What is it about?

What is it about? Artificial Intelligence (AI) is transforming how doctors diagnose, treat, and care for patients. This position paper by the Italian Society of Internal Medicine (SIMI) explains how AI can support—but not replace—clinical decision-making. It highlights the importance of trustworthy, transparent, and ethically guided AI tools that respect the complexity of medical practice. The paper also offers practical recommendations for how hospitals, researchers, and policymakers can responsibly integrate AI into everyday healthcare. By doing so, it aims to ensure that AI enhances—not undermines—the human touch in medicine.

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Why is it important?

This paper arrives at a crucial moment when AI is rapidly entering clinical practice, yet many physicians remain uncertain about its role. What makes this work unique is that it offers a clear, authoritative stance from the Italian Society of Internal Medicine (SIMI), bridging technical innovation with the realities of everyday clinical care. It emphasizes that AI should support—not replace—clinical judgment, and outlines ethical, educational, and organizational principles to guide its responsible use. By doing so, it helps clinicians, educators, and policymakers navigate the digital transformation of medicine with confidence and clarity.

Perspectives

Contributing to this position paper was both a professional and personal milestone. It reflects years of interdisciplinary dialogue on how Artificial Intelligence can responsibly support clinical practice without compromising human judgment. As someone deeply engaged in sectoral innovation and public administration, I felt it was essential to help articulate a vision of AI that is symbiotic, ethically grounded, and attuned to the realities of internal medicine. I hope this work empowers clinicians to engage with AI critically and confidently, and encourages institutions to invest in education and governance that prioritize trust and transparency.

Prof. Donato Malerba
Universita degli Studi di Bari Aldo Moro

Read the Original

This page is a summary of: Artificial intelligence in medicine: a position paper by the Italian Society of Internal Medicine, Internal and Emergency Medicine, December 2025, Springer Science + Business Media,
DOI: 10.1007/s11739-025-04146-4.
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