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When Useful Clinical AI Exceeds Meaningful Oversight
Jonas Ver Berne1,2, Reinhilde Jacobs3,4,5
1OMFS-IMPATH Research Group, Department of Imaging and Pathology, Catholic University Leuven, Leuven, Belgium.
Abstract:
Human oversight is widely invoked as a safeguard in clinical AI, yet it is often treated as a single, stable property. In practice, clinicians remain responsible for AI-assisted decisions without remaining able to meaningfully review the basis of the output. This tension becomes sharper as systems become multimodal, agentic, and cognitively ambitious. We propose a distinction between cognitive and normative oversight and discuss its implications for AI evaluation and deployment.
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