Physicians Afnan Tariq and Ami Bhatt argue that doctors must retain personal accountability for medical decisions informed by artificial intelligence tools. The authors contend that while AI can assist with analytical tasks, responsibility for patient outcomes must remain with the treating physician, since medical licensure has historically required an accountable individual who can be examined, sanctioned, and held liable. They argue that clinicians, not AI vendors or health systems, must lead the integration of AI into patient care to preserve the fiduciary duty central to medical professionalism.