夜雨聆风
AI医生解构“专业知识”
01
这两天有一个很有意思的新闻。一位医学博主发文，“天都塌了！病人DeepSeek后质疑我的治疗方案，气得我自己又查了一遍指南，才发现指南更新了……”截至23日14时，该帖获得15.2万的点赞，近3万条评论。
Over the past few days, an intriguing news story has emerged. A medical blogger shared a post: "I'm speechless! A patient used DeepSeek to challenge my treatment plan, which annoyed me so much that I double-checked the guidelines myself, only to discover they had been updated..." By 2 PM on the 23rd, the post had garnered 157,000 likes and nearly 30,000 comments.
而类似的新闻还不止一例。北京某医院神经外科主任医师分享了一段使用DeepSeek辅助诊断复杂脑瘤患者的经历，并对DeepSeek的表现给予了高度评价。他认为，DeepSeek在处理深入医学问题上的水平堪比省级三甲医院专家，患者可以信赖其提供的信息。
And this isn't the only similar news story. The chief neurosurgeon at a hospital in Beijing shared an experience of using DeepSeek to assist in the diagnosis of patients with complex brain tumors and gave high praise to DeepSeek's performance. He believes that DeepSeek's ability to handle complex medical issues is on par with that of experts from provincial tertiary-level hospitals, and patients can trust the information it provides.
02
在某些层面，AI确实展现了巨大的潜力，甚至能取代医务工作者，给出专业的诊疗意见。再联想到湖南严禁互联网医院用AI开处方，这多少也说明，可能有些医务工作者相当倚重AI，以至于成了一个问题。
On certain levels, AI has demonstrated remarkable potential and is capable of replacing medical professionals by offering expert diagnostic and therapeutic recommendations. This trend is further highlighted by Hunan's strict prohibition of Internet hospitals using AI for prescription purposes, suggesting that some healthcare workers have become increasingly reliant on AI, potentially leading to issues.
当然，现阶段就说AI能取代专业的医生肯定不现实。诊疗所依赖的经验和检查，AI都是无法现实的，比如AI怎么可能触碰患者的身体呢？所以，一些医院虽然引进了AI，但仍停留在看片、整理记录的层面，远远达不到“天塌了”的阶段。
However, it is unrealistic to claim that AI can currently replace professional doctors. Experience and physical examinations remain indispensable in diagnosis and treatment, which AI cannot replicate. For instance, AI lacks the ability to physically examine a patient. Consequently, despite the adoption of AI in some hospitals, its applications are confined to tasks like imaging analysis and data organization, and are far from reaching a critical stage where medical roles are fundamentally transformed.
但AI确实在相当层面解构了“专业知识”。人们过去相信像医务工作者这样的知识群体，拥有着难以为外人道的、高深的专业知识。但AI客观上将之祛魅，还原成最原始的样子——信息，只要掌握足够多的信息，那么就可以构建出专业知识，进行专业的判断。
AI has indeed deconstructed the concept of "professional knowledge" to a significant degree. Historically, people perceived medical workers and similar knowledge groups as possessing advanced, esoteric expertise that was inaccessible to outsiders. However, AI has objectively demystified this perception by reducing professional knowledge to its most fundamental form—information. Essentially, with sufficient data, one can construct and apply professional knowledge to make informed judgments.
这也不仅仅是医疗，几乎所有被AI入侵的领域，都在经历专业知识的解构。比如人们恍然发现AI可以写出漂亮的文章。原来带有某种神秘色彩渲染的文学写作，竟然也可以由AI来实现。这再次说明，所有自我标榜的专业知识，都有可能在AI面前现出原型——当掌握的信息够多，专业知识就不再有壁垒，所有的神秘感都会灰飞烟灭。
This phenomenon is not limited to the medical field. Almost every sector influenced by AI is experiencing a deconstruction of specialized knowledge. People are astonished to find that AI can also produce outstanding writings. The literary creation, once shrouded in mystery, can now be achieved by AI. This once again shows that all self-proclaimed professional knowledge may reveal its true nature in the face of AI. When enough information is available, the barriers to professional knowledge disappear, and all the mystique fades away.
03
AI带来的或许是一场知识的革命，它解构了专业知识，但也倒逼人去重新定义专业知识。传统的“记诵之学”、信息获取在AI面前已经不再有优势，那么人所应该具备的专业知识，当变成什么形态？
AI may bring about a revolution in knowledge. It deconstructs professional knowledge but also forces us to rethink and redefine it. Traditional rote learning and information acquisition no longer offer advantages in the face of AI. So, what form should professional knowledge take in this new context?
这或许是一种“信息判断的知识”。AI可以给出一连串诊疗、用药方案，人能不能选择出最合适的一个？AI可以写出连篇累牍的漂亮文章，人能不能找到有价值的一个？AI可以整合出非常全面、专业的信息，但这个信息的价值，可能终究需要人去定义。
This may be a form of knowledge centered on information judgment. AI can generate a series of diagnostic, treatment, and medication plans. Can humans choose the most suitable one? AI can produce a plethora of well-written articles. Can humans identify the most valuable ones? AI can synthesize highly comprehensive and professional information, but ultimately, it is humans who must define the value of this information.
总之，AI的进步是惊人的，一个个专业壁垒开始变得松松垮垮；但人也必须进化，去重新塑造人类知识的鸿沟，去适配专业知识零门槛的未来语境。
In short, the progress of AI is astounding, and professional monopolies are weakening. But humans must also adapt and evolve to bridge the knowledge gap and embrace a future where professional knowledge is easily accessible."
重点词汇
blogger n. 博主
diagnosis n. 诊断
therapeutic adj. 治疗的往期回顾
文章来源|光明网：AI成为医生，也再次解构了“专业知识”
图片来源|无图片
译者|袁超洋
译审|王春渝
复审|李小辉
执行编辑|袁超洋
审核编辑|王春渝
