| Sumario: | This article focuses on the ethical assessment of generative AI tools used for clinical documentation and summarization, emphasizing concerns beyond technological risks such as inaccuracies and bias. It highlights that clinical documentation serves important cognitive and reflective functions for clinicians, supporting clinical reasoning, professional judgment, and engagement with patient information. The authors caution that while AI may reduce administrative burdens, it could also lead to the erosion of essential clinical skills and reflective practices, a phenomenon linked to AI-related deskilling and cognitive offloading. They argue that ethical evaluations of AI in clinical settings should consider not only the reduction of workload but also the preservation of these valuable cognitive and professional practices embedded in documentation.
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