Chat, Cowork, Code, Skills, Plugins, and Prompts: what is what and when to use each

Practical. No hype. The most common mistake I see surgeons make with AI is using Chat for everything. Chat is fine. It’s where most people start and it’s a genuinely useful tool. But it’s one mode of one product, and using it for tasks that other modes handle better is like doing everything with a … Read more

How to get AI to sound like you

Practical. No hype. The first time I asked Claude to write a referral letter, it came back polished, professional, and completely wrong. Not factually — the clinical content was fine. But it didn’t sound like me. It sounded like someone who had read a lot of referral letters and written a composite. That’s not what … Read more

Claude vs ChatGPT vs Gemini vs Grok: a surgeon’s honest comparison

A closer look at the evidence. I used ChatGPT for about eight months before I switched. I’m not evangelical about it — plenty of people use ChatGPT well — but there were a few things that happened in quick succession that made me want to reassess, and once I looked properly, I didn’t go back. … Read more

Should I pay for Claude? Making sense of AI tiers

Practical. No hype. Most surgeons who ask me about AI assume the expensive tier is the right starting point. It usually isn’t. I made the same mistake: I paid for the top option before I understood what I actually needed. This post is the answer I wish I’d had before I spent any money. The … Read more