Clinical Flight Deck

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.

Curriculum

Module 1

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.

Module 2

Reading the Instrument Panel

Learn to interpret confidence, transparency, data provenance, and bias indicators.

Core Outcome

Calibrate trust instead of treating model output as certainty.

Module 3

Calibrating Trust

Classify AI use by risk tier and recognize correct, subtly wrong, and context-blind outputs.

Core Outcome

Intercept both automation bias and automation dismissal.

Module 4

Pre-Flight Checks

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.

Module 5

Standard Operating Procedures

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.

Module 6

The Handoff Protocol

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.

Module 7

Turbulence

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.

Module 8

Edge of the Envelope

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.

Module 9

Automation Surprises

Recognize unexpected AI behavior before it reaches the patient.

Core Outcome

Question high-confidence outputs, respond with the IDAR loop, and report the signal.

Module 10

Flying Manual & The Go-Around

Keep manual clinical skills sharp and know when to take the controls.

Core Outcome

Execute a go-around to correct AI errors before signing.

Module 11

Cognitive Countermeasures

Defend clinical judgment against fatigue and quiet biases.

Core Outcome

Run the IM SAFE self-check and anchor vigilance in checklists, protocols, and teammates.

Module 12

The Complete Shift

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.

Module 13

The Liability Landscape

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.

Module 14

The Pillay Framework

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.

Module 15

The Clinician's Protection Playbook

Protect yourself in everyday AI-assisted practice.

Core Outcome

Document AI encounters defensibly, lead a structured consent conversation, and engage AI governance.

Module 16

The Case Lab

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.

Module 17

Advanced Briefing

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.

Module 18

Legal Defense in Action

Apply the Pillay Framework, FAIR protocol, and IDAR loop to three malpractice cases.

Core Outcome

Produce contemporaneous documentation that proves diligent clinical reasoning.

Designed through interdisciplinary collaboration

Flight Deck Medicine is developed through close collaboration across healthcare, ethics, and technology to bring calibrated trust and safety to clinical AI.

  • Practicing clinicians
  • Clinical informaticians
  • Patient-safety leaders
  • Ethicists
  • Privacy & security leaders
  • Health-equity experts
  • Learning scientists
  • Patient representatives

Ready to start the first module?