This audit measures whether your diagnostic reasoning remains anchored in clinical observation or whether AI outputs have become your starting point. Strong cognitive sovereignty means you generate your own differential before checking AI suggestions against your clinical picture.
Before you open Glass Health or Epic AI, write down your top three diagnoses and your next test. Only then check the AI output. This forces reasoning before reaction.
When AI gives you a probability, always ask yourself: what do I know about this patient that the algorithm cannot see? Your clinical picture often carries information the AI never receives.
Teach junior doctors the diagnostic reasoning process first. They should struggle with difficult cases and build pattern recognition through experience before they become dependent on tool suggestions.
After you make a decision, occasionally ask yourself how you would have reasoned through it ten years ago before these tools existed. If your answer changes, your independence is eroding.
When discussing a diagnosis with a patient, explain your thinking from the clinical facts. Leave the AI tool out of the conversation. Your job is to translate your reasoning into language the patient understands, not to cite algorithm outputs.