๐จ AI wonโt replace doctorsโฆ but it can prevent them from learning how to think. A critical article in @NEJM shows that if introduced too early in medical training, it weakens clinical reasoning. โ A good doctor will always need critical thinking. N Engl J Med 2025;393:786 https://t.co/LHC2EgpEMW
How People Are Using AI For Medical Advice
In 2025, patients upload scans and histories to ChatGPT, ask o3 and Grok for differentials and test suggestions, and bring the outputs to their physicians for review. Posts describe corrected diagnoses, treatment changes, and doctor-approved next steps; clinicians also trial MAI-DxO and MedGemma on open-ended cases and multimodal records within a review workflow.
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๐๐ฌ๐ ๐จ๐ ๐ญ๐ก๐ ๐๐๐ ๐-๐๐ (๐๐ข๐๐ ๐ง๐จ๐ฌ๐ข๐ฌ, ๐๐ฏ๐ข๐๐๐ง๐๐, ๐ ๐๐๐๐๐๐๐ค, ๐๐ง๐ ๐๐๐๐๐ก๐ข๐ง๐ ) ๐ ๐ซ๐๐ฆ๐๐ฐ๐จ๐ซ๐ค ๐ญ๐จ ๐๐ซ๐จ๐ฆ๐จ๐ญ๐ ๐๐ซ๐ข๐ญ๐ข๐๐๐ฅ ๐๐ก๐ข๐ง๐ค๐ข๐ง๐ ๐๐ฎ๐ซ๐ข๐ง๐ ๐๐ง ๐๐ ๐๐ง๐ญ๐๐ซ๐๐๐ญ๐ข๐จ๐ง After recognizing an AI interaction, the educator engages the learner in a structured educational moment to discuss the interaction, evaluate it, provide feedback, and teach clinical reasoning, as well as the use of AI. The discussion encompasses the learnerโs clinical reasoning process and approach to using AI, including the prompts used. The educator probes the learner for the use of supporting and opposing evidence to evaluate the learnerโs clinical and AI knowledge. This process helps determine whether the learner used AI to replace clinical reasoning or to inform it and offers a window into the learnerโs AI literacy. The educator then guides the learner in reflecting on growth opportunities and encourages critical thinking about AI interactions and clinical reasoning. Finally, the educator provides focused teaching on using AI effectively, selecting the right tools, and refining prompts. The learner is encouraged to adapt the use of AI to the task, switching between reliance on AI output (cyborg strategy) and confirmation of AI output (centaur strategy). Learn more about this framework in the Review Article โEducational Strategies for Clinical Supervision of Artificial Intelligence Use,โ the latest in the Medical Education series, by Raja-Elie E. Abdulnour, MD (@BageLeMage), Brian Gin, MD, PhD, and Christy K. Boscardin, PhD, from @BrighamWomens, @harvardmed, @uiccom, and @UCSF: https://t.co/EdUr9EDqIZ