[Correspondence] Endoscopist deskilling risk after exposure to artificial intelligence in colonoscopy

Krzysztof Budzyń and colleagues1 provide timely evidence that continuous exposure to computer-aided polyp detection might erode unaided performance. Adenoma detection rate fell by 6·0% for colonoscopies not assisted by artificial intelligence (AI) following the introduction of AI across four centres. This first real-world evidence of automation-induced deskilling linked to patient outcomes in medicine will attract attention beyond endoscopy alone.