Paul Nathan Foster, MD

Paul Nathan Foster, MD, FACP

The next decade of medicine isn’t AI replacing doctors. It’s AI rebuilding the trust between doctors and patients. That’s what I’m building.

Internist · Team Wellness, Englewood Health · Hackensack University Medical Center

I'm a patient I'm a clinician
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A fireside chat

How to find new common ground with your doctor

"When they don't trust me, when they don't have that emotional bond, half of the work I do is helping people feel more secure with their illnesses. That's being deprived." — from the fireside chat

I've been an internist for 25 years. For most of that time, I've been haunted by a simple question: why do smart, well-trained doctors miss diagnoses? Not occasionally — routinely. Twelve million Americans experience a diagnostic error every year.

That research became TerrainDx — an AI system that doesn't replace the physician's judgment but maps the full diagnostic landscape so nothing gets lost. Where a typical encounter considers 3–5 possibilities under time pressure, TerrainDx maps 60–120, organized into navigable territories with clinical action lanes. It's built for two audiences: patients who are scared and searching at midnight, and clinicians who want to see what they might be missing.

I believe the next decade of medicine won't be about AI replacing doctors. It will be about rebuilding the trust between patients and physicians — and AI can be the bridge. That's what I'm building.

"Your doctor moves from being a magician who pulls their wisdom out of a hat into more of a mountain guide. You have a significant mountain to climb, and your doctor has the tools to walk you through it." — from the fireside chat

Background

Education
Harvard Medical School
University of Washington (Residency)
Board Certifications
Internal Medicine
Obesity Medicine
Current Practice
Team Wellness, Englewood Health
Hackensack University Medical Center
Research
25 years — diagnostic error, cognitive bias, clinical reasoning
Recognition
Fellow, American College of Physicians
Circle of Honor, Minogue Safety Innovations
Languages
English, Spanish
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