About me

Hello, I’m Stephen M. Borstelmann MD. I am a Florida-based Board-Certified physician trained in Interventional Radiology and a father to three amazing children. My diverse professional journey spans clinical practice, administration, research, and most recently, the intersection of medicine and artificial intelligence (AI). Before I was a physician, I was an options trader on Wall Street – a ‘quant.’ Lately, I’ve been most well-known in the medical AI community (@drsxr across social media platforms) for my commitment to ethical and scientifically sound AI practices.

Leveraging my coding and quant stats skills from my trading days, I’ve ventured into machine and deep learning. This transition, driven by curiosity and a desire to enhance health and well-being through technology, has led me to advocate for algorithmically and statistically sound AI in medicine. I educate, lecture, and publish research to contribute to this rapidly evolving field always with an eye towards fairness and elimination of unwanted bias.

In the early days of the AI revolution, many physicians felt blindsided by predictions of AI replacing them within five years. A small group of us, familiar with these computing techniques, stepped forward to challenge these claims. We spoke to technologists and computer scientists in their language, advocating for a more balanced perspective. Today, physicians are integral to the AI conversation, designing AI algorithms for patient care improvement. This collaborative effort has been incredibly rewarding and underscores my belief in the power of diverse perspectives.

Selected publications include:

  1. Opportunistic detection of type 2 diabetes using deep learning from frontal chest radiographs in Nature Communications
  2. Validation of a deep learning value-based care model to predict mortality and comorbidities from chest radiographs in COVID-19 in PLOS Digital Health,
  3. Detecting racial/ethnic health disparities using deep learning from frontal chest radiography in the Journal of the American College of Radiology.
  4. Machine Learning Principles for Radiology Investigators in Academic Radiology

The current state of healthcare in the USA is challenging. Rising costs, administrative rigidity, and a growing knowledge gap among healthcare providers are pressing issues. Despite these challenges, advancements in pharmaceuticals have led to remarkable progress in treating previously untreatable diseases. However, the high costs of these treatments and accessibility issues persist. I believe AI has a significant role to play in addressing these challenges.

My mission remains clear: to advocate for scientifically sound AI algorithms in patient care. We have one chance to get this right, and any errors or biases we introduce into our AI systems now will impact us for decades to come. I’m committed to ensuring that the future of AI in healthcare is not only innovative but also ethical and beneficial to all members of society.

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