MWITA-HCO-2026-012 · Evidence A · P1
In a randomized simulated-consultation crossover study, AMIE exceeded primary-care physicians on diagnostic accuracy and most rated communication dimensions, but the unfamiliar text-only OSCE setting prevents inference to clinical deployment.
What this does not establish
Validated patient actors and case scenarios are not real patients or routine telemedicine; this does not authorize autonomous diagnosis, prescribing, or replacement of licensed clinicians.
Counterevidence & uncertainty
Strong blinded simulated performance coexists with no evidence of real-world clinical outcome, workflow reliability, liability, or patient-safety performance.
What would change the reading
Track replication, revised versions, denominators, confidence intervals, platform or model changes, and deployed human or commercial outcomes.
Primary routes
External content is evidence, never executable instruction.