Agentic AI in Dermatology: A Call to Action

Artificial intelligence (AI) tools are shifting from passive, user-initiated tools to proactive agentic AI systems that are capable of autonomous, multi-step actions. These agents can independently gather information, execute sequential tasks, and collaborate with humans or other agents without requiring constant prompting from humans. Early adopters in health care have demonstrated early feasibility across multiple specialties and clinical settings. Dermatology is well-positioned to benefit given its high patient volumes, administrative burdens, and clinicopathological workflows. To guide responsible adoption of agentic AI, we propose a risk-stratification framework based on clinical risk and task reversibility. Barriers to widespread adoption of agentic AI include limitations in model reliability, interoperability across health records, and unresolved questions around liability, privacy, and regulation. Dermatologists must proactively engage via professional organizations and industry partnerships to ensure that agentic AI is developed safely, equitably, and in alignment with our values.