For rural docs without access to specialists or older docs who need to stay up to date this is great. It is 100% terrible for med students, residents, fellows, and young attendings ALL of whom need the practice and experience of unassisted diagnosis and treatment on the cases they see most commonly. It’s no surprise that it’s “better” for complex cases, but it’s most likely on par with a PCP or FP or Pedi doc or specialist seeing common issues they see everyday in their own practices. No doc will refuse a new toy, so I’m worried that this will lead to a deterioration of clinical expertise in the US. Any other docs have an opinion?