Algorithms are the operational key for medical artificial intelligence(AI)to optimize the patients seeking medical treatment.With the gradual implementation and application of medical AI algorithms,their decision-making presents the main characteristics of the data-driven,algorithmic black box,and probabilistic paradigms in generating patterns.These characteristics have driven the transformation from artificial diagnosis and treatment to intelligent diagnosis and treatment,but have also simultaneously spawned corresponding practical problems such as"algorithms"replacing doctor decision-making,"algorithmic Leviathan"resolving patients'basic rights,and doctor-patient trust crisis.To effectively prevent ethical risks arising from medical AI algorithm decision-making,it is necessary to call for a return to the subject-centered approach with doctors as the main body and algorithm technology as the wings,strengthen the doctor's decision-making ability,respect patients'basic rights,promote algorithm optimization,train technology to improve,anchor risk keys,and strengthen doctor-patient trust construction.

The red doctor spirit， as an essential component of the Chinese Communist Party’s red health culture， is deeply rooted in the historical fertile soil of revolutionary practice. It serves as a crucial spiritual force driving the development of China’s healthcare undertakings and the reform of medical education. Anchored in firm political belief and a noble professional mission， it follows a dual path of constructing medical ethics and promoting humanistic care， thereby laying a solid cultural foundation for the modern medical education system in China. Integrating the spirit of red medicine into the ideological and political education system for medical students helps guide them in strengthening their ideals and beliefs， fulfilling their professional mission of healing the wounded and rescuing the dying， cultivating a rigorous and pragmatic work style， and establishing a professional spirit of pursuing excellence. Through the dual advancement of ideological guidance and practical instruction， the professional sense of responsibility among medical students can be further enhanced， providing sustained spiritual momentum for the cultivation of medical talents in the new era and the implementation of the “healthy China” strategy.