I'm R. Logan Jones, MD, FACP — a hospitalist, medical educator, governance tinkerer, and tech-minded future thinker. I’m an Associate Professor of Medicine at Oregon Health & Science University, and most of my work sits at the intersection of clinical reasoning, AI, CBME, and the policy and governance structures shaping the medical profession.

I built this site because too many meaningful ideas in medicine don’t fit into journals or the glacial pace of academic publishing. The profession is shifting fast — AI, competency frameworks, political economy, identity formation — and we need places to think out loud, without paywalls or permission structures [essay]. 

This is where I explore how clinical reasoning is changing in the age of AI, how we build and assess competence, how policy and governance shape our work, and what it will take to prepare clinicians for the next era of care.

Here you’ll find long-form essays, conceptual papers, and frameworks that don’t fit neatly into traditional journals but matter for the future of medical training, practice, and governance.

Clinical Reasoning

Management reasoning, diagnostic reasoning, uncertainty navigation, and how AI is reshaping the cognitive work of bedside medicine.

AI in Medical Practice

Opportunities, risks, governance, evaluation, and the emerging competencies clinicians need to practice safely with AI tools — including ambient AI, decision-support systems, and automated documentation.

CBME & Entrustment

EPA-based assessment, decision science, and the design of systems that are transparent, fair, meaningful, and actually usable by busy clinicians and learners.

Policy & Governance

The structures, incentives, politics, and power dynamics that shape physician identity, health systems, and the profession’s future.

Professional Identity

How physicians learn, grow, “give a damn,” and stay human in systems that often erode the very traits that bring people into medicine.