Keep your head down. Don’t ask too many questions. Just finish your note and move on.
I heard a version of this command at every level of training and well into my attending practice, from colleagues, seniors, teachers, and administration. Most delivered the advice like it was some sort of hard-won wisdom, though it wasn’t. It was the sound of people who repeated the system’s rules because it felt like control.
Lately, I’ve noticed this same attitude creeping into the conversation regarding AI in medicine.
Don’t fight it, it’s inevitable. Better to be at the table than late to the party. Same cadence, delivery, and lack of understanding. Most of these people have no more say over how these tools are being built and deployed than any of us did over how our residency programs were run.
We keep talking about AI in medicine like it’s a new beast to apprehend and understand. In reality, it’s the same problem in a new skin, moving much faster than the versions before it.










