Dermatologists are at their best at 10 years of experience - and AI is getting closer in competency

A recent study in JAMA Dermatology provides a realistic view of AI versus human performance in diagnosing skin cancer.

Key finding: AI surpassed dermatologists with <3 years of experience, matched those with 3–10 years, but remained inferior to experts with >10 years of experience.

The Study

Researchers tested modern AI models (including foundation models) against 652 physicians on 1,117 realistic dermatology cases with clinical and dermoscopic images.

Top AI accuracy: 72%

Humans by experience:

<3 years: ~68%

3–10 years: ~72%

10 years: 74.2% (highest overall)

Why Experience Still Wins

Seasoned dermatologists integrate subtle clinical context, patient history, and rare presentations that current AI struggles with. AI excels as a supportive tool - especially helpful for novices, triage, education, and areas with limited specialist access - but does not yet replace expert judgment.

Takeaways

Patients: Prioritize experienced specialists for concerning skin lesions. AI may improve initial screening and access, but expert care remains essential for early skin cancer detection.

Physicians: Use AI as a collaborator to reduce workload and support trainees, while continuing to build your own expertise.

Future: Hybrid human-AI systems are the path forward.

What are your thoughts - will AI close the gap soon?

References:
Anriot et al. JAMA Dermatology (2026).
https://jamanetwork.com/journals/jamadermatology/fullarticle/2849416