I sent a lady today to a radiologist for a core biopsy of a likely malignancy.

And a man to a radiologist for a lumbar perineural injection.

And a person to a radiologist for a subacromial bursa injection.

And a month ago I sent a woman to a radiologist to have adenomyosis embolised.

Also talked to a patient today who I will probably send to a radiologist to have a postnephrectomy urinary leak embolised.

Is an LLM going to do that ?

There is the another issue.

If AI commoditises a skill, competent people with options will just shift to another skill while offloading the commoditised skill to someone else.

Due to automated ECG interpretation built into every machine, reimbursement has plummeted. So I have let my ECG interpretation skills rust while focusing on my neurology and movement disorder skills.They are fun ... I also did part of a master's in AI decades ago ( Prolog, Lisp , good times, machine vision, good times...)

So now if someone needs a ECG, I am probably going to send them to a cardiologist who will do a ECG, Holter, Echo, Stress Echo etc. Income for the nice friendly cardiologist, extra cost and time for the patient and the health system.

I can imagine like food deserts, entire AI deserts in medicine that nobody want to work in. A bit like geriatrics, rural medicine and psychiatry these days.