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Prompting is Not Clinical Practice: The Limits Of General LLMs in Healthcare

General-purpose LLMs have meaningful value in healthcare - they can support education, documentation and research - as well as lower barriers to knowledge and help improve communication. But acting as a clinical assistant embedded in care delivery requires more - it needs longitudinal EHR grounding, explicit encoding of clinical guidelines, transparent and traceable reasoning and the ability to operate securely at a population scale.