Tools based on machine learning (so-called artificial intelligence. AI) are increasingly being developed to diagnose malignant melanoma in dermatology. This contribution discusses (1) three scenarios for the use of AI in different medical settings. (2) shifts in competencies from dermatologists to non-specialists and empowered patients. https://www.roneverhart.com/DeRoyal-LMB-Spring-Finger-Extension-Assist/