Core Insights - The latest research published in The Lancet Gastroenterology & Hepatology highlights a paradox in the application of artificial intelligence (AI) in healthcare, suggesting that tools designed to enhance diagnostic capabilities may inadvertently erode the independent diagnostic skills of physicians [1][3]. Group 1: Research Findings - A study conducted in four endoscopy centers in Poland focused on colonoscopy, a key method for screening and preventing colorectal cancer. The study involved 19 experienced endoscopists who underwent a baseline assessment of their adenoma detection rate (ADR) without AI assistance, which was recorded at 28.4% [4]. - After three months of using an AI-assisted polyp detection system, the same physicians' independent adenoma detection rate dropped to 22.4%, representing a 6% absolute decline and a 20% relative decline, providing clinical evidence for concerns about AI leading to skill degradation among doctors [4][5]. Group 2: Cognitive Offloading Concept - The phenomenon observed in the study aligns with the psychological concept of "cognitive offloading," where reliance on external tools can lead to a decline in cognitive functions. This is similar to the effects of GPS on spatial memory, where over-reliance on navigation tools diminishes the brain's ability to form cognitive maps [6]. Group 3: AI as an Enhancer - Despite concerns, the prevailing view in the medical community is that AI has the potential to enhance rather than replace physicians. AI can significantly improve diagnostic efficiency and accuracy, as evidenced by the overall adenoma detection rate being maintained with AI assistance [8]. - AI can relieve physicians from repetitive tasks, allowing them to focus more on patient interaction and care, thus returning to the essence of medicine [8]. - AI serves as a powerful training tool, providing a safe and efficient learning environment for young doctors through simulation of numerous cases, enhancing their skills and risk management capabilities [8]. Group 4: Balancing AI Integration - The key to leveraging AI lies in how and when it is used. Medical and educational sectors must explore a cautious integration path to ensure that AI benefits human health without compromising core skills [9]. - Future medical education should emphasize critical thinking and metacognitive skills, ensuring students understand AI algorithms' principles, advantages, and limitations [9]. - Establishing "offline training" mechanisms for physicians, similar to pilots' manual training, can help maintain and strengthen their core professional skills [9]. - AI systems should be designed for human-machine collaboration, where AI acts as an interactive co-pilot, providing suggestions while leaving decision-making and core operations to physicians [9]. Group 5: The Essence of Medicine - The essence of medicine lies in the combination of scientific knowledge with human wisdom, experience, and empathy. While AI is a powerful engine for medical advancement, it is crucial to ensure that human physicians remain at the forefront, maintaining their skills and awareness as they navigate the future [10].