AI与医生的关系并非替代而是“共生”

Core Viewpoint - The integration of AI in the medical field is significant, but it will not fully replace doctors in the foreseeable future, as human doctors possess unique qualities that AI lacks [2][4]. Group 1: AI Applications in Healthcare - AI has a wide range of applications in healthcare, including converting consultation records into standardized medical records, providing follow-up services, assisting in the screening of eye diseases, and enabling precise surgical interventions [2]. - AI excels in standardized and procedural tasks such as image interpretation, document processing, and health inquiries, becoming a "digital ally" for doctors [2]. Group 2: Limitations of AI - Current AI technologies, particularly large language models, rely on external inputs rather than intrinsic motivation, and they lack true reasoning and causal understanding [2]. - The "black box" nature of AI raises concerns about its interpretability, and it cannot take responsibility for its actions, which is a critical aspect of medical practice [2]. Group 3: Role of Doctors in the AI Era - In the future, doctors will serve as clinical decision-makers, weighing complex factors such as risks, expectations, and economic pressures to make final choices [3]. - Doctors will also act as process designers and communicators, engaging in deep interactions, value choices, and ethical judgments during treatment [3]. - Additionally, doctors will be safety supervisors, responsible for maintaining boundaries in situations with imperfect data and high medical risks [3]. Group 4: Evolving Expectations for Doctors - The AI era will raise the bar for doctors, requiring them to understand, utilize, and explain AI technologies as part of their basic competencies [4]. - Enhanced clinical decision-making and system thinking skills will be essential, along with improved communication abilities and humanistic qualities [4]. - Cross-disciplinary collaboration, process re-engineering skills, and heightened awareness of regulations, ethics, and safety will also be crucial for future doctors [4]. Group 5: Coexistence of AI and Doctors - The relationship between AI and doctors is characterized by coexistence rather than replacement, with doctors expected to be discerning decision-makers, empathetic communicators, and practitioners aware of technological boundaries [4].