Doctors Who Code

By Chukwuma Onyeije, MD, FACOGMaternal-Fetal Medicine Specialist | Founder, CodeCraftMD | Atlanta Perinatal Associates Here’s the truth about being a physician-developer: you learn by breaking things on purpose. Earlier this week, I set up an OpenClaw agent on Cloudflare. Not because my clinical workflow desperately needed it. Not because I had some grand vision of […]

The Physician-Developer’s Blueprint for Rural AI That Works By Chukwuma Onyeije, MD, FACOGMaternal-Fetal Medicine Specialist & Founder, CodeCraftMD In Part 1, I showed you the math: $50 billion for AI “transformation” while cutting $137 billion from rural Medicaid. A textbook bait-and-switch where vendor-built “avatars” replace actual clinical capacity. But physician-developers don’t just identify broken systems. […]

How AI “Transformation” Became Cover for Abandoning Rural America By Chukwuma Onyeije, MD, FACOGMaternal-Fetal Medicine Specialist & Founder, CodeCraftMD The pitch sounds good if you don’t look too closely. Fifty billion dollars for “AI transformation” in rural healthcare. Digital assistants bringing 24/7 medical expertise to communities that can’t retain physicians. The promise of technology bridging […]

The history of medicine is, at its core, a history of how we manage information. For decades, Evidence-Based Medicine (EBM) has been our North Star—a rigorous framework designed to move us from “eminence-based” anecdotes to “evidence-based” certainty. It was a monumental achievement. But we are currently witnessing a quiet yet profound shift in the very […]

In the world of high-risk pregnancy, minutes matter. Whether we are managing a case of preeclampsia or coordinating a fetal intervention, the clinical stakes are immense. Yet, as a Maternal-Fetal Medicine (MFM) specialist, I’ve found that the biggest hurdle to patient care often isn’t the pathology—it’s the paperwork. Specifically, the Prior Authorization (PA). At CodeCraftMD, […]

By Chukwuma Onyeije, MD, FACOG – Maternal-Fetal Medicine Specialist & Founder of CodeCraftMD The Death of the “One-Size-Fits-All” Solution For the past two decades, medical software has been synonymous with monolithic platforms—Epic, Cerner, and their ilk—massive systems designed to serve every specialty, every workflow, and every conceivable use case. As physicians, we’ve learned to contort […]

Why I Finally Cancelled My UpToDate Subscription After 12 Years I just did something that would have been unthinkable five years ago: I cancelled my UpToDate subscription. For those keeping score, I’ve been an UpToDate subscriber for over twelve years. It was the clinical reference tool that lived in a perpetually open browser tab, the […]

Meta Description: A maternal-fetal medicine physician and developer addresses concerns about AI “legitimacy” in healthcare, distinguishing professional tool use from academic dishonesty and explaining why LLM-enhanced medical communication improves patient outcomes. Let’s Talk About the “C” Word: Cheating I’ve noticed something interesting in physician circles lately: there’s significant hand-wringing about whether using ChatGPT or other […]

When Clinical Insight Meets Personal Stakes I live at an unusual intersection. I’m a maternal–fetal medicine physician managing complex, high-risk pregnancies. I have long-standing type 2 diabetes. And right now, I’m training for my second half-marathon in two years. That combination creates a real, clinically relevant systems problem—one I face every morning when I lace […]

The adoption crisis in clinical AI isn’t technical — it’s generational. Here’s what 18 months building CodeCraftMD taught me about who actually uses physician-built tools. By Chukwuma Onyeije, MD, FACOGMedical Director, Atlanta Perinatal Associates | Founder, CodeCraftMDBuilding HIPAA-compliant AI tools for real clinical workflows I spent last Tuesday watching a third-year resident use ChatGPT to […]

Why Physicians Must Learn to Code: AI in Healthcare 2026 Meta Description (155 chars): A maternal-fetal medicine specialist explains why doctors who code are essential for safe AI integration in healthcare. Responding to Dr. Robert Wachter’s NYT essay. Primary Keywords: doctors who code, medical AI, physician developers, healthcare AI implementation, clinical AI tools Secondary Keywords: […]

January 18, 2026 The Weekend That Sparked Everything It was 11:47 PM on a Saturday night, and I was staring at my EMR screen trying to remember whether “threatened abortion” was O20.0 or O03.4. I had just finished a lengthy inpatient maternal-fetal medicine consultation—complicated monochorionic twin pregnancy, discordant growth, possible twin-to-twin transfusion—and now I was […]