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Ed Gaudet
Foreign.
Welcome to Risk Never Sleeps, where we meet and get to know the people delivering patient care and protecting patient safety. I'm your host, Ed Gaudet.
Welcome to the Risk Never Sleeps podcast which we learn about the people that are on the front lines protecting patient safety and delivering patient care. I'm Ed Gaudet, the host of the program and today I am pleased to be joined by Jay Anders from Medicom Systems. And you're the cmio?
Jay Anders
I'm the cmo.
Ed Gaudet
Oh, cmo. Oh, yeah, I inserted an eye there. Sorry about that.
Jay Anders
I was one for another company, but that's okay now.
Ed Gaudet
Chief Medical or Chief Marketing?
Jay Anders
Chief Medical Officer.
Ed Gaudet
Medical Officer. All right, good. So you were close to CMIO then?
Jay Anders
Yeah, I was.
Ed Gaudet
All right, so tell us a little bit about yourself, your role in your current organization.
Jay Anders
Well, I'm an internist by training.
Ed Gaudet
Okay.
Jay Anders
I spent the first 20 years after residency being a general internist at a very large multi specialty group practice. And back in 2002, we decided to for our clinic to get into electronic healthcare.
Ed Gaudet
Okay.
Jay Anders
Back when it was more like read only. And yeah, yeah, many of the bells and whistles we go out now. So I was kind of in charge of that project, was president of that clinic for the last part of my career there and got shifted over into the EMR business. They wanted consultants, then they wanted a CMO. And I went from Integrated Systems to MED 3000 to McKesson.
Ed Gaudet
Oh, boy.
Jay Anders
And then McKesson kind of soured me on the big corporate stuff and then I moved over to Medicom Systems. I've known Dave Laro, the CEO, for 20 plus years. So that's how I wound up there. Got interested in this because when I was a resident, I have a computer science writer. When I was a resident, we tried to build an ER system using the old NeXT computer that Stephen John.
Ed Gaudet
Oh, sure.
Jay Anders
Boxes.
Ed Gaudet
Yeah, of course. Yeah.
Jay Anders
Spent a lot of money, did nothing. It didn't work. So that's how I kind of got interested in this part of the world.
Ed Gaudet
But a beautiful design, wasn't it?
Jay Anders
It was a gorgeous design.
Ed Gaudet
Yeah. All right, so you've been at the show for a couple of days. What's the big takeaway? What? Some of the things you've learned about AI. Oh, no, don't say the AI word. Okay. No, I'm just kidding.
Jay Anders
AI everywhere for everything. And we don't know where it's going
Ed Gaudet
to go right or how to use
Jay Anders
it or how to use it or
Ed Gaudet
work and go wrong.
Jay Anders
It's like mud Balls on the wall, how much one of those mud balls are going to stick. So, yeah, it's not deterministic in any way. It seems like they're throwing it at just everything.
Ed Gaudet
Yeah.
Jay Anders
Seeing what happens.
Ed Gaudet
How's Medicomp using it?
Jay Anders
MetaComp uses it more for internal purposes, and we've started now to use it a little bit more in the MCP world. So you can use an LLM to actually just do voice. Give me a command, decipher the command, then go into our system and produce the result for that command.
Ed Gaudet
Got it. Okay. So agents.
Jay Anders
It's like an agent. Yeah, it's very much like that.
Ed Gaudet
Yeah. Are you heading that way?
Jay Anders
Well, to be honest, not really currently, but the goal is, because the technology is there, we could actually do that and do it in such a way that we take all the hallucinations out of LLMs.
Ed Gaudet
That's cool. We need that, right?
Jay Anders
Absolutely right.
Ed Gaudet
This isn't a Grateful Dead show. We need no hallucinations, no mushroom intake. No mushroom intake.
Jay Anders
Right.
Ed Gaudet
Get out of those forests of Santa Cruz and. Right. How did you get into healthcare?
