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Medical students learn one of medicine’s oldest lessons almost as soon as they step onto their clinical rotations. It’s even become part of folklore and sound advice. When you hear hoofbeats, think horses, not zebras

Generative artificial intelligence (GenAI) is rapidly becoming part of collaborative learning. As GenAI tools become increasingly capable, discussion often centres on the technology itself: whether it will improve learning or undermine it. Yet this framing overlooks a more fundamental issue. Consider a surgical team. Access to sophisticated instruments does not determine whether an operation is…