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Clinicians and AI use

Where is the professional guidance

Bibliographic Data

ID21515158
AuthorsHelen Smith (0000-0003-2212-2781, University of Bristol, corresponding author), John Downer (0000-0003-0936-3628, University of Bristol), Jonathan Ives (0000-0002-5233-5000, University of Bristol)
Year2024
Volume50
Issue7
Pages437-441
Publication date2024-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Medical Ethics (JOURNAL)
Journal identifiersISSN: 0306-6800 • E-ISSN: 1473-4257
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/jme-2022-108831
PMID37607805
OpenAlexW4386070426
LanguageEN
Citations received4
References cited8

With the introduction of artificial intelligence (AI) to healthcare, there is also a need for professional guidance to support its use. New (2022) reports from National Health Service AI Lab & Health Education England focus on healthcare workers’ understanding and confidence in AI clinical decision support systems (AI-CDDSs), and are concerned with developing trust in, and the trustworthiness of these systems. While they offer guidance to aid developers and purchasers of such systems, they offer little specific guidance for the clinical users who will be required to use them in patient care. This paper argues that clinical, professional and reputational safety will be risked if this deficit of professional guidance for clinical users of AI-CDDSs is not redressed. We argue it is not enough to develop training for clinical users without first establishing professional guidance regarding the rights and expectations of clinical users. We conclude with a call to action for clinical regulators: to unite to draft guidance for users of AI-CDDS that helps manage clinical, professional and reputational risks. We further suggest that this exercise offers an opportunity to address fundamental issues in the use of AI-CDDSs; regarding, for example, the fair burden of responsibility for outcomes

Health care · Health professionals · Medical education · Political science · Professional association · Public relations · Artificial Intelligence in Healthcare and Education · Healthcare cost, quality, practices · Law · Medical Malpractice and Liability Issues · Medicine · Psychology

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    Isaac Jarratt Barnham•Journal of Medical Ethics•2025

  • Physician role transformation in AI-driven healthcare

    Open Access•Ali Zaher, Verma Prikshat et al.•Technological Forecasting and…•2026

  • The competence paradox

    Open Access•Llewellyn Ellardus Van Zyl•AI & Society•2026

  • Developing professional ethical guidance for healthcare AI use (PEG-AI)

    Open Access•Helen Smith, Jonathan Ives•AI & Society•2025

  • An overview of clinical decision support systems

    Open Access•Reed T Sutton, David Pincock et al.•npj Digital Medicine•2020

Unique citing works4
Citations per year4
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3

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Open DOIOpen Access
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