Speaking & Insights

Ideas worth bringing into the room.

A podcast, keynotes, and writing on clinical AI, physician leadership, governance, and Latino health, delivered in English or Spanish.

The A Doctor’s Journey Podcast

Conversations with the leaders redesigning healthcare.

Physicians, founders, and health system leaders on what it takes to move AI and innovation from promise to practice, and what has to change around the technology for it to matter.

Latest episode · April 2026 · 12 min

AI Scribes in Clinical Practice: Time, Trade-offs, and Talent

A JAMA study of 8,581 clinicians found 13 fewer minutes of EHR time per eight hours of clinic, yet after-hours charting didn’t move. Miguel separates signal from vendor hype and asks the harder question: who gets to keep the time AI creates?

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Featured conversations

AI & leadership · 46 min

Dr. Robert Pearl on AI’s role in healthcare

The former CEO of The Permanente Medical Group on generative AI, his book ChatGPT, MD, and the systemic changes medicine needs.

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Clinical AI · 46 min

Dr. Barry Chaiken on AI in clinical decision-making

Clinical decision support, algorithm bias, and the economics of AI adoption, with a healthcare innovation leader of more than 25 years.

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Cybersecurity · 41 min

Dr. Jose Bolaños on healthcare identity and security

An OB-GYN turned founder of Nimbus-T Global on protecting patient identity and health systems against cyberattacks.

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Innovation · 23 min

Dr. Uli Chettipally on physician-led innovation

The founder of InnovatorMD on AI in clinical decision-making and the communities physician innovators need to build what’s next.

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Digital health · 40 min

Dr. Enitza George on bridging medicine and technology

A department chair and former chief of population health on AI, digital health, and cultural competence in care.

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Med-tech · 25 min

Dr. Swarna Balasubramaniam, from surgeon to med-tech CEO

A colorectal surgeon and founder of Noleus Technologies on taking a medical device from idea to market.

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All episodes on Podbean

Signature topics

Three conversations healthcare leaders need to have.

01

From technology adoption to clinical transformation

Why AI scribes succeed or stall, and the workflow, measurement, and governance choices that decide which.

02

The physician in the boardroom

What clinical judgment adds to governance on quality, safety, compliance, and strategy, and how boards can put it to work.

03

Leading Latino health from the inside

Building bilingual, culturally fluent care and leadership pipelines, from employee resource groups to national fellowships.

Library

Talks, writing, and podcasts.

Speaking · InnovatorMD

AI Medical Scribes in Hospital Medicine: From Technology Adoption to Clinical Transformation

Results and lessons from the Cleo AI scribe pilot, and why workflow redesign drove the gains.

Request this talk

Speaking · Society of Hospital Medicine

High Value Care workshop, Hospital Medicine 2017

A national workshop on delivering higher-value inpatient care through better decisions and better systems.

Book a workshop

Speaking · National Hispanic Health Foundation

Latino health leadership

Leadership, equity, and the next generation of Hispanic physician leaders, as an inaugural cohort lead in the NHHF alumni network.

Invite Miguel

Teaching · University of Nevada, Reno

Guest lecturer, UNR PA Program

Community faculty teaching the next generation of clinicians about hospital medicine and collaborative practice.

Writing · Doximity Op-Med

Building a Bridge to Your Patient with AI

A language barrier on discharge day, and how AI can help physicians keep the human connection with their patients.

Read on Op-Med

Writing · Doximity Op-Med

Thriving Through Transitions: Lessons from a Hospitalist’s Journey

Hard-won lessons on leading yourself and others through the turning points of a medical career.

Read on Op-Med

Writing · Doximity Op-Med

Mastering Contract Negotiation: 10 Essential Tips for Physicians

A practical guide to negotiating terms that support both professional advancement and long-term well-being.

Read on Op-Med

Writing · PracticeLink

Articles on physician careers and leadership

Practical thinking on the leadership choices physicians face as medicine changes around them.

Editorial · The Hospitalist

Editorial Board, Society of Hospital Medicine

Served on the editorial board of SHM’s flagship publication from 2016 to 2018.

Podcast · Host

The A Doctor’s Journey podcast

Conversations with physicians, founders, and health system leaders on AI, innovation, and leadership.

Browse episodes

Podcast · Guest

The Podcast by KevinMD

A guest conversation on how thoughts shape emotions and perception, drawn from Miguel’s KevinMD article.

Visit KevinMD

Speak with Miguel

Bring Miguel to your stage, boardroom, or grand rounds.

Formats include keynotes, panels, workshops, grand rounds, and podcast interviews, in English or Spanish.

  • Health system boards & executive teamsAI governance, quality oversight, and physician engagement.
  • Physician groups & medical staffClinical AI adoption, documentation integrity, and leadership.
  • Digital health & AI companiesWhat physicians need before they adopt your product.
  • Associations & conferencesHospital medicine, Latino health, and the future of practice.

Start a conversation

Building a board, a clinical AI strategy, or a medical leadership team?

I welcome conversations about paid, nonprofit, and advisory board service, fractional CMO roles, clinical AI advisory, and speaking.