Practical AI · Built in clinic

Clinical work, minus the second shift.

Pick the task eating your evening. Get the right AI tool, three clear steps, a starter prompt, and the privacy boundary — in about two minutes.

ChatGPTClaudeNotebookLMCodex
Free to startTwo clicksNo email
Workflow match · 2 minutesFree

What stole your time today?

Choose one. Your first working setup appears below.

Get a useful answer before anyone asks for your email. That's the standard.
Christian Péan, MD, MS
Built by Christian Péan, MD, MS
Orthopedic trauma surgeon · CEO, RevelAi Health · Duke faculty
New on the Stream The latest decode — read it now
The fastest path to value

From "I should learn AI" to "this task is done."

No giant tool directory. No prompt dump. Every path starts with a job you already have — notes, coding, inbox, literature, decks, your first agent — and ends with a setup you actually run.

01

Choose the time leak.

Six jobs, one click. The finder above matches the task to the tool — ChatGPT, Claude, NotebookLM, or Codex.

2 min
02

Install one working setup.

The tool, three steps, a starter prompt, and the guardrails — in the order you need them. Paid packs add the installable skill.

15–25 min
03

Keep the judgment.

AI structures and drafts. You verify the evidence, the clinical logic, and the send. Every workflow is built that way.

Every time
See the work move

Not another AI lecture. A task going from messy to usable.

De-identified sample content. The workflow structures and checks; the clinician reviews and decides.

Case 04De-identified sampleReady
Input · 8:42 pm

Messy op-note draft

Unstructured · gaps unknown
StructureCheckReview
Output · 8:49 pm

Review-ready brief

  • Sections organized
  • Documentation gaps surfaced
  • Clinical judgment held for review
Clinician review required
Start at the level you need

A useful free win. A clean path to more.

The first decision is about depth, not deciphering three kinds of premium.

Workflow prescription
Free
no email required

For the clinician who wants one useful win first.

  • A task-matched workflow
  • The tool and three-step setup
  • Starter prompt + privacy boundary
  • The Stream, Worlds, and the Atlas
Find my workflow
Skill batch
$79
one-time · instant unlock

One job, installed: notes & coding, knowledge & inbox, research, creative, and more.

  • Installable Claude skills for one job
  • Setup video + guardrails
  • Yours for good, re-download anytime
  • Secure Stripe checkout
Browse the batches
Best value
Membership
$200 $150
per year · $150 locks in until Sept 30, then $200

For clinicians building a complete AI operating system.

  • All 18 skills and growing
  • Every update and new drop
  • Member essays, labs, and interactive editions
  • The Course at launch
Join the membership

Prefer one-time access to the entire shelf? The All-Access Pass is $250. Compare every batch →

One building, six rooms

Essays became software. Explore the platform.

Living tools, not premium PDFs: interactive teaching worlds, live CMS data engines, and the writers' commons — all under one roof.

Written from inside the system

Learn from a surgeon who's built the tools themselves.

Christian Péan, MD, MS is an orthopedic trauma surgeon, CEO and co-founder of RevelAi Health, and Duke faculty. These are the systems behind a real practice, a company, teaching, and a publication — not hypothetical prompts built for a demo.

See Christian's Duke profile →

"Love your mix of technical understanding with clinical and business expertise."

Jean-Paul Runge · Health-tech builder · Paid member

"Love the tech play by an orthopedic surgeon. Brilliant."

Steve Schutzer, MD · Orthopedic surgeon · Paid member
Christian Péan, MD, MS — orthopedic trauma surgeon and founder of Techy Surgeon
The principle
AI structures. Clinicians decide.
Before you start

Reasonable questions. Straight answers.

Something more specific? Email hello@techysurgeon.com.

Do I need to be technical?

No. Most setups take 15–25 minutes and require no coding. The builder track is there if you want to go further with Claude Code or Codex.

Which AI tools does this cover?

The free workflows are job-first and tool-neutral across ChatGPT, Claude, NotebookLM, Codex, and Gemini. Each names the tool that does the job best today. The installable skill packs run on Claude.

What about patient data?

Do not enter PHI into consumer AI tools. Each workflow names its privacy boundary and is designed for de-identified inputs or your health system's covered enterprise environment.

What happens after I buy?

Checkout unlocks your shelf immediately — no account needed. Download the skill files, add them to Claude, and re-download anytime at /members. Your purchase is tied to your checkout email, forever.

What does membership cost?

The platform fee is $200 per year on Substack. Subscribe by September 30 and you pay $150 per year — and keep that rate for as long as you stay subscribed. Skill batches are $79 one-time; the All-Access Pass is $250.

What is CJR-X and why should I care?

CJR-X (CMS-1849-F) is CMS's mandatory nationwide bundled-payment model for hip, knee, and ankle episodes starting January 1, 2028. If you operate — or run a service line — the CJR-X Engine (a member tool) shows exactly where your hospital stands, for 2,663 hospitals.

The Doctor's AI Course · First cohort

Want the whole ladder taught live?

Build the workflows with Christian — from notes and literature to an agentic chief of staff. Leave with a working system, not a certificate. No card; subscribers get first seats.

Your evening is a terrible place for admin

Pick one task. Get one workflow working tonight.

Start free Browse the packs · $79