Welcome to the Clinical Flight Deck
Establish the clinician's pilot-in-command role and the principles of responsible AI use.
Core Outcome
Explain why AI augments but does not replace clinical judgment.
This is a learning journey designed around the decisions clinicians make when AI enters the encounter. You will learn the concepts, rehearse the workflow, and demonstrate the behaviors required to use AI as a capable co-pilot while retaining clinical authority.
Establish the clinician's pilot-in-command role and the principles of responsible AI use.
Core Outcome
Explain why AI augments but does not replace clinical judgment.
Learn to interpret confidence, transparency, data provenance, and bias indicators.
Core Outcome
Calibrate trust instead of treating model output as certainty.
Classify AI use by risk tier and recognize correct, subtly wrong, and context-blind outputs.
Core Outcome
Intercept both automation bias and automation dismissal.
Decide whether an AI tool is appropriate for the patient, purpose, and available data.
Core Outcome
Complete a rapid pre-use check and identify a manual backup.
Build safe habits with during-use and post-use checklists.
Core Outcome
Run the Sterile Cockpit and Logbook checks and document every accept, override, or defer decision.
Treat taking command from the AI as a designed maneuver, not a failure.
Core Outcome
Execute the IDAR loop and leave a defensible audit trail.
Respond with discipline when confident AI output contradicts your examination.
Core Outcome
Resolve conflicts with an independent third data source and announce overrides to the team.
Map where each clinical model's competence ends.
Core Outcome
Spot pattern mismatch with the Five Red Flags and apply the Trust Calibration Matrix and FAIR protocol.
Recognize unexpected AI behavior before it reaches the patient.
Core Outcome
Question high-confidence outputs, respond with the IDAR loop, and report the signal.
Keep manual clinical skills sharp and know when to take the controls.
Core Outcome
Execute a go-around to correct AI errors before signing.
Defend clinical judgment against fatigue and quiet biases.
Core Outcome
Run the IM SAFE self-check and anchor vigilance in checklists, protocols, and teammates.
Integrate pre-flight, in-flight, and post-flight checks into one workflow.
Core Outcome
Apply the FAIR checklist to protect health equity and practice defensibly.
Understand why malpractice and product liability doctrines strain under AI.
Core Outcome
Compare US, EU, and WHO approaches and chart a defensible standard of care.
Learn the Pillay Framework's Five Pillars and shared liability model.
Core Outcome
Separate your oversight duties from those of health systems and AI vendors.
Protect yourself in everyday AI-assisted practice.
Core Outcome
Document AI encounters defensibly, lead a structured consent conversation, and engage AI governance.
Work through six front-line simulations that show how clinical AI fails.
Core Outcome
Match each failure mechanism to the right Pilot in Command countermeasure.
A clinician can appear in an AI workflow yet lack a meaningful chance to see, challenge, or change what reaches the patient. This is the oversight illusion: the policy diagram looks supervised, but timing, volume, or design makes clinical control unrealistic.
Core Outcome
The operational question is not whether a human appears in the loop. It is whether the clinician can exercise clinical authority when it matters.
Apply the Pillay Framework, FAIR protocol, and IDAR loop to three malpractice cases.
Core Outcome
Produce contemporaneous documentation that proves diligent clinical reasoning.
Flight Deck Medicine is developed through close collaboration across healthcare, ethics, and technology to bring calibrated trust and safety to clinical AI.