for 1 or a handful of buyers manually as fast as you can with whatever basic tools you have available — you will learn so much that will inform how you should actually build the “real” version of the product later. This is much easier with today’s AI and automation tools than it ever was before.

6. Name the top resources you found most helpful to get going as an entrepreneur journey that others would benefit from?

• “Zero to One” by Peter Thiel (link)
• Atlas Shrugged (if you hate me for this, come fight me)
• Podcast: My First Million
• Subscribe to YouTube - IMHO the best $20/mo you can spend, learn any technical skill
• Learn how to use Make.com or n8n to build basic automations, or learn to use Replit to build quick prototypes — most of the things you want to build you can prototype in a few days using one of these tools.
• Obviously, if you want to learn the business and operations of healthcare on a deep level, I recommend ClinX Academy

7. How can other physicians support you? Are you open to connection/investment/user feedback, etc? Yes, I’m happy to chat with any physicians who are on the entrepreneurial journey: alex@clinxacademy.com, Calendly.com/mohseni. Or find me on LinkedIn.

Bonus! 3 Questions About How Alex Uses AI

Just for Offcall members: We're making available Alex’s answers to 3 questions about AI: 1) What's an actual prompt you're feeding to GPT that's been helpful to your clinical work? 2) What's the AI tool/use case you can't live without? 3) What are your top AI resources to get going as a physician?

Read Alex’s answers and sign up for Offcall here. Know someone else who should be featured? Reply or tag them and their company in the comments!

Best Things to Read This Week

Health Care Spending in the United States and Other High-Income Countries (JAMA Network)
From Irene Papanicolas, Liana R. Woskie, and Ashish K. Jha: Why is health care spending in the United States so much greater than in other high-income countries?

From Prompts to Context (Dr. Sarah Gebauer)
The next phase of AI isn’t about clever wording. It’s about teaching systems to understand the world they’re in.

Reclaiming physician agency in a broken system (KevinMD)
From Dr. Christie Mulholland on Dr. Kevin Pho’s KevinMD: Space for good work in a bad system is narrowing as physicians are increasingly being asked to prioritize their employers’ financial goals over patients’ needs and professional norms.

Tell Us How You Really Feel About AI

We’re releasing an end of year physician AI whitepaper covering how physicians really feel about AI tools and their impact. Things like: How AI could actually improve physician job satisfaction, which AI tools save us time vs. just add more admin burden, and how employers could get us excited to adopt new AI tools. Answer the short questions below (takes 2 mins!), and repost to spread the word!

How do you really feel about AI?

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.

👏 Thanks for your work, Cameron Gettell
Dr. Cameron Gettell published a piece in Academic EM (Society for Academic Emergency Medicine) showing that significant compensation gaps exist for women and racial/ethnic minorities. This tracks with Offcall’s similar findings earlier this year. Thanks for speaking out and great work to the entire team: Carlisle Topping, Arjun Venkatesh, Pooja Agrawal, Melanie Molina, Neha Raukar, Andra Blomkalns, and Deborah Diercks! Learn more here.

🤔 Thought provoking, Yoshihiro Katsura
Dr. Yoshihiro Katsura delivered a heartfelt speech about why being a doctor is still very much worth it in today’s era of medicine despite all the challenges. Thanks for sharing! Watch it here.

🤔 Just as thought provoking, Jeff Yoo
Dr. Jeff Yoo opened up about the significant challenges and sacrifices that doctors make and shared his own perspective on whether it is worth it to be a doctor. Watch it here.

👌 Great to see, Paul Thomas
Dr. Paul Thomas responded to a Mark Cuban post by sharing what he is building to directly serve employers with a DPC physician network through Plum Health. Interesting! Learn more here.

🎉 Congratulations, Rohan Khera
Dr. Rohan Khera announced that he is now an Associate Professor at the Yale School of Medicine! Congratulate him here.

🎉🎉 Also congratulations, Moshe Rancier
Dr. Moshe Rancier announced that he is stepping into the role of Regional Medical Director for Mass General Brigham Medical Group, across Merrimack Valley, Salem, NH, and Medford. Learn more and congratulate him here.

🎉🎉🎉 And finally, well done, Rishad Usmani!
Dr. Rishad Usmani announced that he has joined Pocketpills as Medical Director alongside Raj Gulia. Congratulate him here.

Be Sure to Sign Up for Offcall!

At Offcall, we believe physicians deserve to be heard, valued, and treated fairly. Everything we do is driven by our commitment to empowering doctors with accurate, reliable, and trustworthy data — to advocate confidently for themselves and ensure their compensation truly reflects their worth.

Learn more and sign up here

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