Chiara Natali

The integration of Artificial Intelligence (AI) in healthcare is reshaping clinical practice, offering both opportunities for enhanced decision-making and risks of skill degradation among medical professionals. This growing impact calls for a comprehensive evaluation of its effects on medical expertise. This study presents a mixed-method literature review, combining systematic analysis with narrative synthesis to examine AI-induced deskilling and upskilling inhibition-the erosion of medical expertise and the reduction of opportunities for skill acquisition due to AI-driven decision support systems. Anchoring the discussion in the core medical competencies outlined by the Federation of Royal Colleges of Physicians of the UK-Practical Assessment of Clinical Examination Skills (PACES-MRCPUK), the systematic review identifies key vulnerabilities in physical examination, differential diagnosis, clinical judgment, and physician-patient communication. The narrative review explores broader themes related to Human–AI Interaction and the Impact of AI on Human Skills in Organizations. In response to concerns about the Second Singularity-a scenario in which decision-making autonomy is increasingly ceded to AI, weakening human oversight-this review advocates for a research agenda that prioritizes longitudinal studies, real-time monitoring of AI’s impact, and the development of frameworks to mitigate skill erosion, ensuring the preservation of professional autonomy and the safeguarding of the irreplaceable elements of human judgment in medicine and beyond.

This article contributes to the philosophical inquiry of Artificial Intelligence (AI) by reframing the question “Where is the intelligence of Artificial Intelligence?” into “Where does AI intelligently operate?”. This rephrasing challenges our understanding of AI’s role in social practices and its integration into the human experience. Central to this discourse is the concept of the ‘cybork’ (a portmanteau of ‘cyborg’ and ‘work’), which symbolizes not just a physical entity but a dynamic system of actions and interactions within a socio-technical landscape: work accomplished with machines. In this framework, intelligence in AI lies not in any function of isolated systems, but rather in the situated context of their use within collective and meaningful practices that give technology its sense and direction. Conversely, technology both enables and shapes these practices to the extent that distinguishing between the two can seem unnecessary, or even detrimental, to the optimal design of and for work practices. The cybork embodies this integration and entanglement, transcending the traditional boundaries between individuals and collectives, entities and actions. It reveals the inseparability and co-dependence of humans and technology, where technological artifacts become extensions of human capabilities, embody collective human history and development, and serve as both products and participants in societal practices, fundamentally shaping our interaction with the world.

This volume presents the results of the ESAP-HYELE conference on "Aristotle, Physics 7.3: What is Alteration?", which took place in Vitznau, Switzerland, 12–15 February 2007. The contributors are part of a team of Aristotelian scholars who came together for the first time in 1995, and have since been meeting every spring. The purpose of their gatherings is to read and interpret line by line a short, but important chapter of Aristotle's works. In this way, attention is focussed on key texts of particular exegetic and theoretical interest. Each session starts with the presentation of a translation and a first analysis of the main problems; these then become the subject of an intense debate which illustrates the different schools of thought and methodological approaches. Over the years, the confrontation of these different points of view has had a beneficiary effect on scholarship and has stimulated research activity worldwide. On the occasion of the Vitznau meeting in 2007, it was decided for the first time to publish the results of the meeting in order to make them accessible to a wider public of scholars and students. The present volume is the fruit of this common effort