Challenges and opportunities for generalist practice in the era of technology and AI.

F BorrellCarrió, Josep Vidal Alaball
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Abstract

After decades of specialization, new opportunities are opening up for general clinical practice thanks to three key tools: continuing education focused on transforming clinical habits, access to advanced technology at the service of each professional, and the use of artificial intelligence to support more personalized clinical reflection. These tools could empower physicians to offer more complex, evidence-based, and personalized care. Some erroneous beliefs about artificial intelligence -such as the idea that it will make studying unnecessary- are simply manifestations of resistance to change. However, it is also important to recognize the challenges it poses, such as the risk of over-reliance on its proposals or accepting them without critical judgment. In any case, the ultimate responsibility for the outcome of a consultation rests with the medical professional. Technological advances should complement, not replace, the humanistic values ​​of medicine. To make the most of these opportunities, it is essential to have continuing education, institutional support, and personal judgment based on clinical experience and semiological observation.

经过几十年的专业化,全科临床实践的新机会正在开放,这要归功于三个关键工具:专注于改变临床习惯的继续教育,为每个专业人员提供服务的先进技术,以及使用人工智能来支持更个性化的临床反思。这些工具可以使医生能够提供更复杂、基于证据和个性化的护理。一些关于人工智能的错误观念——比如认为人工智能将使学习变得不必要——只是抵制变革的表现。然而,认识到它所带来的挑战也很重要,例如过度依赖其建议或在没有批判性判断的情况下接受它们的风险。在任何情况下,对咨询结果的最终责任在于医疗专业人员。技术进步应该补充而不是取代医学的人文价值。为了充分利用这些机会,必须有继续教育、机构支持和基于临床经验和符号学观察的个人判断。
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