Surgeon-tested setups for notes, coding & prior auth, your inbox, the literature, presentations, and your first AI agent — whether you run ChatGPT, Claude, Codex, or NotebookLM. Install your first workflow tonight. No coding required.
Pick the task that eats your time, name the AI you can use, and leave with one working setup: the tool, three steps, a starter prompt, the privacy boundary, and how long it takes. Free, no email required.
Every rung is a complete, working setup taught free in the newsletter. Membership unlocks the installable skills, the labs, and the depth behind each one.
Ambient scribes are table stakes now — the skill is what happens after the draft. Cleanup prompts, note polish, and the op-note habits that make every downstream workflow possible.
Sources in, grounded answers out: audio overviews on your commute, a lifelong-learning notebook per topic, and a literature habit that fits in 20 minutes a week. The most-read setup ever published here.
The rung that pays for itself: op-note coding checks that catch documentation gaps, prior-auth letters drafted in minutes, an inbox that triages itself, and presentations built by AI that actually look like yours.
The 6 AM dispatch: agents that read your calendar, meetings, and inbox overnight and hand you the day pre-digested. Built from the exact system that runs this publication and a company.
Every world, game, and engine on this site was built this way. For the clinicians who want to stop waiting on the roadmap and build the thing themselves.
Claude, ChatGPT, NotebookLM, Codex — every tool taught here is one I run daily on a real practice, a real company, and this publication. Pick your lane; the workflows meet you there.
The agentic desktop: files, agents, skills, and a chief of staff between meetings.
Core · start here →Reasoning, images, and the second opinion in the loop — the front door for most clinicians.
Everyday lane →Your literature, interrogated: sources in, grounded answers and audio overviews out.
Research loop →The builder's terminals — how the worlds, engines, and this site itself get made.
Builder track →Meetings captured and structured — raw material every agent downstream feeds on.
Capture layer →The team's shared brain; where structured knowledge lands and lives.
Knowledge base →Voice-first input: dictate to every tool above at speaking speed, hands free.
Input layer →ACCESS, TEAM, CJR-X — the models decoded before your consultants read them.
The second lane →“Love your mix of technical understanding with clinical and business expertise. Very helpful in building the next generation of applications.”
“Love the tech play by an orthopedic surgeon. Brilliant.”
“Informative and useful insights for a health data CEO.”
“Your posts are super helpful and practical.”
The essays and setups stay free. Members get the working assets behind them — the things that save you time this week.
Membership at $180/yr includes the whole shelf plus everything else — that's the point.
The workflows are job-first and tool-neutral: most run in ChatGPT, Claude, NotebookLM, Codex, or Gemini. Each setup names the tool that does the job best today, with alternatives when the tools change.
Yes. Most setups take 15–25 minutes, require no coding, and are written for working clinicians. The Builder rung exists for people who want to go further.
$180 per year on Substack. That includes the full skills shelf, every update, member essays, the interactive editions, labs, and the policy toolkit.
Yes — batches are $79 each and the All-Access Pass is $250, one-time by Stripe with instant unlock. Membership includes the whole shelf for $180/yr, which is why most people choose it.
Every workflow ships with a privacy boundary: no PHI in consumer AI tools. Setups use de-identified inputs or your health system's covered enterprise instance, and the safety checklist is part of each installable skill.
Claude Cowork end to end: the learning loops that stick, the automations that survive contact with a real week, and by the final session an agentic chief of staff running your operations. Built from the exact system that runs mine. Subscribers hear first and get first seats.
No spam, no card — a seat in line and first word when doors open.
CMS payment models decoded within days of the rule dropping — the operator's read, not the press release's. The full live board, map, and engines live on the radar.
The MSK track is live. The question is no longer whether to participate — it's whether your referral network is ready.
The 12-part decode →Five surgical episodes, mandatory participation, real downside risk. Most affected hospitals still haven't priced their post-acute leak.
The operator playbook →Finalized July 31: essentially every IPPS hospital becomes accountable for hip, knee, and ankle episodes. The preparation window is open now.
The live radar →
I'm an orthopedic trauma surgeon, CEO and co-founder of RevelAi Health, and faculty at Duke's School of Medicine and the Margolis Institute for Health Policy. Everything taught here runs my actual week — the practice, the company, and this publication run on the same stack you're learning.
Want this thinking inside your organization? The Studio takes all comers — workflow builds, media, advisory, keynotes. One conversation starts it.
— Christian
Essays and workflows that respect your time and your intelligence. Free to read; membership opens the clubhouse at $180/yr.
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