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FSMB AI / state boards for legal AI workflows

FSMB AI / state boards in legal AI workflows: what compliance requires, who asks for evidence, and the records to keep.

Legal forceProfessional guidance, not binding; boards may apply it through existing standards
Applies fromApril 2024
SectorLaw
Checked21 Oct 2026

01 / The rule

What FSMB AI / state boards requires

Physicians and other licensees who use AI in clinical practice, and the state medical and osteopathic boards that license and discipline them.

  1. 01Accept that the physician is ultimately responsible and accountable for harms from AI used in care.
  2. 02Understand the AI tools used well enough to explain how an output was reached and why it was followed or not.
  3. 03Document the rationale when deviating from an AI recommendation, and be able to give a reasonable account of how the AI reached its output and why it was followed or not.
  4. 04Obtain patient consent before applying an AI tool to their care and be ready to disclose its use.
  5. 05Know the security measures protecting patient data in AI tools, and review AI-generated records for accuracy.
  6. 06Make reasonable efforts to identify and address bias in AI outputs; pursue AI-focused continuing education.

02 / In this sector

In a legal AI workflow

The policy is entirely about AI in clinical practice, from ambient documentation scribes to diagnostic and treatment recommendations. It treats AI as a tool that can support but generally not replace physician judgment.

Usually asked by

General counsel and litigation support.

Named alongside

FRE 702 · ABA Model Rules.

Sector pagePlanisphere for law

03 / Records

Records to keep

  1. 01Chart notes documenting AI use and clinical rationale
  2. 02Patient consent or disclosure records for AI tools
  3. 03Vendor security and data-handling review for AI tools
  4. 04AI-related CME completion records

Optional evidence · where Planisphere fits

Keep a record anyone can check

When your team meets a duty, Planisphere can seal the event it reports as a receipt.

01 · Your teamRecord the event

A disclosure shown, a review signed, a model change approved: the event your system reports.

02 · PlanisphereSeal it

The event becomes a sealed receipt, dated and attributed to whoever is signed in.

03 · AnyoneCheck it

Paste the receipt into Verify. No account or key.

A record supports your compliance evidence process. It is not a legal finding or a certification. Systems that call Planisphere's gate API can also hold or refuse an action before it runs.

SOURCES

Go back to the source

GUIDANCE
Incorporation of AI Into Practice (FSMB policy as posted for New York licensees)

New York State Education Department, Office of the Professions

RELATED

Related: FSMB AI / state boards: the full guide · FSMB AI / state boards for defense · FSMB AI / state boards for medicine · FSMB AI / state boards for education