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AI could help doctors catch what they might miss. Ophthalmologist Dr. John Hovanesian argues that medical AI should go beyond ambient scribing and help flag rare but serious diagnoses — like measles masquerading as pink eye — especially when physicians are pressed for time. The key? Giving AI a longitudinal view of patient history while keeping doctors firmly in the driver's seat.
AI in medicine: Beyond scribing to smarter diagnosis
Medical AI is mostly being used today as a glorified note-taker — and ophthalmologist Dr. John Hovanesian thinks we're selling it short. In a new opinion piece, he makes the case that AI's real value lies in helping time-pressed physicians catch rare but serious diagnoses they might otherwise miss. His example: a child with red eyes, runny nose, and a cough who gets labeled as viral conjunctivitis, when the real culprit could be measles — a disease with specific treatments and the potential for permanent eye and neurological damage.
Hovanesian isn't calling for AI to replace physician judgment. Instead, he envisions AI as a "colleague in the background" — one that quietly flags unusual possibilities and generates differential diagnoses, particularly when something doesn't quite add up. To do this well, AI needs access to a patient's full longitudinal history, which means the medical community will need to get more comfortable with privacy, security, and medicolegal concerns.
Key Takeaways
Why it matters: As physician burnout and time constraints grow, AI that nudges doctors toward overlooked diagnoses — rather than just transcribing visits — could meaningfully reduce diagnostic errors and improve patient outcomes.