How AI is reshaping oncologists' trust in their own clinical judgment
By
Joe Kita
Summary
This article explores how oncologists develop clinical intuition over years of practice and how the rise of AI in medicine is challenging that hard-won skill. Through the story of a young patient with metastatic pancreatic cancer whose unusual side effects led her oncologist, Dr. Arturo Loaiza-Bonilla, to trust his gut and order a liquid biopsy revealing a pharmacogenomic issue, the piece examines the tension between human judgment and machine-driven pattern recognition in cancer care. It raises questions about what happens to physicians' trust in their own instincts when AI systems begin doing the diagnostic heavy lifting.
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Key quotes
· 3 pulledIt was a terrible diagnosis for someone so young.
After 13-plus years in practice, Loaiza-Bonilla trusted his intuition that something didn't fit.
Oncologists spend years learning to trust their own judgment, an ability that marries intuition with reasoning. What happens to that hard-won skill when AI starts doing the pattern-matching for them?
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