How I Doctor with Dr. Graham Walker

Inside the First Autonomous AI Prescription Program in America w/ Doctronic CMO Dr. Byron Crowe

Mar 12, 2026
Guest
Byron Crowe
Dr. Byron Crowe, internal medicine physician and Doctronic CMO who taught at Harvard and studies AI in medicine, discusses the nation’s first state-approved autonomous AI prescription renewal program in Utah. He explains AI-native care and Doctronic’s graduated autonomy model. They explore safety checks, regulatory sandboxes, clinician accountability, and how routine work could be reassigned as AI handles refills.
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INSIGHT

AI Augments But Does Not Replace Physician Moral Agency

  • AI systems cannot replace the moral agency of a licensed physician and should be treated as complementary technologies.
  • Doctronic pairs every AI interaction with access to a human doctor who assumes responsibility and can take the case to conclusion.
INSIGHT

AI Native Care Is A New Care Modality

  • Doctronic describes 'AI native care' as a new care model distinct from telehealth or async care with four components: AI chat, AI consult, human care, and autonomous care.
  • The AI consult produces a formatted progress note and differential before the clinician visit so physicians spend time on decisions, not data collection.
ADVICE

Use MedEval And Careworthiness Before Deployment

  • Evaluate models continuously using simulated 'AI patients' and a moral 'careworthiness' standard before deployment.
  • MedEval stress-tests specialties and patient types while careworthiness asks whether decisions can be reasonably defended retrospectively.
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