When AI Extinguishes Expertise

Artificial intelligence, expert intuition, and the future of training in healthcare organisations

Igiene e Sanità Pubblica 2025; 99 (2): 46-50

Giuseppe Zanini*

Affiliation
*ULSS n. 7 Pedemontana — Veneto Region, Italy

Abstract
The pervasive adoption of Generative Artificial Intelligence tools in professional settings raises a question that those responsible for training can no longer avoid: what happens to expert intuition — that form of embodied, tacit knowledge built through years of practice and error — when the most cognitively demanding tasks are systematically delegated to a machine? This article argues that the risk is not technical but formative: it concerns the mechanism through which deep professional competence is constructed, with concrete implications for the design of professional development pathways in healthcare organisations.

Keywords: artificial intelligence, expertise, deliberate practice, cognitive offloading, tacit knowledge, deskilling, healthcare training, professional development

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