Evidence map›Paper›PMID 41915449›Full record

ArticleJMIR AI2026

Legal and Ethical Challenges in Integrating AI Into Clinical Practice: Qualitative Study of Physicians' Real-World Experiences.

Mehrnaz Mostafapour, Jacqueline Fortier, Karen Pacheco, Heather Murray, Gary Garber

Abstract read
In one paragraph

Article in JMIR AI, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mehrnaz MostafapourThe Canadian Medical Protective Association, 875 Carling Ave Suite 323, Ottawa, ON, K1S 5P1, Canada, 1 (613) 725-2000.ORCID http://orcid.org/0000-0002-6083-9444
Jacqueline FortierThe Canadian Medical Protective Association, 875 Carling Ave Suite 323, Ottawa, ON, K1S 5P1, Canada, 1 (613) 725-2000.ORCID http://orcid.org/0000-0002-6151-5425
Karen PachecoThe Canadian Medical Protective Association, 875 Carling Ave Suite 323, Ottawa, ON, K1S 5P1, Canada, 1 (613) 725-2000.ORCID http://orcid.org/0000-0001-6180-5601
Heather MurrayThe Canadian Medical Protective Association, 875 Carling Ave Suite 323, Ottawa, ON, K1S 5P1, Canada, 1 (613) 725-2000.ORCID http://orcid.org/0000-0002-8448-2566
Gary GarberThe Canadian Medical Protective Association, 875 Carling Ave Suite 323, Ottawa, ON, K1S 5P1, Canada, 1 (613) 725-2000.ORCID http://orcid.org/0000-0001-7633-5630

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The adoption of artificial intelligence (AI) in health care has accelerated; however, physicians continue to face substantial legal, ethical, and regulatory uncertainties when considering AI integration into clinical practice. Although the literature on AI in health care is expanding, there is limited insight into the real-world concerns voiced by clinicians navigating these uncharted territories. Objective: This study aimed to explore the legal and ethical uncertainties raised by Canadian physicians in relation to AI use in clinical care, using actual medicolegal advice requests as a window into their practical concerns. Methods: We conducted a comprehensive thematic analysis of 46 medicolegal advice cases made by physicians to a national medicolegal advisory service between March 2023 and February 2025. The cases were analyzed to identify key themes and patterns in physicians' questions and perceived risks regarding AI tools in clinical contexts. Results: Eight key themes emerged, including the use of AI scribes, data privacy and security, patient consent, data ownership, regulatory uncertainty, medicolegal liability, vendor agreements, and concerns about accuracy and bias. Many of the inquiries focused on administrative and documentation-related AI applications rather than on diagnostic tools, reflecting the current stage of AI integration in everyday clinical workflows. Physicians expressed uncertainty regarding legal responsibility, alignment with privacy laws, and appropriate communication with patients about AI use. Conclusions: This study offers unique insight into frontline physicians' real-time concerns about AI, highlighting the need for clearer regulatory guidance, clinical standards, and legal frameworks to support safe and ethical AI adoption in health care.

Indexed as

AIartificial intelligenceclinical practiceethicsmedicolegalphysicians

Identifiers

PMID41915449
PMCPMC13037576

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.