How we work

Check our work. We want you to.

If you're making a decade-long decision on this, you should know exactly what it rests on, where it's weak, and when it was last checked.

The rules

  • We say what is changing, plainly.

    AI has already reached striking performance on bounded reasoning tasks. We don't treat it as distant.

  • We say what is slowing it, just as plainly.

    Validation, liability, trust, regulation, workflow, equity and payment all shape what really happens in care.

  • We promise no one's job is safe, or doomed.

    No "AI-proof" badges and no specialty rankings by invented risk. We don't declare any profession finished.

  • We keep needs apart from jobs.

    Illness, dignity and trust stay with us. The institution, the title and the price of expertise can all change.

  • We never forecast your salary.

    We show dated measurements, the forces that move them, and arithmetic on your own numbers.

  • We respect you.

    No countdowns, no fear and no pressure to give up what you want. Every topic ends with something you can do.

  • We'll point you away from medical school if that fits better.

    Medicine is a mission and an ecosystem, not only an MD or DO.

What the labels mean

They describe the evidence behind one statement. They never say whether a profession is safe.

  • Established nowDirectly measured in a defined setting, recently. Read the setting and the limits.
  • EmergingReal signals, but incomplete or limited evidence from actual care.
  • ContestedCredible sources or measures disagree, and we show the disagreement.
  • Plausible scenarioA reasoned what-if that depends on stated assumptions. No probability attached.
  • SpeculativePrerequisites, timing and consequences are all uncertain. Common at 20 to 50 years.
  • UnknownWe found no reliable evidence yet. That is different from evidence that nothing is happening.

If a review date passes, the page says so and asks you to treat its conclusions as out of date until we recheck them.

How often we review

  • Every three months

    This overview, the scenarios and the income page.

  • Every month

    Headline clinical AI claims.

  • Every year, or when something material shifts

    Career economics, debt and loan rules.

  • Right away

    New outcome trials, major safety failures, new authorizations for autonomous care, shifts in payment or accreditation, and large employment revisions.

A person approves any changed conclusion. AI can help us find and summarize research, but it doesn't publish here on its own.

Every source we rely on

All opened and read on November 6, 2026. We don't publish a figure until we've read it in the original.

What changed

  • November 6, 2026First version of the 20 questions, three futures, and the income and careers view. All figures checked against the original sources on this date.
  • November 6, 2026Added careers task by task, with FDA, trial and state sources. Replaced four "no evidence" notes with evidence on patient preference, autonomy, surgery and chatbot therapy.

Sources last checked November 6, 2026

Next review by February 6, 2027.

What changed, and how we decide

Career guidance, not medical, legal or financial advice. For a major loan or licensing decision, talk with a qualified professional, and bring your questions from here.

Do you disagree?

If you have counterevidence, or we got something wrong, we want to see it. Don't take our word for any of this.

Send us the evidence