The Second Doctor in the Room: How AI Catches What You Miss
For solo practitioners, nocturnists, and locums, Dr. Mike Massoud explains how Mouse AI provides a second set of eyes—integrity review, differential support, and a real PE case caught from a pneumonia note.
Hospital medicine is often a solo sport—especially on overnight shifts when there is no resident to check your thinking. Dr. Mike Massoud built Around Notes to provide a second set of eyes that never gets tired.
Who This Is For
This matters most for solo practitioners, nocturnists, and locum physicians who carry clinical decisions alone. The benefits aren't abstract: patient safety, a secondary integrity review, and less anchoring bias when you're the only doctor in the building.
Introducing Mouse AI
Around Notes includes a built-in integrity review called Mouse AI. Unlike standard scribes, it is a separate, critical model that compares your draft against raw chart data—not just polishing prose, but asking whether the note matches the evidence in front of you.
Mouse AI is designed to work alongside your judgment, not replace it. Think of it as documentation with a built-in safety pass before you sign.
What Mouse AI Checks
- Differential diagnosis support — Suggests differentials you might have missed when the presentation doesn't quite fit a single story.
- Data consistency — Flags contradictions between your plan and objective lab results or imaging already in the chart.
- The "chief resident" model — It doesn't replace physician thinking; it challenges it, much like a good chief resident during morning report.
A Real-World Save
Mike shares an example where Mouse AI flagged a community-acquired pneumonia note. The AI noted that the combination of pleuritic pain and hypoxia—both documented in the HPI—warranted consideration for a pulmonary embolism (PE). After checking a D-dimer and imaging, a PE was confirmed.
That's the difference between a note that reads cleanly and a note that keeps you honest against the data you already collected.
"With AI tools, I have this extra buddy who watches my work. Sometimes it stops me cold... I read the flag and I think: I missed that. That changes my management."
On nights when no one is double-checking your work, that kind of pause can be the most valuable moment of the shift.
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About the Author
Dr. Micheal Massoud
Founder & Hospitalist | Wharton EMBA
Physician, founder, and Wharton Executive MBA candidate with roots in military medicine and a mission to make healthcare human again. Former Air Force officer who practiced hospital medicine across the globe and founded Around Notes—an AI-driven platform that helps hospitalists write better notes, faster. At Wharton, I'm bridging healthcare, technology, and leadership to create tools that amplify clinicians, not replace them.
