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AI

The Provider’s Guide to AI Conversations

Dr. Gary Wietecha

February 4, 2026

Helping Providers Wade Through the AI Swirling Around Them

AI didn’t arrive in healthcare with a single announcement or a clear starting point. It crept in quietly through new EHR features, vendor updates, conference sessions, and side conversations that begin with, “Have you tried this yet?”

For many providers, AI now feels like something they are surrounded by rather than something they intentionally chose. It promises relief, efficiency, and support, yet often lands as just one more thing to evaluate in an already overloaded day.

What providers need right now isn’t more AI. They need clarity.

Living in the Current of Constant Change

Today’s providers are navigating a steady current of clinical, operational, and regulatory change. AI has joined that current without clear markers for what is approved, what is experimental, and what is simply noise. Some tools are embedded directly in the EHR, while others exist outside formal systems—used quietly to manage inbox volume, draft documentation, or keep up with administrative demands.

Without guidance, providers are left to make judgment calls on their own. Is this safe? Is it allowed? Will it help or slow me down? Who is accountable if something goes wrong? Over time, this uncertainty creates frustration and inconsistency, and it can quietly erode trust in both the technology and the organization introducing it.

AI becomes overwhelming not because providers resist innovation, but because the expectations around it are unclear.

Why the Conversation Matters More Than the Tool

The success of AI in healthcare will not be determined by the sophistication of the technology. It will be determined by how organizations talk about it.

When AI conversations are absent or rushed, providers often disengage. Some avoid new tools entirely, while others adopt them informally to survive the day. Both responses create risk: one through underuse with the other through unsanctioned use.

Thoughtful AI conversations change the dynamic. When leaders take the time to explain why a tool exists, how it fits into clinical workflows, and where human judgment remains essential, providers feel supported rather than managed. AI becomes a shared responsibility instead of an individual burden.

The shift from adoption to dialogue makes all the difference.

From Pressure to Partnership

Too often, AI is introduced with an unspoken message: This will make things better. Just use it. For providers already stretched thin, that message can feel dismissive of the realities they face.

A more effective approach reframes AI as a support, not a mandate. Providers don’t need to become experts in algorithms or governance frameworks. They need to understand how AI intersects with their work, their documentation, and their professional accountability.

When conversations focus on practical questions, like “What problem is this solving? Where does human judgment still lead? How is accuracy monitored?” providers are more likely to engage thoughtfully. They begin to see AI as something they can shape rather than something imposed on them.

Wading Instead of Diving

AI does not require providers to dive in headfirst. It requires room to wade.

Wading means moving slowly enough to feel the ground beneath you. It means understanding boundaries, testing usefulness, and knowing where it is safe to step and where caution is required. For providers, this kind of paced engagement reduces anxiety and builds confidence.

Organizations that support this approach make it clear which tools are approved, how data is protected, and what expectations exist around use. They normalize questions and skepticism, recognizing that thoughtful hesitation is a sign of professionalism—not resistance.

In these environments, AI adoption becomes intentional rather than reactive.

Governance as a Trust Builder

Behind every productive AI conversation is governance that providers can trust. When governance is visible and grounded in clinical reality, it sends a powerful message: You are not navigating this alone.

Clear governance helps providers understand who owns decisions, how risks are managed, and how feedback is incorporated. It also reduces the need for workarounds, which often arise when providers feel unsupported or unclear about expectations.

In this way, governance is not a barrier to innovation; it is what makes responsible innovation possible.

A More Sustainable Path Forward

AI will continue to evolve, and the pace of change is unlikely to slow. But healthcare organizations can choose how that change is experienced by their providers.

When AI is introduced through conversation rather than pressure, through guidance rather than assumption, providers are better equipped to engage responsibly. They remain anchored in clinical judgment while benefiting from tools designed to support them.

The goal is not to keep up with every AI advancement. The goal is to use AI in ways that truly support care, reduce burden, and preserve trust. Sometimes the most responsible way forward isn’t to dive in at all. It is to wade carefully, together.