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The Real Ethics of Using AI in Medicine: What No One’s Saying (But You Need to Hear)

The Real Ethics of Using AI in Medicine: What No One’s Saying (But You Need to Hear)

September 08, 20253 min read

You’re not just using AI. You’re holding a loaded tool.


The Real Ethics of Using AI in Medicine: What No One’s Saying (But You Need to Hear)

Let’s Cut to the Chase

AI is exploding in medicine.

It’s writing patient letters, summarizing research, and even helping diagnose.

But here’s the uncomfortable truth:

You can use AI every day and still screw it up.

Not because you’re unethical — but because no one’s telling you how high the stakes really are.


The Real Ethics of Using AI in Medicine: What No One’s Saying (But You Need to Hear)

Ethics in AI Isn’t About Being “Good” — It’s About Being Smart

You want to protect your patients. Your license. Your reputation.

And if you think ethics is some optional “compliance” box… you’re playing with fire.

So let’s talk about the 4 real rules of ethical AI use — no fluff, no policy-speak.


1. If You Don’t Understand the Tool, Don’t Use It.

You wouldn’t use a new medication without knowing how it works.

So why use an AI model you’ve never questioned?

Ask:

  • Where does this data come from?

  • Can it hallucinate?

  • Is it HIPAA-compliant?

Ignorance isn’t ethical. It’s risky.


2. If You’re Not Telling the Patient, You’re Already in Trouble.

AI-generated notes? Videos? Instructions?

If your patient doesn’t know AI played a role, you’ve crossed a line — even if unintentionally.

Bottom line: Patients have the right to know who or what is helping make decisions.


3. If It’s Replacing Thinking, You’re Doing It Wrong.

AI should support you, not think for you.

The moment you stop questioning its output is the moment you become a liability — to your patients, your team, and your profession.

Use AI to accelerate, not autopilot.


4. If You’re Not Checking for Bias, You Might Be Spreading It

Many AI tools weren’t trained on diverse populations.

Which means? They may not see your patients — not accurately.

That’s not just a tech problem. That’s a trust problem.


The Real Ethics of Using AI in Medicine: What No One’s Saying (But You Need to Hear)

Here’s the Good News: You’re the Firewall

You don’t need a PhD in machine learning.

But you do need a healthy dose of skepticism and a strong sense of responsibility.

Because here’s what no AI will ever replace:

Your clinical intuition. Your ethics. Your judgment.

That’s your power. Don’t outsource it.


Real Talk Action Plan

  • Use one AI tool. Learn it well. Ask the hard questions.

  • Always disclose when AI is part of the care process.

  • Never copy/paste without reviewing.

  • Be the physician who questions the algorithm — not the one who follows it blindly.


The Real Ethics of Using AI in Medicine: What No One’s Saying (But You Need to Hear)

Coming Next: From Burnout to Balance

This series continues with our next piece:

“From Burnout to Balance: How Physicians Are Using AI to Redesign Their Careers”

Until then, don’t aim to be perfect. Aim to be aware, sharp, and in control.

AI is powerful. But you’re still the one holding the stethoscope.


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blog author image

Miguel Villagra, MD, FACP, FHM

Internal Medicine physician who practices Hospital Medicine and is passionate about Physician Wellness and Entrepreneurship. He has several side gigs including Telemedicine, Real Estate and a Coaching Program.

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