AI in the clinic: the risk of physician deskilling and strategies for its mitigation
Introduction: The rapid integration of artificial intelligence (AI) systems into healthcare, while improving diagnostic and therapeutic efficiency, raises serious concerns regarding the long-term impact on physicians’ professional competencies. A central risk is deskilling – the gradual and irreversible loss of clinical skills resulting from excessive reliance on automated systems. Objective: To analyze the potential mechanisms of AI-induced deskilling, assess the feasibility of its objective diagnosis, and propose possible solutions to this problem. Materials and Methods: This brief review examines latest scientific publications addressing the influence of AI on physicians’ professional activities. The analysis focuses on three key aspects of clinical practice: physical examination, diagnosis, and patient communication. Additionally, a specific empirical case is examined in detail, in which objective quantitative metrics were employed to assess skill degradation. Results: The key mechanisms of AI’s negative impact were identified, including the degradation of manual skills, the «illusion of accuracy», «automation-induced bias», and the weakening of diagnostic reasoning, empathy, and moral competence. The evidence presented indicates that prolonged AI use can lead to a statistically significant decline in clinical performance, as substantiated by objective data such as a reduced adenoma detection rate during colonoscopy. Proposed solutions encompass the transformation of medical education, optimization of physician workflow, implementation of automated attention-monitoring systems, and a transition toward personalized competency maintenance programs. Conclusion: Minimizing the risks of deskilling requires a systematic, rather than ad hoc, integration of AI into medicine, grounded in principles of ethics and pedagogical soundness. The central task is to create an environment in which technology serves to augment, rather than replace, human expertise, thereby preserving the balance between technological progress and the humanistic essence of medical practice.