The RCGP recognises that AI tools are already embedded in GP training. The guidance is not prohibitive — it is framework-setting. Understanding these principles is both professionally expected and practically useful.
AI in Portfolio
AI can support but not replace reflection. Overreliance undermines reflective skill development. The RCGP published guidance (January 2026) recommending openness about AI use and restricting AI to prompting rather than generating reflection content.
AI in Clinical Practice
AI is a clinical support tool. The clinician is the decision-maker. Professional standards are unchanged — you are responsible for every clinical decision, whether AI-assisted or not. The GMC aligns: professionals remain accountable for decisions made with AI support.
AI in Assessment
FourteenFish's built-in AI sensitive data scanner is the RCGP's own AI implementation in the portfolio — demonstrating acceptance of AI for specific, bounded tasks. But AI-generated assessment content (reflections, MSF responses) is not acceptable.
Curriculum Relevance
The August 2025 RCGP curriculum update includes digital consultations and technology in practice as curriculum areas. Understanding AI governance, ambient scribing, and clinical decision support tools is now formally part of what trainees are expected to learn.
Practical Implications
Be transparent about AI use with your ES and appraiser. Verify AI outputs against authoritative sources (CKS, BNF). Never enter patient data into consumer AI tools. Develop your own clinical skills alongside AI use — AI augments, not replaces, your development.
Where iatroX Fits
iatroX is UKCA-marked and MHRA-registered — aligned with the regulatory frameworks the RCGP and GMC expect trainees to understand. Using a regulated clinical AI platform demonstrates professional awareness of governance standards.