Abstract:
The future of healthcare will not be built by doctors alone. It will be shaped by a
new generation fluent in medicine, engineering, AI, and human systems thinking -a generation able to troubleshoot complex, living systems with the precision of science and the empathy of care.
Troubleshooting Humans in the Age of AI is a playbook for that future.
Blending decades of participatory medical practice with cutting-edge digital tools, it introduces Patient Journey Records (PaJRs), Case-Based Blended Learning Ecosystems (CBBLE), and User-Driven Learning Community Ontologies (UDLCOs) as practical frameworks for uniting clinicians, patients, caregivers,
technologists, and educators in co-creating solutions.
Through real-world case studies and hands-on problem-solving, readers will learn how to harness AI for diagnosis, integrate genomic and device data into care, and embed evidence-based decision-making into every stage of the patient journey —whether in hospitals, clinics, or home-based care settings.
More than a manual, this book is a mission blueprint for those ready to bridge disciplines and reimagine how humans heal together. It is written for medical, engineering, and science students and practitioners who will not only witness, but create, the next chapter of medicine.
In one sentence, describe your book:
A guide to uniting clinicians, patients, caregivers, engineers, and scientists in
troubleshooting human systems through AI, evidence, and participatory medicine.
OR
Uniting patients, doctors, caregivers, engineers and scientists to shape the
multidisciplinary, AI-enabled medicine of tomorrow.
Please write a few paragraphs about your book which can be used for
promotion. Think about – what’s unique, different, engaging. What sort of people
might want to read it, and why.
In the near future, healthcare will no longer be the exclusive domain of doctors.
Engineers, scientists, AI systems, patients, and caregivers will work side-by-side with doctors, co-creating solutions for complex human problems.
Troubleshooting Humans in the Age of AI is the first playbook to prepare readers for that future — a future where the boundaries between medicine and engineering dissolve into a
single discipline of human systems troubleshooting.
What makes this book unique is its synthesis of three powerful ideas:
medicine as a multidisciplinary endeavor, medicine as a participatory act, and medicine as an evidence-driven science. Drawing on decades of real-world practice, it introduces frameworks such as Patient Journey Records (PaJRs), Case-Based Blended Learning Ecosystems (CBBLE), and User-Driven Learning Community Ontologies
(UDLCOs) - practical tools for weaving together patient narratives, AI-enabled
diagnostics, genomic data, and clinical expertise into a shared decision-making
process.
This is not a theory-heavy academic text, nor a technology manual. It is a hands-on guide for those who will practice and lead the medicine of the future: medical,
engineering, and science students; young practitioners; educators; and innovators who see healthcare as a collaborative system rather than a hierarchy.
Whether you are a student preparing for a career at the intersection of medicine
and engineering, a doctor adopting participatory care, a biomedical researcher advancing genomic medicine, a patient or caregiver using connected devices at home, a health-tech innovator building AI-enabled solutions, or a hospital leader driving digital transformation, this book offers actionable frameworks and an
inspiring vision for creating the multidisciplinary, patient-centered healthcare systems of the future.
Please list draft Table of Contents:
Table of Contents:
Preface – The Dissolving Boundaries
● A vision for a single discipline of human/animate systems troubleshooting
— where medicine, engineering, and patient intelligence merge.
Introduction – Your Mission in the Age of AI
● Why the next generation must think beyond “doctor” or “engineer.”
● From expert-driven to collaborative, multi-actor problem-solving.
● How to read and use this playbook.
Part I – Why the Old Maps No Longer Work
1. When Medicine Met Its Limits
● Complexity, chronic disease, and data overload.
● The disappearing family physician and the rise of self-informed patients.
● The low doctor-patient ratio and why participation is no longer optional.
2. The First Bridges Between Worlds
● Engineering labs in hospitals, hospitals in engineering schools.
● Early successes: AI in radiology, low-cost CAR T-cell therapy, portable
devices.
● Patients as early adopters — from home monitoring to AI-driven
self-diagnosis.
Part II – The New Discipline of Troubleshooting Humans
3. Principles of Multidisciplinary, Participatory Medicine
Why every complex problem needs mixed minds.
● The role of clinicians, engineers, scientists, patients, caregivers, and AI.
● The ethics of shared cognition.
4. Frameworks for a Shared Brain
● Patient Journey Records (PaJRs) — narratives as clinical infrastructure.
● Case-Based Blended Learning Ecosystems (CBBLE) — learning in
communities.
● User-Driven Learning Community Ontologies (UDLCOs) — structuring
knowledge for scale.
5. The Tech That Makes It Possible
● AI for pattern detection and decision support.
● Genomic medicine for personalized care.
● Devices, wearables, and the sensor-rich patient home.
● Secure, interoperable systems.
Part III – The Playbook in Action
6. At the Bedside and Beyond
● Using PaJRs to capture patient experience in wards, clinics, and homes.
● Integrating patient-generated data into hospital systems.
● Protecting privacy and consent in participatory care.
7. In the Classroom and the Lab
● Redesigning medical and engineering education for joint problem-solving.
● Teaching evidence-based thinking with real patient data.
● Gamification and peer-led knowledge building.
8. From Stories to Systems
● Converting narratives into structured ontologies.
● Linking to medical literature and existing knowledge bases.
● Creating reusable, scalable decision-support tools.
9. Scaling Across Institutions
● Hospital-to-hospital learning networks.
● National health stacks and public digital infrastructure.
● Global-to-local adaptation of solutions.
10. Risks, Safeguards, and the Precautionary Playbook
Understanding risks: bias, privacy breaches, over-reliance on AI, unequal
access, and legal or institutional challenges.
● Human risks: burnout, trust erosion, and unintended consequences of
shared cognition.
● Practical safeguards: structured SOPs, consent frameworks, ethical
guardrails, and data governance.
● Templates and examples: step-by-step precautions with space for local
adaptation and creative implementation.
● Real-world lessons from cases where risks materialized — and how they
were mitigated.
Part IV – The New Metrics and Leadership Mindset
11. Metrics That Matter & Leadership in Participatory Medicine
● How to measure participation, impact, and learning.
● From adoption to outcomes: tracking what improves care.
● Building cross-disciplinary teams.
● Nurturing a culture of open, iterative learning.
● Case studies of transformation in practice.
Conclusion – The Future of Thinking in Medicine
A call for openness, experimentation, and collaboration between humans and
machines to create care that is intelligent, equitable, and deeply human.
Manuscript information
Estimated word count: 200,000 words
(should be between 35,000 and 200,000 words)
If accepted, when do you expect this title to be complete?
15th November 2025 (might be completed before this)
Second draft July 2025:
Title: Participatory medical cognition 0.0-3.0 and beyond
First draft April 2025:
Thanks for your valuable feedback around topics that we associate with what we label as medical cognition and it would be a pleasure to invite you to join our book writing team on a book titled, "Participatory Medical cognition Web 2.0-3.0 where we are currently drafting a proposal for Cambridge publishers.
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