The rapid adoption and implementation of artificial intelligence in medicine creates an ontologically distinct situation from prior care models. There are both potential advantages and disadvantages with such technology in advancing the interests of patients, with resultant ontological and epistemic concerns for physicians and patients relating to the instatiation of AI as a dependent, semi- or fully-autonomous agent in the encounter. The concept of libertarian paternalism potentially exercised by AI (and those who control it) has created challenges to conventional assessments (...) of patient and physician autonomy. The unclear legal relationship between AI and its users cannot be settled presently, an progress in AI and its implementation in patient care will necessitate an iterative discourse to preserve humanitarian concerns in future models of care. This paper proposes that physicians should neither uncritically accept nor unreasonably resist developments in AI but must actively engage and contribute to the discourse, since AI will affect their roles and the nature of their work. One’s moral imaginative capacity must be engaged in the questions of beneficence, autonomy, and justice of AI and whether its integration in healthcare has the potential to augment or interfere with the ends of medical practice. (shrink)

In this paper, we analyze the intelligent subdesign of the simulated marking system through an in-depth study of it. This paper proposes a correlation analysis-based quantification of N-element sense values and a rationality enhancement-based scoring fitting algorithm for English essays. This paper also extracts word features, sentence features, and chapter structure features in essays to fit English composition scores. Since not all students can complete the essays according to the topic requirements, a triage scoring model is used to separate the (...) normal essays from the low-scoring essays. Statistically, it was found that the essay scores also showed a certain normal distribution. The standard support vector regression algorithm is prone to data skewing problems, so this paper addresses this problem by using a rationality enhancement method that gives a corresponding penalty factor according to the distribution of the dataset. The results show that the English essay scoring fitting algorithm proposed in this paper can well improve the prediction accuracy of some data and solve the problem of skewed data where the scores show a normal distribution. This paper designs and implements an online mock examination system that incorporates an intelligent scoring system for essays, enabling it to meet the needs of teachers and students for online examinations and intelligent scoring. (shrink)