HeyJaredDoc's FIRE: Facts, Insights, Research, Education
Dr. Tancredi is a veterinarian and the owner of Old Ridge Veterinary Hospital in Chadds Ford, Pennsylvania. He loves to read, to practice medicine, and he's writing on Substack mostly about artificial intelligence but sometimes about other things.
- Indexed issues, last 90 days
- 9
- Latest publication
- Sep 22, 2026
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- Earliest in this view
- Jul 5, 2026
Latest issues
Paradox Lost, Paradox Found (opens the original)
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Last week,1 Dhruv Khullar, M.D., M.P.P., published a perspective in the New England Journal of Medicine.2 The piece, titled “Artificial Intelligence and the Future of the Clinical Workforce”, asserts that AI won’t reduce the need for clinical labor, for reasons of named economic concepts: <a href="https://en.wikipedia.org/wiki/Jevons_paradox"
Blowing Hot and Cold (opens the original)
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Recently, somebody I take seriously asked if I would support Colorado’s VPA if it were intended to raise the ceiling for technicians. And I hedged.Not because I think that’s a bad idea, but because I’m sufficiently familiar with the messaging surrounding the mid-level practitioner that I don’t trust it when it’s being sold that way. Doc's FIRE: Facts, Insights, Research, Education is a reader-supported publication. To receive new posts and support my work, conside
The Banality of the Cover-Up (opens the original)
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I spent a fair bit of time thinking about thinking. I read books about strategy, bias, observation, memory, cognition, and, of course, artificial intelligence. Sometimes a news story comes along that is a study in baffling decisions. People cut corners, people get caught, screenshots and security footage at eleven.And a recent series of decisions from Zoetis Animal Health absolutely floored me. Not one bad actor, but a series of unbelievably bad decisions. How could so many smart people make so
The VPA and a Tale of Two Letters (opens the original)
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“This is not an unregulated shortcut; it is a defined, examined, board-registered professional tier.”“It is not offering an alternative. It is offering a ceiling.”“The VPA is not a threat to indebted new graduates; it is part of the answer.”Well, shoot. If it’s not one thing, it’s another.If you’ve spent as much time reading Claudese as I have,<a class=
Six Things for Veterinary Professionals to Know about AI (opens the original)
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You already use AI and you’ve gotten the hang of it. You have an LLM app on your phone. You don’t ask who Claude is anymore, you don’t think that your friend at Google got into astrology, and you know there’s more to Perplexity than being confused. The scribe runs, the SOAP note appears, you fix two things, you sign it. Great. You have successfully used an AI tool in veterinary practice. You’re a tech wizard. You might even get that printer working later.1<a class="button primary" href="
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