V
Vincent Liu
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Jul 16, 2026
From the JAMA Network: AI Scribes Are Here, but Is Health Care Ready?
30:40
33:22

Derek AngusHOST
So I asked Vinny, if this plays out even fractionally, even on a small scale, are we fundamentally redefining the role of the profession? Or are we keeping the same definitions, but we're now saying there are analog doctors and digital doctors, and should these digital doctors also be required to have medical licenses?
V
31:03Vincent LiuGUEST
I mean, I think that's the conversation that's happening right now in healthcare, and I think that's the conversation that's also happening, you know, in all industries, right? The line between kind of like what is a lawyer, [chuckles] you know, of yesterday and what might a digital lawyer be, or what might a digital-- a, a coder, software engineer of yesterday and what is a software engineer of today.
V
31:28Vincent LiuGUEST
So I think the technology has improved so dramatically that it's forcing that conversation.
V
31:35Vincent LiuGUEST
I, I think it's important to recognize that the physician role could be broken down into multiple sub roles, right? Is it that they're the best executor of a series of guidelines, right? So every time a patient meets criteria XYZ, they should get this blood pressure medication, et cetera.
V
31:54Vincent LiuGUEST
Is it that they have the most comprehensive up-to-date knowledge on a specific domain and they can synthesize kind of like a patient, uh, you know, history, make a diagnosis, or suggest a treatment like in oncology, where the evidence is constantly changing, and so you need a doctor who has mastery over, you know, what is the, the best current protocol.
V
32:15Vincent LiuGUEST
I think there's the proceduralist part, right? Obviously, you know, doctors who are using their hands and, and, and devices in order to do things like surgery and other procedures.
V
32:25Vincent LiuGUEST
And then there's the human part, which is focused on empathy, communication, human touch, the provision of what being a physician was, you know, hundreds or thousands of years ago, like when the armamentarium for actually curing illnesses was quite limited.

Derek AngusHOST
And again, it's worth mentioning that this is [laughs] happening at a breakneck pace, which is not necessarily a bad thing, but it's fast, and I'm not sure if anyone is really in control, and this technology isn't necessarily limited to clinical environments.
AI Scribes Are Here, but Is Health Care Ready?
29:37

Derek AngusHOST
So I asked Vinny, if this plays out even fractionally, even on a small scale, are we fundamentally redefining the role of the profession? Or are we keeping the same definitions, but we're now saying there are analog doctors and digital doctors, and should these digital doctors also be required to have medical licenses?
V
30:01Vincent LiuGUEST
I mean, I think that's the conversation that's happening right now in healthcare, and I think that's the conversation that's also happening, you know, in all industries, right? The line between kind of like what is a lawyer, [chuckles] you know, of yesterday and what might a digital lawyer be, or what might a digital, uh, a coder, software engineer of yesterday and what is a software engineer of today.
V
30:25Vincent LiuGUEST
So I think the technology has improved so dramatically that it's forcing that conversation.
V
30:32Vincent LiuGUEST
I, I think it's important to recognize that the physician role could be broken down into multipleSub roles, right? Is it that they're the best executor of a series of guidelines, right? So every time a patient meets criteria XYZ, they should get this blood pressure medication, et cetera.
V
30:51Vincent LiuGUEST
Is it that they have the most comprehensive up-to-date knowledge on a specific domain and they can synthesize kind of like a patient, uh, you know, history, make a diagnosis, or suggest a treatment, like in oncology, where the evidence is constantly changing, and so you need a doctor who has mastery over, you know, what is the, the best current protocol.
V
31:13Vincent LiuGUEST
I think there's the proceduralist part, right? Obviously, you know, doctors who are using their hands and, and, and devices in order to do things like surgery and other procedures.
V
31:23Vincent LiuGUEST
And then there's the human part, which is focused on empathy, communication, human touch, the provision of what being a physician was, you know, hundreds or thousands of years ago, like when the armamentarium for actually curing illnesses was quite limited.
AI Scribes Are Here, but Is Health Care Ready?
29:37
32:20

Derek AngusHOST
So I asked Vinny, if this plays out even fractionally, even on a small scale, are we fundamentally redefining the role of the profession? Or are we keeping the same definitions, but we're now saying there are analog doctors and digital doctors, and should these digital doctors also be required to have medical licenses?
V
30:01Vincent LiuGUEST
I mean, I think that's the conversation that's happening right now in healthcare, and I think that's the conversation that's also happening, you know, in all industries, right? The line between kind of like what is a lawyer, [chuckles] you know, of yesterday and what might a digital lawyer be, or what might a digital, uh, a coder, software engineer of yesterday and what is a software engineer of today.
V
30:25Vincent LiuGUEST
So I think the technology has improved so dramatically that it's forcing that conversation.
V
30:32Vincent LiuGUEST
I, I think it's important to recognize that the physician role could be broken down into multipleSub roles, right? Is it that they're the best executor of a series of guidelines, right? So every time a patient meets criteria XYZ, they should get this blood pressure medication, et cetera.
V
30:51Vincent LiuGUEST
Is it that they have the most comprehensive up-to-date knowledge on a specific domain and they can synthesize kind of like a patient, uh, you know, history, make a diagnosis, or suggest a treatment, like in oncology, where the evidence is constantly changing, and so you need a doctor who has mastery over, you know, what is the, the best current protocol.
V
31:13Vincent LiuGUEST
I think there's the proceduralist part, right? Obviously, you know, doctors who are using their hands and, and, and devices in order to do things like surgery and other procedures.
V
31:23Vincent LiuGUEST
And then there's the human part, which is focused on empathy, communication, human touch, the provision of what being a physician was, you know, hundreds or thousands of years ago, like when the armamentarium for actually curing illnesses was quite limited.

Derek AngusHOST
And again, it's worth mentioning that this is [laughs] happening at a breakneck pace, which is not necessarily a bad thing, but it's fast, and I'm not sure if anyone is really in control, and this technology isn't necessarily limited to clinical environments.