Clinical AI Defines Extrinsic Trust Contractual Promises
In a 2026 viewpoint, Anthony Kelly proposes a contractual framework to operationalize extrinsic trust in clinical AI. He defines three promises—reliability, scope and equity, and shift and uncertainty—and outlines a minimum evidence package, verification roles, and governance for deployment. The framework aims to help health systems generate structured validation evidence and monitoring to enable accountable, safe clinical AI adoption.
Key Points
- 1Proposes three contractual promises: reliability, scope and equity, and shift and uncertainty.
- 2Frames extrinsic trust as evidence-based requirement to validate models across shifts and subgroups.
- 3Requires health systems to collect structured validation evidence, governance and breach-triggered monitoring.
Scoring Rationale
Balances novel, practical governance guidance with limited empirical validation; viewpoint authority supports uptake but requires implementation studies.
Sources
Public references used for this report.
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