Medical malpractice is very rarely due to gaps in knowledge and is much more likely due to accidents, miscommunication, or negligence. The board exams are not taken at the school and have very stringent anti-cheating measures. The exams are done at testing centers where they have the palm vein scanners, identity verification, and constant video surveillance throughout the test. If there is any irregularity during your exam, it will get flagged and if you are found to have cheated, you are banned from ever taking the exam again. (which also prevents you from becoming a physician)
It doesn't know what things are key points that make or break a diagnosis and what is just ancillary information. There's no way for it to know unless you already know and tell it that, at which point, why bother?
I am expected to know and understand all of the risk factors that someone may encounter in their engineering or manufacturing or cooking or whatever line of work, and to know about people's social lives, recreational activities, dietary habits, substance usage, and hobbies can affect their health. In order to practice medicine effectively, I need to know almost everything about how humans work and what they get up to in the world outside the exam room.
It still scrambles things, removes context, and can overlook important things when it summarizes.
From the emergency medicine perspective on that last bit....we don't care if you have a DNR somewhere on file. If you show up in cardiac arrest and someone isn't shoving an official POLST into our hands, we're running the code. We'd rather someone try (and fail) to sue for malpractice for saving them than accidentally let someone die that didn't want to.
I disagree. I am a medical student and there is a lot of critical thinking that goes into it. Humans don't have error codes and there are a lot of symptoms that are common across many different diagnoses. The critical thinking comes in when you have to talk to the patient to get a history and a list of all the symptoms and complaints, then knowing what to look for on physical exam, and then what labs to order to parse out what the problem is.
You can have a patient tell you that they have a stomachache when what is actually going on is a heart attack. Or they come in complaining of one thing in particular, but that other little annoying thing they didn't think was worth mentioning is actually the key to figuring out the diagnosis.
And then there's treatment.....Nurse Practitioners are "educated" on a purely algorithmic approach to medicine which means that if you have a patient with comorbidities or contraindications to a certain treatment that aren't covered on the flow chart, the NP has no goddamn clue what to do with it. A clear example is selecting antibiotics for infections. That is a very complex process that involves memorization, critical thinking, and the ability to research things yourself.
Medical school has to have a higher standard and any amount of cheating will get you expelled from most medical schools. Some of my classmates tried to use Chat GPT to summarize things to study faster, and it just meant that they got things wrong because they firmly believed the hallucinations and bullshit. There's a reason you have to take the MCAT to be eligible to apply for medical school, 2 board exams to graduate medical school, and a 3rd board exam after your first year of residency. And there's also board exams at the end of residency for your specialty.
The exams will weed out the cheaters eventually, and usually before they get to the point of seeing patients unsupervised, but if they cheat in the classes graded on a curve, they're stealing a seat from someone who might have earned it fairly. In the weed-out class example you gave, if there were 3 cheaters in the top half, that means students 51, 52, and 53 are wrongly denied the chance to progress.
This is why I just use google to look for the NIH article I want, or I go straight to DynaMed or UpToDate. (The NIH does have a search function, but it's terrible meaning it's just easier to use google to find the link to the article I actually want.)
As a medical student, I can unfortunately report that some of my classmates use Chat GPT to generate summaries of things instead of reading it directly. I get in arguments with those people whenever I see them.
And with only a passing familiarity with actual women.
The woman in the picture looks like a contender for Escher Girls or the Hawkeye Initiative. Her posture and anatomy make very little sense.
I'm not claiming to know all of these things. I'm not pretending that I do, but there is still an expectation that I know what kinds of health problems my patients are at risk for based on their lifestyle. I'm better off in this area than a lot of my classmates because I didn't go straight from kindergarten through medical school. My undergraduate degree is in history and I worked in tech for a while before going back to school. My hobbies are all over the place, including having done blacksmithing with my Dad when I was a kid. I have significantly more life experience than most of my classmates, so I have a leg up on being familiar with these things.
I know that there is a lot that I don't know which is why my approach to medicine is that I will be studying and learning until the day I retire. I have a pretty good idea of where my limits are and when to call a specialist for things I'm not sure about. I make a point to learn as much as I can from everyone, patients, other physicians, my friends, random folks on the street/internet...everyone.
For example, I know from watching a dumb youtube channel about some of the weird chemicals that someone who worked as an armorer in the Army would have been exposed to that can have some serious health effects, but that wasn't something that was explicitly covered in my formal medical school education. I have friends in the Navy and they're the ones that told me about the weird fertility effects of working on the flight deck of an aircraft carrier. The Naval medical academy did a study on it, but I would have never had the inclination to go read that study if I hadn't heard about it from my friends. The list goes on. There's so many things that are important for me to know that will never be covered in our lectures in school and wouldn't even come up as things to learn about if I didn't learn about them from other people.