Jay Anders
I really started out as a music major in college.
Ed Gaudet
Oh, we're gonna have fun.
Jay Anders
Yeah. I was a trumpet player. French horn player.
Ed Gaudet
French horn, Yeah.
Jay Anders
I was gonna be music teacher as I grew up.
Ed Gaudet
Chuck Mangione. Was that your.
Jay Anders
Oh, yeah. One of my favorites.
Ed Gaudet
Nice.
Jay Anders
And I thought to myself, how am I going to feed myself? And I was always a science major in high school. So I went. I just shifted over to starting on that track I really liked it was fortunate enough to get into medical school, and the rest is history.
Ed Gaudet
Nice. Never look back.
Jay Anders
Never look back.
Ed Gaudet
All right, what do you. Over the next couple years, what are you most interested in from your organization's perspective, but also from the industry perspective, what are you looking at achieving over the next couple years as you think about your role?
Jay Anders
Well, interestingly, we've got a lot of new technologies out there. They're being used, and everybody thinks it's going to take care of physician burnout and reduce risk. It's going to. Just the opposite. Just the opposite.
Ed Gaudet
Really?
Jay Anders
Absolutely.
Ed Gaudet
We're going to create more risk and
Jay Anders
more burnout and more burnout. Because some of these systems. Well, the reason the burnout goes down is because these clinicians are not reading what their systems are producing. So you still have to be responsible for it. There is that, and then there's the risk of putting bad data into medical records. I mean, my wife was an example of that. The CTO of our company Was denied insurance because something got his medical record by error by one of these systems. So it's out there. And that's not good health care. Not at all.
Ed Gaudet
If you could go back in time and see your 20 year old self, what would you tell him?
Jay Anders
I would probably told myself to get involved earlier than I did.
Ed Gaudet
In what?
Jay Anders
And just in healthcare. In healthcare.
Ed Gaudet
Okay. And actually what were you doing at 20 years old?
Jay Anders
I was in college, of course.
Ed Gaudet
Okay.
Jay Anders
But you know, I would say apply yourself more, be more proactive with everything I was doing.
Ed Gaudet
Yeah.
Jay Anders
Because if you're a pre med student, you got your heads down. It's all you're doing, you're studying, you're trying to get all that stuff, raise your head up, start looking around and see how you can actually benefit somebody. Yeah.
Ed Gaudet
Interesting. Were you a chemist in biology and chemistry. Biology and chemistry.
Jay Anders
Okay.
Ed Gaudet
If you're not doing this job, what are you most passionate about? What would you be doing?
Jay Anders
You know, I probably would be out there volunteering. One of the things that I've always enjoyed doing and I've done medical mission work overseas is volunteering and helping people who really can't help themselves. So if I weren't doing this, and someday I'm going to retire, I'm going to start doing that and like Doctors Without Borders. Doctors Without Borders or I would even push patients around a hospital and talk to them, try to alleviate their anxiety as they're going from one test to another.
Ed Gaudet
Yeah, yeah. It's a pretty vulnerable state when you're in that wheelchair and someone parks you outside of a CAT scan area and you're sort of. And then leaves you. Right, right.
Jay Anders
You're all by yourself.
Ed Gaudet
It's happened to me in the Puerto Rican hospital on a trip when we were visiting Puerto Rico and I got sick and so I ended up in the General Hospital there.
Jay Anders
Wow.
Ed Gaudet
Yeah. But it's interesting that you say that though. The transport is really important part of care, you know.
Jay Anders
Oh yeah, yeah. People are scared to death. They don't know what's going to happen.
Ed Gaudet
People are scared to death.
Jay Anders
Yeah, yeah, yeah.
Ed Gaudet
You're on a desert island and you could, you said music. So you could bring five records with you. What would they be?
Jay Anders
Oh, gosh, they would all be smooth jazz.
Ed Gaudet
Smooth jazz.
