HCP Live January 21, 2026
Courtney Balentine, MD, MPH Fact checked by: Abigail Brooks, MA

Balentine explains the unique challenges of AI implementation in surgery and reviews his research on current barriers to real-world uptake.

As AI continues to gain traction across medicine, the operating room presents a uniquely challenging environment for meaningful implementation of this technology.

New research published in JAMA Surgery provides novel insight into how emerging AI technology, specifically the OR Black Box, is being adopted in real-world surgical environments and why expectations often outpace reality.

By comparing how different hospitals deployed the tool, how clinicians perceived and interacted with it, and what structural or communication factors influenced success, the study uncovered substantial variability in implementation. It also identified a consistent gap between what surgical teams expected the AI to do and...

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