The Physician AI Handbook

Peer-Reviewed Evidence for Every Specialty

What works. What doesn’t. What happens when AI is wrong.
Author
Published

February 2026

Welcome to The Physician AI Handbook

Clinical AI performance in real-world settings often falls short of published validation studies. Peer-reviewed evidence, not vendor marketing, should drive clinical adoption. 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 you 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.

This resource is 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Information may become outdated given the rapidly evolving nature of AI technology.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.


If You Only Have 10 Minutes

New here and want the core value fast? Follow this three-step path:

  1. Executive Summary: Key findings across all specialties
  2. AI Fundamentals for Clinicians: What AI actually is and how it works
  3. AI Physician Toolkit: Practical tools for daily practice

Then continue to Evaluating AI Systems before adopting any tool.

For specialty-specific reading paths, see the Preface.


Explore the Handbook Series

The Public Health AI Handbook

AI applications across population health: disease surveillance, epidemic forecasting, genomic pathogen analysis, outbreak detection, health department implementation, deployment failures, AI-assisted coding for epidemiological analysis, behavioral interventions, and health misinformation. For epidemiologists, public health practitioners, and health department leaders.

Visit handbook →

The Biosecurity Handbook

Where AI capability meets biological risk: laboratory biosafety, the Biological Weapons Convention, dual-use research oversight, DNA synthesis screening, AI-enabled pathogen design risks, LLM information hazards, red-teaming, autonomous lab agents, and governance frameworks for AI-bio convergence. For biosecurity professionals, AI safety researchers, policymakers, and laboratory personnel.

Visit handbook →


Book Structure

flowchart LR
    A[Part I:<br/>Foundations] --> B[Part II:<br/>Clinical<br/>Specialties]
    B --> C[Part III:<br/>Implementation]
    C --> D[Part IV:<br/>Practical Tools]
    D --> E[Part V:<br/>Future]

    style A fill:#ffffff,stroke:#0FB5BA,stroke-width:2px,color:#334155
    style B fill:#ffffff,stroke:#0FB5BA,stroke-width:2px,color:#334155
    style C fill:#ffffff,stroke:#0FB5BA,stroke-width:2px,color:#334155
    style D fill:#ffffff,stroke:#0FB5BA,stroke-width:2px,color:#334155
    style E fill:#ffffff,stroke:#0FB5BA,stroke-width:2px,color:#334155

    click A "/foundations/history.html"
    click B "/specialties/radiology.html"
    click C "/implementation/evaluation.html"
    click D "/practical/toolkit.html"
    click E "/future/emerging.html"

  • Part I: Foundations (Chapters 1–3) – AI history in medicine, fundamentals, clinical data challenges
  • Part II: Clinical Specialties (Chapters 4–22) – AI across all ACGME-recognized specialties
  • Part III: Implementation (6 chapters) – Evaluation, ethics, privacy, safety, workflow, liability
  • Part IV: Practical Tools (4 chapters) – Toolkit, LLMs in practice, documentation, clinical research
  • Part V: Future (6 chapters) – Emerging tech, global health, policy, misinformation, medical education, physician-AI partnership

License & Citation

This work is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0).

You are free to: Share, copy, redistribute, adapt, remix, and build upon this material for any purpose, including commercially, with attribution.

Full license details | CC BY 4.0 Legal Code

How to Cite

Physician AI Handbook DOI: 10.5281/zenodo.18251405

Tegomoh, B. (2025). The Physician AI Handbook: Peer-Reviewed Evidence for Every Specialty. DOI: 10.5281/zenodo.18251405. URL: physicianaihandbook.com

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