Jay Anders
Smooth jazz. Paul Hardcastle, Chuck Mangione.
Ed Gaudet
Chuck Mancione.
Jay Anders
Let's see, David Benoit. No, that kind of, that whole genre.
Ed Gaudet
Really? Yeah.
Jay Anders
I'm a smooth jazz guy.
Ed Gaudet
Smooth jazz.
Jay Anders
My wife hates me for it, but I still am.
Ed Gaudet
What does she like? What does she look.
Jay Anders
Oh, she's classical.
Ed Gaudet
Classical. Classical music. Oh, okay. Like boxing.
Jay Anders
Oh, yeah, yeah.
Ed Gaudet
Nice. All that good stuff.
Jay Anders
Yeah.
Ed Gaudet
You ever hear Carl Orff, Carmina Barana? No. Okay. Just random. You also have your own podcast.
Jay Anders
Tell us about that. Well, I started that four years ago. It's. Tell me where it hurts. I t. Oh, information.
Ed Gaudet
Where it.
Jay Anders
Oh, I like that.
Ed Gaudet
I like that.
Jay Anders
It was kind of a whim almost, because I, you know, I said, well, we could probably do that. When I talked it over to one of the other guys in our company and we talked to Healthcare Radio and, oh, let's try it, and it just took off. So it's a lot of fun talking to people, as you well know.
Ed Gaudet
Yes.
Jay Anders
It's getting different perspectives and getting out of your own thinking realm, getting new ideas. So. Yeah, I really like it a lot.
Ed Gaudet
Yeah, it really is interesting because everyone's got a story, but I find that people sort of keep everything close. Right. And our jobs is sort of to get them to open up a little bit.
Jay Anders
Yep.
Ed Gaudet
And share.
Jay Anders
Right, exactly.
Ed Gaudet
A little bit about their story and their journey.
Jay Anders
And that's kind of the fun part.
Ed Gaudet
That's the fun part. All right, so tell us a secret about yourself. Yourself that nobody knows.
Jay Anders
Secretly. I would like to go back to flying. I have not flown airplane in. In years. What kind of plane? The single engine.
Ed Gaudet
Oh, okay. Like a Cessna or.
Jay Anders
Yeah, I'd like to go back to flying.
Ed Gaudet
Oh, okay. What did you like about flying?
Jay Anders
It's freedom.
Ed Gaudet
It is freedom.
Jay Anders
Yeah.
Ed Gaudet
Do you ever fly in your dreams?
Jay Anders
Sometimes.
Ed Gaudet
You're a lucid dreamer?
Jay Anders
Sometimes.
Ed Gaudet
Really?
Jay Anders
Yeah.
Ed Gaudet
All right. It doesn't happen often, but when it happens, it's kind of magical, kind of weird. That's kind of weird. Okay. What's the riskiest thing you've ever done?
Jay Anders
The riskiest thing I've ever done, now
Ed Gaudet
that you say you're a pilot, so.
Jay Anders
Well, that's not been missed jump out
Ed Gaudet
of a plane ever.
Jay Anders
I have done that.
Ed Gaudet
Oh.
Jay Anders
And I was in with the army rotc, and the instructor basically said, nobody in their right mind jumps out of a perfectly functioning aircraft.
Ed Gaudet
So you went to airborne school?
Jay Anders
Yeah. So it was like, okay. That's probably one of the riskiest things I've ever done.
Ed Gaudet
Well, thank you for your service. I also was army rotc.
Jay Anders
Well, I wasn't. I never got in the Army. I just. The ROTC part.
Ed Gaudet
Oh, you just did the. Oh, okay.
Jay Anders
So.
Ed Gaudet
Oh, you ever went in?
Jay Anders
Never went in.
Ed Gaudet
Okay. Did you wish you ever went in?
Jay Anders
Yeah, I had a Friend that went in.
Ed Gaudet
Yeah.
Jay Anders
And he was a tank commander, for heaven's sakes.
