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. 2023 May 18;7:e46020. doi: 10.2196/46020

Table 2.

Core category [Functions that will still be expected of human doctors].

Category and subcategory Code
Partial replacement possible

Clinical reasoning
  • AIa presented a range of options with evidence will be limited



Information provision
  • Physicians can skillfully communicate information

  • Unlike AI, physicians can tell detailed stories using colors and shades that AI does not possess


Excellence stability
  • AI cannot respond by considering subtle changes over time

  • AI is not good at advancing treatment by taking into consideration the progress


Communication
  • It is difficult for AI to build a trusting relationship through emotional exchanges

  • AI cannot intervene in doctor-patient relationship

  • AI cannot match the power of medical services coordinated by various professionals

  • AI lacks appropriate altruism

Difficult to replace

Value-based Commitment
  • AI cannot provide personalized recommendation

  • If the AI proposal differs from that of the physician, then the result should be consulted with a different physician

  • AI may not be able to reflect its own values in providing explanations


Emotion sensing
  • Only the physician can listen and alleviate anxiety

  • It is difficult for AI to deal with patients having suicidal ideation

  • AI cannot adjust the degree of listening

  • Physicians are more adept in providing healing and energizing patients


Sense sensing
  • AI is not good at taking into consideration general appearance

  • AI is not good at medical treatment related to pain


Responsibility
  • The final decision cannot be delegated to AI

  • Physicians have the role to approve AI proposals


VUCAb agenda
  • The attitude of being concerned about complex problems will become important for physicians in providing medical services

  • The physician must have the status of an advisor for the final decision

  • It is a good idea that the physician takes the role of providing healing in the information society

  • Physicians can perform the work that AI cannot perform

  • Advice from the physician who knows the patient through continuous treatment will be useful in the AI era

  • AI cannot provide medical services that have associated uncertainty

aAI: artificial intelligence.

bVUCA: volatility・uncertainty・complexity・ambiguity.