Artificial intelligence (AI) will potentially transform the role of the clinician and revolutionise the practice of medicine. The rise of large language models and generative AI has revolutionised the application of AI in health. Autonomous surgical robots are also being developed, changing the role of the proceduralist. There are potential moral and ethical dilemmas that arise when applying AI in health, illustrated by the classic 'trolley problem'. There are also medicolegal implications, such as who is legal liability in negligence, as well as health law issues such as privacy and intellectual property. There is a need for governance to ensure AI is introduced safely, equitably and sustainably. Clinicians need to lead health AI policy.