In this episode, Dr. Josh Belfer sits down with Dr. Anthony Mazzarelli - emergency physician, attorney, and Co-President/CEO of Cooper University Health Care - for a fascinating discussion on the present and future of artificial intelligence in medicine.

While much of the conversation around AI has focused on ambient documentation and note-writing, "Dr. Mazz" argues that we're only seeing the beginning. From real-time clinical decision support and quality improvement initiatives to transforming medical education and physician workflows, AI has the potential to fundamentally change how healthcare is delivered.

Together, they discuss:

• Why ambient scribes have been adopted so rapidly
• How AI may soon support clinical decisions at the bedside
• The role of Epic Cosmos and large-scale healthcare datasets
• What AI means for residents, medical students, and physician training
• How healthcare systems are using AI to improve quality and safety
• Why physician adoption may be a bigger challenge than the technology itself
• The three skills future physicians will need to thrive

Dr. Mazzarelli offers an optimistic but practical perspective on how clinicians can embrace these tools while preserving the human connection that remains at the heart of medicine.

In this conversation, Dr. Jason Fisher (Division Head of Emergency Medicine at SickKids | The Hospital for Sick Children in Toronto) breaks down how artificial intelligence is already being implemented in the pediatric emergency department - and what it means for the future of care delivery.

We explore real-world applications of AI across emergency department operations, including predicting patient volumes and admissions at triage, improving patient flow, identifying high-risk patients in real time, and enhancing both provider and patient experience. Dr. Fisher outlines a practical framework for thinking about AI in layers - from operations and workflow to clinical decision-making and longitudinal care.

Looking ahead, we discuss the major challenges facing AI integration in pediatric emergency medicine, including regulation, safety, and the growing dependence on centralized AI platforms. Dr. Fisher also shares a compelling vision for the future physician, describing how roles may evolve into “pioneers, guardians, and stewards” in an AI-driven healthcare system.

Check out the video conversation and additional AI and Pediatric Emergency Medicine content at www.HipPEMcrates.com

For many practicing pediatric emergency physicians, measles feels like a disease from another era. In fact, measles was declared eliminated in the United States in 2000. But over the past several years, declining vaccination rates and increasing global circulation have pushed measles back into the clinical conversation. The reality is that many emergency clinicians today have never seen a true case of measles. Yet with outbreaks occurring across the country and internationally, the next febrile child with rash in your ED might not just have another viral exanthem. To help clinicians recognize and manage measles in the emergency department, I spoke with Dr. Danielle Daniels, a pediatric infectious disease specialist at SUNY Upstate, and Dr. Gregory Conners, pediatric emergency physician and Chair of Pediatrics at SUNY Upstate. Their recent review article in Pediatric Emergency Care walks through the key issues clinicians need to know – from early recognition and isolation to testing, complications, and practical ED management. measles-recording In the conversation below, we discuss:

1. Why measles is resurging
2. The biggest knowledge gaps among clinicians today
3. Early clinical clues (including Koplik spots)
4. Isolation and ED workflow
5. Testing strategies and complications
6. And the three key takeaways every ED clinician should remember when evaluating a febrile rash illness.

Check out the video conversation and additional Pediatric Emergency Medicine content at www.HipPEMcrates.com