AI you can trust at the bedside
ObGyn Intelligence — Teaching clinicians to use AI and ObGyn they can trust, and to catch it when it lies. Evidence first. Verified. From fifty years at the bedside.
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I spent fifty years delivering babies and reading the evidence. I spent the last two years watching artificial intelligence walk into medicine through a side door nobody was guarding.
Here is what I have seen.
A resident pastes a question into a chatbot and gets an answer that is confident, fluent, well-organized, and wrong.
The citation looks real.
The journal exists.
The authors sound familiar.
The paper was never written.
The model invented it, and it invented it beautifully.
That is the problem this newsletter exists to solve.
Let me define the thing first, because most people write about AI without saying what they mean. A large language model does not know medicine. It predicts the next word from patterns in everything it has read. Most of the time that prediction is useful. Sometimes it is a fabrication delivered in the same calm voice as the truth. The skill you need is not how to use AI. It is how to tell the difference.
I am not a programmer. I am a Maternal-Fetal Medicine specialist, a professor, a senior ethics consultant, and a peer reviewer for AJOG and the Journal of Perinatal Medicine. I have been developing medical websites since the late 1980s. I have created several sites and sold them.
I was the first to publish on large language models in obstetrics.
I have published in the peer reviewed literature over 10 papers on AI, and overall over 150 papers. I do not teach AI from a marketing seat.
I teach it from fifty years of being the person who had to answer for the mistake.
Every week I publish 1-2 pieces that teaches one thing you can use the next morning.
How to catch a hallucinated citation.
How to make a model grade its own evidence.
How to write a patient handout a patient can actually read.
When to tell a patient you used AI — my answer is always.
What the professional societies still do not understand, and I will be direct about that, because I usually am.
Everything here is free. When a tool helps, I build it and give it away at tools.obmd.com. I am not selling you a course on becoming an AI guru in thirty days. There is no such thing, and the people promising it have never had a patient.
A colleague asked me why a man my age is learning to talk to computers instead of resting. Because the era of the doctor as a walking encyclopedia is over. The machine remembers. We think. I would rather teach you to do the thinking well than watch you trust a confident sentence that happens to be false.
Subscribe. Bring your skepticism. You will need it — that is the whole point.
In addition, my ObGyn Intelligence Substackis a clinical education newsletter about how obstetrics and gynecology actually work in real medical practice.
Pregnancy and Gynecologic care involve constant decisions under uncertainty. Guidelines exist, but they do not make the decision at the bedside. Physicians must interpret risk, communicate clearly with patients, and act at the right moment. Many adverse outcomes occur not because medicine lacks knowledge, but because communication is unclear, responsibility becomes diffused, or warning signs are misinterpreted.
This publication explains those decisions. Articles analyze labor management, pregnancy complications, medical research, documentation language, and counseling conversations between clinicians and pregnant women. Some pieces are written for clinicians and trainees. Others are written for patients and families who want to understand what their doctors are thinking and why.
The goal is practical clarity: evidence interpreted honestly, risks explained plainly, and clinical responsibility discussed openly.
If you are new, begin with the Library to read selected foundational essays.
Most analyses are available to subscribers, who receive each new newsletter directly by email. Free subscribers receive selected essays and updates.
About Professor Amos Grünebaum, MD
I’m a double board-certified ObGyn and Maternal-Fetal Medicine specialist with 50 years of experience and more than 10,000 deliveries. I’m a professor, ethicist, and among the top 1% of published ObGyns in the United States.
I co-authored books on pregnancy and fertility with the iconic Dr. Ruth Westheimer—and once played an ObGyn opposite Marisa Tomei in a Ron Howard film (The Paper).
A pause. And a few honest thoughts on why I’m here.
Fifty years ago, I delivered my first baby.
I didn’t expect that decades later I’d be writing a newsletter — trying to figure out algorithms, subscriber counts, and what makes a “Note” go viral.
And yet, here I am.
I started ObGyn Intelligence because I couldn’t go quiet. Not with what I was seeing. Guidelines that don’t match the evidence. Patients making decisions without real information. A system that too often forgets that birth is a human event, not just a clinical one.
So I write.
Some weeks it feels like I’m shouting into a void. Other weeks, a reader — a patient, a resident, a midwife in another country — tells me something I wrote changed how they think. That’s the whole point.
I’m not building a brand. I’m continuing and even expanding a career the way I want to: honest, useful, and still pushing. And independet.
If you’re here, thank you. Share this with someone who needs smarter women’s health information..
Bridging the gap between complex clinical research and the ethical realities of patient care, ObGyn Intelligence provides a rigorous look at the evidence shaping the future of Women's Health.
Women’s health is profoundly personal. The information surrounding it should be profoundly honest.
Smarter, more compassionate care for women
Women deserve the truth about their bodies. Clinicians deserve evidence that holds up to scrutiny.
ObGyn Intelligence delivers both.
From debunking “abortion pill reversal” to questioning official guidelines when the data doesn’t support them—this is where evidence meets accountability in women’s health.
Subscribe for analysis that respects your intelligence.
What You’ll Find Here
Evidence-based exposés. Rigorous analysis that unmasks quackery, pseudoscience, and medical misinformation targeting women’s reproductive health—fertility, pregnancy, menopause, and everything in between. From functional medicine fabrications to supplement hucksters and social media charlatans—no unfounded claim escapes scrutiny.
Case reflections. Real dilemmas from the intersection of women’s health and ethics.
Essays on controversy. Women’s health policy, professional responsibility, and why certain guidelines don’t survive contact with the data.
Teaching moments. Complex science translated into clear insight.
The unspoken realities. What clinicians experience but rarely articulate—and why it matters.
Some of the art featured here is by Susan L. Pollet, a visual artist whose works have appeared in multiple art shows and literary publications. She studied at the New York Art Students League, has been a member since 2018, and resides in NYC. Find her at susanpollet.substack.com.
Who This Is For
Not just clinicians. Not just patients. Not just nurses and midwives, and everone else working in healthcare.
This is for anyone curious about how humans navigate the pivotal moments of women’s health—students, parents, and readers who want to understand the choices women face from fertility through menopause.
Here, love and risk intersect. Duty and autonomy collide. Responsibility meets reality.
Evidence matters. So do you.
Read my Notes HERE
Mail Contact: ObGyn.Intelligence@gmail.com
Cell: (914) 713-5705
LEGAL & MEDICAL DISCLAIMER
Medical Disclaimer: This content is for educational purposes only and does not constitute medical advice, diagnosis, or treatment recommendations. Every individual’s health situation is unique. The information provided should not replace consultation with your healthcare provider. Always seek professional medical advice for any health concerns or before making decisions about your care. If you have a medical emergency, contact your doctor or emergency services immediately.
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