
I consider infectious disease specialists to be, in general, the smartest non-procedural medical specialists. They are often called in to consult on a hospitalized patient who’s already been evaluated by three or four other doctors, but just isn’t responding to treatment and may have an underlying atypical infection.
Dr. Mark Crislip is a retired infections disease doc who is highly intelligent and a good writer. I don’t know him personally but have had the pleasure of working with a few like him throughout my career (shout out to Dr. Kara Asbury). Here’s what he thinks of the intrusion of AI – artificial intelligence – into medical practice.
I really think we are heading into a world where doctors are going to be mediocre at best. There are many articles about how kids today (remember, I am an old geezer) are unable to read books or even sit through a whole movie. You wonder how they are going to master, yes, master, the immense amount of information, all in dense, dry, complicated, technical textbooks, required just to get through medical school, much less become proficient in whatever medical specialty field they choose.
Now? All the cognitive processing will be offloaded into AI. And people will take the path of least resistance, in the process acquiring only the facade of understanding. And if the AI hallucinates? They are not going to know enough to recognize it.
So there will be three kinds of doctors slowing evolving into one.
A few old geezers like me who will mostly avoid AI. I say mostly. I wouldn’t mind if AI generated my billing codes. But that is it. But their medical mind will remain sharp and be wielded like a samurai blade.
Most current MDs will take the path of least resistance, use AI and their mind will be increasingly rusty and dull and at some point be useless.
And those brought up on AI? Their minds will be plastic sporks. Enshittified from the start.
I recommend you read the whole thing, especially if you’re a physician. Plus he takes a few jabs at EMRs (electronic medical records).
—–Steve Parker, M.D.


