Dr. Emily Alsentzer joins hosts Raj Manrai and Andy Beam on NEJM AI Grand Rounds to discuss the evolution of natural language processing (NLP) in medicine. A Stanford faculty member and expert in clinical AI, Emily shares her journey from pre-med to biomedical AI, the role of language models in medical decision-making, and the ethical considerations surrounding bias in AI. The conversation explores everything from the early days of rule-based NLP to the modern era of large language models, the challenges of evaluating AI in clinical settings, and what the future holds for open-source medical AI.