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The Warmth of Medicine: The Irreplaceability of Doctors in the Era of Artificial Intelligence
1Department of Endocrine and Metabolic Diseases, Rui-jin Hospital, Shanghai Jiao Tong University School of Medicine; Shanghai Institute of Endocrine and Metabolic Diseases; National Clinical Research Center for Metabolic Diseases (Shanghai), 197 Ruijin Er Road, Shanghai, 200025, China, 86 13918221203, 86 21-64333548.
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This article argues that despite the remarkable advances of artificial intelligence (AI) in medicine -including demonstrated capabilities in image recognition, diagnosis, treatment planning, and even empathic communication in controlled settings-the core of medical practice remains irreducibly human. We identify three domains in which AI cannot replace doctors: the holistic, sensory art of clinical observation and intuition; the longitudinal, trust-based doctor-patient relationship built on genuine emotional connection; and the capacity to embrace clinical uncertainty, exercise moral responsibility, and make courageous decisions in the absence of algorithmic guidance. The intended audience includes clinical doctors, medical students, medical educators, and health policy makers navigating the integration of AI into practice. We conclude that preserving "AI-free clinical time" in medical training and safeguarding the humanistic dimensions of care are essential, and technology is to complement rather than diminish the healing arts.
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