Reexamining the Uncanny Valley in Palliative Care: Attunement in the Age of Artificial Intelligence

1. Tierney AA , Gayre G , Hoberman B , et al. Ambient artificial intelligence scribes to alleviate the burden of clinical documentation. NEJM Catal Innov Care Deliv 2024;5(3); doi: 10.1056/CAT.23.0404

2. Xie W , Butcher R . Artificial Intelligence Decision Support Tools for End-Of-Life Care Planning Conversations: CADTH Horizon Scan [Internet]. Canadian Agency for Drugs and Technologies in Health: Ottawa (ON); 2023. Report No.: EN0053.

3. Ayers JW , Poliak A , Dredze M , et al. Comparing physician and artificial intelligence chatbot responses to patient questions posted to a public social media forum. JAMA Intern Med 2023;183(6):589–596; doi: 10.1001/jamainternmed.2023.1838

4. Starke G , Schopp L , Meier C , et al. Machine learning–based patient preference prediction: A proof of concept. Nejm AI 2025;2(10); doi: 10.1056/AIoa2500265

5. Mori M . The uncanny valley. IEEE Spectrum. 1970. Available from: https://spectrum.ieee.org/the-uncanny-valley

6. Jacobsen J , Brenner KO , Shalev D , et al. Defining clinical attunement: A ubiquitous but undertheorized aspect of palliative care. J Palliat Med 2021;24(12):1757–1761; doi: 10.1089/jpm.2021.0442

7.Center to Advance Palliative Care. CAPC designation provides standard competencies. Available from: https://www.capc.org/capc-designation-provides-standard-competencies/