Table 1 Summary of the artificial intelligence-related ethical issues in the case of OR 2.0.

From: The future of medicine or a threat? Artificial intelligence representation in Chicago Med

Ethical issue

Representation in the storyline

Transparency

The surgeon is unaware of a setup in the system, only the company’s representatives can do configurations.

The CEO can delete data from the system.

Selective adherence

The surgeons’ attitudes towards AI influence their reliance on OR 2.0.

Uncritical reliance is not beneficial; surgeons must control the final decisions.

Automation bias

In a routine case, OR 2.0 guides an inexperienced resident through an operation.

In a non-routine case, without sufficient data, OR 2.0 stops instructing a surgeon.

Automation can cause surgical skill erosion.

Responsibility gap

The merit for success and the blame for mistakes can go to the surgeon, OR 2.0, or the system’s developer. This ambiguity creates conflicts between doctors.

Hallucination

The system hallucinates lesions that do not exist, causing complications.

Unequal access

After a successful introduction period, OR 2.0 is only available for paying patients.

Political dimensions

Investor interest restricts access to OR 2.0.