The article describes a recent speculative design exercise that explored the use of social licenses for AI agents in patient-clinician interactions in healthcare. The exercise involved 79 participants who imagined scenarios for using a social license when an AI agent is introduced in these interactions. The article provides an overview of the state-of-the-art research on introducing generative AI in a clinical context and discusses the ethical and legal implications of its adoption. It also highlights the challenges to the ability of patients or clinicians to report concerns or inaccuracies in a way that fully captures their context, which further hinders understanding underlying root causes. The article concludes by summarizing the findings from the workshop and providing perspectives from what the author has learned from clinicians who are piloting AI tools in their practice.
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