Welcome to The Physician AI Handbook
Clinical AI performance in real-world settings often falls short of published validation studies. This handbook helps physicians evaluate AI tools based on peer-reviewed evidence, written from a clinician’s perspective for clinicians, health system leaders, and anyone building or deploying clinical AI.
Three questions drive every chapter: What does the peer-reviewed evidence actually show? How do I evaluate claims against that evidence? What are the medico-legal implications when AI is wrong?
The handbook covers five areas: foundations of clinical AI, specialty-specific applications across all ACGME disciplines, implementation and evaluation frameworks, practical tools for daily practice, and future directions. You can read sequentially or jump to the section most relevant to your work.
Continuously updated as new research emerges.
Important Disclaimers
This handbook is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. AI systems discussed herein are not substitutes for professional medical judgment.
Physicians remain solely responsible for clinical decisions, validating AI outputs before clinical use, ensuring regulatory compliance (FDA, HIPAA), and meeting the standard of care in their jurisdiction.
Information may become outdated given the rapidly evolving nature of AI technology. Verify recommendations with current clinical guidelines before application.
This handbook does not provide legal advice. Consult qualified legal counsel for malpractice and liability questions.
Quick Start: Choose Your Path
Select the pathway that matches your specialty and immediate needs:
Primary Care & Family Medicine
“I need practical AI tools for my daily practice”
Start here:
Diagnostic Specialties
“Radiology, Pathology, Dermatology, Ophthalmology”
Start here:
Surgical Specialties
“General Surgery, Orthopedics, Neurosurgery, OBGYN”
Start here:
Medical Specialties
“Internal Medicine, Cardiology, Oncology, Neurology”
Start here:
Emergency & Critical Care
“I work in fast-paced, high-stakes clinical environments”
Start here:
Pediatrics & Neonatology
“I care for pediatric and newborn patients”
Start here:
About This Handbook
The Physician AI Handbook is a clinical reference built on peer-reviewed evidence, covering AI applications across all ACGME-recognized medical specialties. Open access (CC BY 4.0).
Scope and Methodology
Sources and Standards
- Primary literature from JAMA, NEJM, Lancet, Nature Medicine, BMJ, and specialty journals
- Regulatory filings from FDA 510(k), PMA, and De Novo databases
- Professional society guidelines from AMA, ACR, CAP, and specialty organizations
- Clinical case studies documenting implementations, successes, and failures
- Independent assessment with no vendor funding or commercial relationships
Editorial Approach
- Claims require peer-reviewed citations
- Vendor marketing claims labeled as such
- Limitations and failures documented alongside successes
- Updated continuously as evidence emerges
Book Structure: Your Roadmap
Part I: Foundations
AI history in medicine, fundamentals, clinical data challenges
Chapters 1-3 | Start here if new to AI
Key topics: Medical AI history (MYCIN to modern deep learning), AI fundamentals for clinicians, EHR data quality, clinical datasets
Part II: Clinical Specialties
AI applications across all ACGME-recognized medical specialties
Chapters 4-22 | Jump to your specialty
Key topics: Radiology, Internal Medicine, Surgery, Anesthesiology, Pediatrics, OBGYN, Emergency Medicine, Critical Care, Oncology, Cardiology, Neurology, Psychiatry, Primary Care, Pathology, Dermatology, Ophthalmology, Orthopedics, Infectious Diseases, and more
Part III: Implementation & Evaluation
Clinical deployment, ethics, privacy, safety, liability
6 chapters | Critical for implementation
Key topics: Evaluating AI tools, medical ethics & equity, HIPAA compliance, clinical AI safety, workflow integration, medical liability & malpractice
Part V: The Future
Emerging technologies, policy, global health, future perspectives
5 chapters | Forward-looking
Topics: Emerging AI technologies, global health equity, healthcare policy & governance, medical misinformation, the physician-AI partnership
Using This Handbook
Browse and Search
- Browse chapters in the Table of Contents
- Use the search box to find specific topics
- Each chapter includes TL;DR summary
- Click “copy” icons for code examples
Choose Your Path
- For specialists → Jump to your specialty chapter
- For generalists → Start with Primary Care & Practical Tools
- For residents/students → Read sequentially Part I → V
- For administrators → Focus on Implementation & Ethics
License & Citation
This work is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0).
You are free to: Share, adapt, and use this material for any purpose, including commercial use, with attribution.
Full license details | CC BY 4.0 Legal Code