Ed Gaudet
Yeah.
Jay Anders
Which I'm really good friends with still.
Ed Gaudet
So what would you have done if you went in?
Jay Anders
I would have probably gone into flight school.
Ed Gaudet
Yeah. Okay. Cobras, the helicopters.
Jay Anders
Helicopters, Things like that.
Ed Gaudet
Nice. You ever repel out of a helicopter?
Jay Anders
Never repelled out of a helicopter, but I've repelled off a cliff.
Ed Gaudet
Do you hike?
Jay Anders
I hike all the time. Zion been designed. Angels Landing. I would not go up there.
Ed Gaudet
You're not too risky?
Jay Anders
I'm not that risky.
Ed Gaudet
What? Who's the most interesting guest you've had on your podcast?
Jay Anders
Probably the onc Mickey Tripathi.
Ed Gaudet
Mickey. I love Mickey.
Jay Anders
Yeah.
Ed Gaudet
Yeah.
Jay Anders
He was a great interview.
Ed Gaudet
He said Mayo now, right? Yeah, yeah, yeah.
Jay Anders
I had him on twice. Great conversation. Down to earth.
Ed Gaudet
He's a Boston guy.
Jay Anders
Yeah. Wonderful guest.
Ed Gaudet
Yeah. Where are you from that asking?
Jay Anders
Pittsburgh.
Ed Gaudet
Pittsburgh Steelers fan.
Jay Anders
Oh, you got to be Steelers. And if you live in Pittsburgh. Come on.
Ed Gaudet
Pirates fan.
Jay Anders
Sort of.
Ed Gaudet
Okay.
Jay Anders
They're not quite up the scale of the Steelers. Of course. Steelers are in Toronto.
Ed Gaudet
So were a hockey fan.
Jay Anders
Oh, absolutely.
Ed Gaudet
Did you see the usa?
Jay Anders
Yeah, absolutely.
Ed Gaudet
That was great, huh? That came.
Jay Anders
We have two Canadians in our company and we were kind of rubbing it in a little bit.
Ed Gaudet
I had a Canadian guest today on. I had to rub it in a little bit, too. That was just a little, right?
Jay Anders
Just a little bit.
Ed Gaudet
Yeah. Are you going to hymns? Yes.
Jay Anders
We'll be at hs.
Ed Gaudet
Okay. Do you have a booth or.
Jay Anders
We have a booth at him.
Ed Gaudet
You have a booth out here.
Jay Anders
We have one here too, as well.
Ed Gaudet
Yeah. Were you right in the main hall or.
Jay Anders
Yeah, we're 23, 29.
Ed Gaudet
Okay. How are the conversations going at the booth?
Jay Anders
Very good. Very interesting, too. What we talked about just a little bit before was people are starting to realize that LLMs can't cure everything. Yes. And they're flawed.
Ed Gaudet
Yeah.
Jay Anders
So how do you get around that? How do you really do what you want them to do and take the riskiness out of them?
Ed Gaudet
Yeah. Interesting plans for tonight. What are you doing?
Jay Anders
Having dinner with our company.
Ed Gaudet
Oh, where are you going?
Jay Anders
I have no idea where David set that up. I just follow the crowd.
Ed Gaudet
You just follow the crowd. I don't know if I asked you this question, but what would you be doing if you weren't doing this job?
Jay Anders
I weren't doing this job. Boy, that's a real hard question. I don't know what I would do. I've lived this so long. It's kind of interesting. I Probably would still be practicing medicine full time.
Ed Gaudet
Yeah.
Jay Anders
If I weren't doing what I'm doing in healthcare, it. I would probably still be. I enjoyed seeing patients a lot.
Ed Gaudet
When did you stop practicing?
Jay Anders
It's been about six years. Six. That's not too long, though, Right? But still, it's kind of part of your heart and soul when you get into medical school and that's what you do with your life. So, yeah, I would probably be back to practicing medicine.
