As hospitals turn to AI, patients may no longer know who—or what—is making their medical decisions. As ER physicians, we see how AI guidance is changing what it means to walk into an emergency room.

This isn’t a policy story. It’s a cultural one: about what it means to have faith in your doctor when the “doctor” might be an algorithm. According to a recent Journal of American College of Emergency Physicians Primer , AI applications in emergency departments are already being used for triage, risk-prediction, and staffing models, the plans that help hospitals make sure they have the right number and mix of doctors, nurses, and other staff working at the right times to care for patients. Patients may not know if the person treating them is a doctor or an AI-assisted hybrid. That can feel s

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