I remember supervising a med student who turned in a beautifully written case analysis. When I asked her to explain her reasoning, she froze. The words were perfect, but the thinking wasn't hers. That moment stuck with me, because we almost certified someone who couldn't actually do the job.
I get the appeal of AI as a tool. It can help with brainstorming, grammar, even structuring an outline. Those are fine. But the essay itself is the assessment, like a patient workup is the assessment for a clinician. If the AI does the synthesis, the critique, the argument, we're not measuring the student's skill. We're measuring the model's. And that's dangerous, because confident nonsense from a machine still looks like knowledge.
Thankfully, banning AI-written essays doesn't ban technology. It just protects the moment where we verify learning. That's not anti-innovation. It's good clinical practice.
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