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Abstract
<jats:p>The article examines the phenomenon of “shadow artificial intelligence” (Shadow AI) in clinical practice, which refers to the unauthorized use of unverified generative artificial intelligence (AI) tools by doctors outside of procedures and protocols established by the medical organization. The primary focus is on the legal mechanisms for controlling such use. Based on comparative-legal and formal-legal methods, the risks of violating medical secrets and personal data legislation, threats to patient safety, and problems in defining and distributing legal liability are analyzed. The necessity of developing internal AI compliance policies for medical organizations and establishing relevant requirements in the legislation of the Republic of Uzbekistan is substantiated.</jats:p>