164: What Happens to Human Expertise When AI Takes Over in Medicine

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Will AI make doctors and specialists less skilled—or even replace them?

That’s the question I explore in this episode of DigiPath Digest #29. As someone working where AI meets digital pathology, I’m both excited and cautious about how automation shapes our skills and professional identity.

In this episode, I discuss two studies that ask tough questions about AI, expertise, and the future of medicine.

What I Talk About:

1️⃣ Endoscopist Deskilling After AI Exposure (Lancet, 2025)
A multicenter Polish study found that after frequent AI-assisted colonoscopy use, endoscopists’ adenoma detection rate dropped by ~6% when performing procedures without AI. It suggests overreliance on automation can subtly dull vigilance.

It reminded me of how we depend on GPS instead of remembering routes—or how driving an automatic car changes focus. Could medicine be facing a similar shift?

2️⃣ “Will My Expertise Be Devalued by Machines?” (Bangladesh, 2024)
Healthcare professionals shared concerns about:

• Job security and evolving roles 💼
• Ethics, accountability, and trust ⚖️
• Losing the human touch ❤️
• The need for AI training and oversight 📚

AI adoption isn’t just technical—it’s behavioral, cultural, and deeply human.

My Take:

I see AI as a partner, not a threat. I use it every day for research and content, but I never outsource judgment. AI can boost efficiency—but only if we stay curious, critical, and engaged.

We can’t let convenience replace competence. AI should augment our expertise, not erode it.

🌍 PathVision 2025 — Sept 5–7, 2025

I’m also thrilled to share that I’ll be livestreaming PathVision 2025 from September 5–7, 2025, on LinkedIn and YouTube! 🎥

This year’s conference is packed with innovations in AI, digital pathology, and cancer diagnostics. I’ll bring you live insights, interviews, and key takeaways from the sessions—so mark your calendars and tune in!

🧩 Key Takeaways

• Continuous AI use may lower independent performance.
• Professionals worry about trust, ethics, and losing skill.
• The goal isn’t to resist AI—but to use it critically and consciously.
• The best outcomes happen when AI and human expertise work together.

🕒 Episode Highlights

• 00:00–06:14 | Welcome & PathVision preview
• 06:14–17:46 | AI deskilling question
• 08:27–14:05 | Colonoscopy study results
• 27:11–38:10 | Healthcare workers’ AI concerns
• 43:59–51:05 | Reflections & responsible AI use
• 51:05–52:55 | Closing thoughts + PathVision invite

🧭 Mentioned

• Lancet Gastroenterology & Hepatology (2025): “Endoscopist deskilling risk after AI exposure”
• Bangladesh Study (2024): “Will my training be devalued by machines?”
• My Book: Digital Pathology 101 (Updated Edition Coming Soon)
• Event: PathVision 2025 – Sept 5–7, 2025 (Streaming Live!)

Thanks for listening to DigiPath Digest #29! I hope it inspires you to think critically about how we can embrace AI without losing what makes us human.

And don’t miss PathVision 2025 (Sept 5–7, 2025)—I’ll be streaming it live for three days of insights, innovation, and community. Let’s keep learning and leading the future of digital pathology tog

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