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AAFP Guidelines

Primary Care AI Standard of Care: Clinical Decision Support, Diagnostics, and Liability

AI Enters the Primary Care Practice # Primary care represents perhaps the most consequential frontier for artificial intelligence in medicine. As the first point of contact for most patients, primary care physicians face the challenge of distinguishing serious conditions from benign presentations across every organ system, managing complex chronic diseases, and coordinating care across specialists, all while seeing 20-30+ patients per day. AI promises to enhance diagnostic accuracy, improve chronic disease management, and catch the “needle in a haystack” diagnoses that might otherwise be missed. But with this promise comes significant liability questions: When an AI clinical decision support system fails to suggest a diagnosis that a prudent physician should have considered, who is responsible?