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The Differential That Never Gets Generated
1Department of Dermatology, Venereology and Leprosy, Government Medical College, Kota, Rajasthan, India.
Abstract:
Residents increasingly ask large language models to name a lesion before diagnosing it themselves. The practice contributes a specific harm: never-skilling, a phenomenon in which reasoning is never acquired, and is distinct from 'deskilling' or 'model error'. Forming a differential first is necessary but insufficient. Departments should require documented differentials, supervise disagreement, and examine unassisted reasoning.
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