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Medical AI has attracted confident claims: perfect scores, no hallucinations, a system that gracefully declines whenever the evidence runs out. But are these dimensions the right way to think about a tool that physicians use to make real-world decisions? For clinical AI, reliability is not just a question of whether an answer is correct. It is also a question of whether a physician can understand where the answer came from, evaluate the supporting evidence, and identify situations where uncer...

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