The Role of AI in Dermatology: Insights from the DERM 2025 Conference
At the DERM 2025 NP PA CME Conference in Las Vegas, Dr. David Cotter, MD, PhD, spoke passionately about the transformative potential of artificial intelligence (AI) in the field of dermatology. His remarks highlighted the dual-edged nature of AI in the medical landscape—particularly regarding its ability to streamline administrative processes while also presenting new challenges.
A Potpourri of AI Applications
Dr. Cotter’s approach during his talk was intentionally broad, aiming to inform his audience about large-scale trends affecting medicine as a whole. He noted, “I could have given an hour-long talk on AI for essentially any disease state we have in dermatology,” emphasizing that while the applications of AI are numerous and specific, the overarching themes are crucial for understanding its implications in healthcare. His high-level overview served to illustrate how AI is shaping practices beyond just dermatology, suggesting a future where technology becomes integral to all areas of patient care.
AI as a Tool for Administrative Efficiency
One of the most promising advancements that Dr. Cotter discussed is the burgeoning use of AI in alleviating administrative burdens. He noted that AI-driven tools, such as scribes and prior authorization systems, have started to revolutionize the way healthcare providers operate. “AI scribes are decreasing the amount of time we’re spending on notes, and AI prior authorizations help our patients get the medicines and procedures that they need,” he explained. This allows clinicians to invest more time in what truly matters: patient care.
The Double-Edged Sword of AI in Healthcare
Yet, the increasing use of AI brings with it a myriad of challenges. As Dr. Cotter pointed out, while healthcare providers leverage AI to streamline approvals and enhance patient services, insurance companies are also using similar technologies to deny claims more efficiently. He remarked, “It’s a double-edged sword,” highlighting that the rapid pace of AI adoption could have adverse effects on patient access to care. The repercussions are already being felt, with class action lawsuits emerging against companies like Cigna, which claim a relentless denial of claims masked as physician adjudications.
Clinical Applications of AI: A Work in Progress
Despite the promise that AI holds for improving clinical outcomes—particularly in diagnosing complicated conditions like skin cancer—Dr. Cotter was cautious in his optimism. He stated, “We’re seeing AI being utilized to help diagnose skin cancer and augment our diagnostic accuracy as clinicians,” but emphasized that we are not yet at a stage where these technologies can stand alone. It’s not a question of “man versus machine,” but rather “man with machine.” He believes that when AI is used to complement the skills of trained professionals, it can lead to better patient outcomes.
Embracing AI: A Call to Action for Clinicians
As the healthcare landscape continues to evolve, Dr. Cotter passionately encourages clinicians to embrace AI technologies. He argues that to remain competitive and deliver high-quality care, providers need to lean into these advancements. “When it comes to AI, the best advice I can give is to lean into it,” he told the audience. He underscored the urgency of incorporating AI into everyday practice and the ethical responsibility of being stewards of this powerful technology. “If we shy away from it, patients may experience harm,” he cautioned.
AI’s role in healthcare, particularly in dermatology, is still developing. While the technology offers significant potential to enhance patient care and operational efficiency, it also presents new challenges that health professionals must navigate carefully. As the medical field grapples with the implications of AI, the insights shared by Dr. Cotter serve as a vital reminder of the importance of balance, awareness, and the imperative to place patient well-being at the forefront of technological integration.