Ed Gaudet
What advice would you share to someone that's graduating, that wants to get into medicine or healthc care? It.
Jay Anders
Or I would say go for it, number one.
Ed Gaudet
Yeah.
Jay Anders
But keep your heads up and be vocal. Step up. Tell them what you think. Especially if you're going to be a practicing physician and they're foisting on you some stuff that you may or may not be able to use. Tell them what you think.
Ed Gaudet
Take all the jobs you can get. Build the experience. Right.
Jay Anders
Build the experience.
Ed Gaudet
Find a mentor.
Jay Anders
I've had several, and that would be a great thing to do.
Ed Gaudet
Yeah. Biggest leadership lesson in your life.
Jay Anders
If you're going to fail, fail fast.
Ed Gaudet
Oh, that's a new one. Yeah, we always say that, too. That's good.
Jay Anders
Everybody says it, but it's like, okay, it's hard to do. Yeah.
Ed Gaudet
Because people are just generally afraid. Right, Right.
Jay Anders
They don't want to fail. Everybody wants to succeed. So it's. But if you're going to fail, do it quickly and move on to something else.
Ed Gaudet
Yeah. That's really good advice. Sage advice. All right, well, Jay, pleasure having you on. Thank you so much. Oh, you're very welcome. Podcast. Yeah. Best of luck in your podcast world at medicom. And we're going to wrap up. This is Ed Gaudette from the Wrist Never Sleeps podcast. From the front, protecting patient safety and delivering patient care. Remember to stay vigilant because risk never sleeps.
Thanks for listening to Risk Never Sleeps. For the show, notes, resources and more information and how to transform the protection of patient safety, Visit us@SenseInet.com that's C E N S I N E T. I'm your host, Ed Gaudet. And until next time, stay vigilant because risk never sleeps.
Host: Ed Gaudet
Guest: Dr. Jay Anders, Chief Medical Officer, Medicomp
Date: April 6, 2026
This episode centers on the intersection of artificial intelligence (AI) and clinical burnout in healthcare. Host Ed Gaudet speaks with Dr. Jay Anders, Chief Medical Officer at Medicomp, about whether the recent surge in healthcare AI might be intensifying rather than alleviating clinician burnout and risk. The conversation explores AI’s role in healthcare, its unintended consequences, personal career reflections, and practical advice for healthcare professionals.
Dr. Anders would advise his younger self to get involved in healthcare sooner and to be more proactive:
If not in medicine, he’d devote himself to volunteering, especially in contexts like Doctors Without Borders ([05:44]–[06:08]).
On the importance of the patient experience—especially the anxiety and vulnerability during hospital transports ([06:13]–[06:43]).
On AI’s Direction:
“AI everywhere for everything. And we don’t know where it’s going to go...” – Jay Anders ([02:21])
On AI's Flaws and Risk:
“Everybody thinks it’s going to take care of physician burnout and reduce risk—just the opposite.” – Jay Anders ([04:20])
On Leadership:
“If you’re going to fail, fail fast.” – Jay Anders ([12:55])
On Volunteering:
“If I weren’t doing this...someday I’m going to retire, I’m going to start [volunteering]...even push patients around a hospital and talk to them, try to alleviate their anxiety.” – Jay Anders ([05:44])
Light-hearted Moment about AI:
“This isn’t a Grateful Dead show. We need no hallucinations, no mushroom intake.” – Ed Gaudet ([03:13])
This engaging and candid conversation exposes the unforeseen risks behind the accelerating adoption of AI in healthcare, especially regarding clinical burnout and the integrity of patient data. Dr. Jay Anders’s eclectic journey—as a clinician, technologist, volunteer, musician, and podcast host—brings depth and humanity to the debate. For both healthcare professionals and digital health leaders, his perspective offers a crucial reminder: embrace innovation, but remain vigilant and vocal in the pursuit of patient safety.