articleArtificial Intelligence ReviewAug 27, 2025HYBRID OA

AI-induced Deskilling in Medicine: A Mixed-Method Review and Research Agenda for Healthcare and Beyond

University of Applied Sciences and Arts of Southern Switzerland · University of Milano-Bicocca · +2 more institutions

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Abstract

Abstract The integration of Artificial Intelligence (AI) in healthcare is reshaping clinical practice, offering both opportunities for enhanced decision-making and risks of skill degradation among medical professionals. This growing impact calls for a comprehensive evaluation of its effects on medical expertise. This study presents a mixed-method literature review, combining systematic analysis with narrative synthesis to examine AI-induced deskilling and upskilling inhibition-the erosion of medical expertise and the reduction of opportunities for skill acquisition due to AI-driven decision support systems. Anchoring the discussion in the core medical competencies outlined by the Federation of Royal Colleges…

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