Question · FSMB AI / state boards
What do state medical boards say about using AI in clinical decisions?
The FSMB's House of Delegates adopted policy in April 2024 saying physicians stay accountable for care delivered with AI and setting expectations on understanding tools, documentation, informed consent, privacy and bias.
01 / The answer
The short answer
The main reference is the FSMB policy adopted in April 2024, which treats AI as a tool that can support but generally not replace physician judgment. Physicians stay accountable; should understand a tool well enough to explain how it reached an output and why they followed it or not; should document why they deviated from an AI recommendation; should obtain patient consent and disclose AI use; should address bias; and should take AI-focused continuing education. How individual boards apply it varies. FSMB leaders said in August 2026 that the guidance is being updated for agentic AI.
02 / The rule
What FSMB AI / state boards requires
The FSMB's House of Delegates adopted policy in April 2024 saying physicians stay accountable for care delivered with AI and setting expectations on understanding tools, documentation, informed consent, privacy and bias. Boards cannot regulate AI products directly, but they discipline licensees, so this policy signals how boards are likely to judge AI-related complaints.
- 01Accept that the physician is ultimately responsible and accountable for harms from AI used in care.
- 02Understand the AI tools used well enough to explain how an output was reached and why it was followed or not.
- 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.
- 04Obtain patient consent before applying an AI tool to their care and be ready to disclose its use.
03 / Records
Records to keep
- 01Chart notes documenting AI use and clinical rationale
- 02Patient consent or disclosure records for AI tools
- 03Vendor security and data-handling review for AI tools
- 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.
A disclosure shown, a review signed, a model change approved: the event your system reports.
The event becomes a sealed receipt, dated and attributed to whoever is signed in.
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
Federation of State Medical Boards
New York State Education Department, Office of the Professions
RELATED
Related: FSMB AI / state boards: the full guide · Who is liable when a physician follows an AI recommendation that causes harm? · Do I need patient consent to use AI in a clinical encounter?