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Troy Flanagan

Can We Really Trust Artificial Intelligence to Make Game-Changing Decisions in Sports Medicine?

One of the most significant hurdles in adopting Artificial Intelligence (AI) for critical decisions in professional sports is the issue of trust. Human instinct tells us to be cautious, particularly when the stakes are high—whether it’s an athlete’s health, career longevity, or a championship title on the line.


We wouldn’t blindly trust a stranger to handle such decision-making, so why would we trust a machine?

This question touches on a deeper concern: Can we really trust AI, which lacks emotion, context, and personal experience, to make decisions that impact the lives of human beings?



The Trust Dilemma: Humans vs. Machines


At first glance, AI can feel like an outsider, much like an unfamiliar coach or medical professional brought into the team. We wouldn’t hand over the reins to someone we don’t know, and AI, with its non-human logic and algorithms, can evoke a similar sense of skepticism. Human decision-making, after all, isn’t just based on data—it involves empathy, intuition, experience, and situational awareness. We rely on our gut, our ability to read between the lines, and our capacity to understand nuances in a way that machines, no matter how advanced, struggle to replicate.


Moreover, AI's decision-making processes are often a "black box," meaning that even when the AI arrives at a conclusion, it can be difficult for humans to understand how it got there. This lack of transparency further undermines trust. After all, we’re more inclined to trust someone who can explain their reasoning and demonstrate a track record of success.


Building Trust in AI: Transparency and Accountability


To build trust in AI, especially in professional sports where decisions affect not just performance but player health and careers, transparency is crucial. AI systems need to be explainable. When an AI suggests a course of action—whether it’s a return-to-play timeline or a novel rehab approach—teams need to understand the underlying data, models, and reasoning. Trust grows when human decision-makers can see the logic behind AI's recommendations and validate them with their own expertise.


Furthermore, trust in AI must be earned gradually. Just as you wouldn’t trust a new coach with your star player on day one, AI should initially play a supportive role, proving its value through consistent, high-quality insights and successful outcomes. Over time, as AI demonstrates accuracy, reliability, and perhaps even an ability to outperform human judgment in certain areas, trust can grow.


To support this, AI systems in sports should be held accountable for their recommendations. Tracking the outcomes of AI-driven decisions—whether they relate to injury prevention, rehabilitation strategies, or performance enhancement—is critical. Over time, teams will begin to see patterns: Did AI's recommendations reduce injury rates? Did they speed up recovery times without increasing the risk of re-injury? These tangible results will build confidence in AI's ability to make sound, data-driven decisions.


Trusting AI as a Partner, Not a Replacement


It’s important to clarify that trusting AI doesn’t mean replacing human expertise. Even as AI becomes more sophisticated and integrated into decision-making processes, it should act as a partner, not a replacement. A team physician’s years of experience, a coach’s intuition, or an athlete’s self-awareness remain invaluable, especially in situations where human understanding of context and emotion are essential.


AI can be trusted to provide insights we may never have considered and offer data-driven solutions that go beyond human capability, but it should do so alongside human experts. This partnership allows for the best of both worlds: AI provides unique, unbiased perspectives based on vast amounts of data, while humans retain the ability to contextualize, empathize, and make the final call.


Earning AI's Trust: Not All AI Is Created Equal


Just as not all professionals are equally skilled, not all AI systems are equally reliable. The key to trusting AI lies in understanding the quality of the system you’re working with. Does it have access to a large, diverse, and relevant dataset? Is it powered by a robust large language model that can adapt and learn over time? Is it being continuously monitored and improved to reflect the latest advances in sports science and medical research?


Choosing the right AI is like hiring the right expert. If the system is well-designed, backed by high-quality data, and proven to make successful predictions, trust in its decisions will naturally follow.


In the end, AI will earn our trust when it stops feeling like a stranger and starts acting like a valued member of the team—providing fresh perspectives, informed opinions, and reliable guidance. By proving its worth through transparency, accountability, and collaboration with human experts, AI will gradually become an indispensable tool in the decision-making process of professional sports.


Trust, in this case, isn’t about choosing between man and machine—it’s about recognizing that AI, when done right, can think, and think well, in ways that enhance human decisions.

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