A journal on medicine

Medicine, examined.

Essays on the science, the practice, the philosophy, and the technology of learning to be a doctor — written from inside it.

Lead essay

The tired brain forgets

The brain that has not slept does not forget the way we imagine. It fails quietly, at the moment of encoding — long before recall is ever asked of it.

Medical science · 8 minRead essay →

Four ways into medicine

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Medical science

How the body works, and how we come to know it.

18 essays →

Productivity in medicine

Focus, systems, and stamina for clinical life.

12 essays →

Philosophy in medicine

Ethics, meaning, and the limits of care.

15 essays →

Technology in medicine

Tools, data, and the future of the clinic.

9 essays →

Featured

Latest essays

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Productivity

Systems for the ward

May 12, 2026 · 6 min read
Medical science

The physiology of stress, from the inside

May 6, 2026 · 8 min read
Technology

When the machine reads the scan

May 3, 2026 · 7 min read
Productivity

On memorizing ten thousand facts

Apr 28, 2026 · 5 min read
Philosophy

The patient as a person

Apr 24, 2026 · 6 min read
Medical science

What a fever is actually for

Apr 19, 2026 · 4 min read
The good physician treats the disease; the great physician treats the patient who has the disease.
— William Osler

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