{
  "source": "Cooked Index — occupational AI risk register",
  "page": "https://cookedindex.com/jobs/health-specialties-teachers-postsecondary/",
  "methodology": "https://cookedindex.com/methodology",
  "notice": "Verdicts are re-examined as evidence accumulates. Re-fetch before relying on this; the page above always carries the current score.",
  "scored_at": "2026-08-11",
  "model": "claude-opus-5",
  "occupation": {
    "title": "Health Specialties Teachers, Postsecondary",
    "soc_code": "25-1071",
    "category": "Education",
    "us_employment": 221270,
    "median_annual_wage": 107310
  },
  "verdict": "SAFE",
  "risk_resistance": 69,
  "contested": false,
  "near_boundary": false,
  "dimensions": {
    "task_resistance": 13,
    "embodiment": 13,
    "liability_shield": 13,
    "trust_premium": 16,
    "judgment_accountability": 14
  },
  "reasoning": {
    "task_resistance": "Slide decks, item-banked exams, and syllabus updates are already drafted by machine, but watching a second-year student's hands during a scaling procedure or a transfer from bed to wheelchair, correcting technique in real time, and debriefing a high-fidelity sim scenario are the tasks that hold the 13 rather than pushing higher — a meaningful share of contact hours is still lecture and grading that a model can shoulder.",
    "embodiment": "Clinical faculty teach in dental operatories, PT gyms, hospital wards, and cadaver labs where they physically position students, demonstrate palpation and injection technique, and stand at the chairside during live patient care — it sits at 13 rather than 17 because the same person also holds office hours, writes curriculum, and sits on accreditation committees from a desk.",
    "liability_shield": "Most clinical faculty hold an active state license (DDS, PharmD, PT, MD) and are personally on the hook for patient care rendered under their supervision, plus their signature on a competency attestation carries weight with ACPE, CODA, and CAPTE site visitors — the 13 rather than 18 reflects that the teaching credential itself is institutional, and basic-science and didactic-only faculty may hold no license at all.",
    "trust_premium": "Preceptor relationships, letters of recommendation that residency and fellowship directors actually read, and years of mentoring a cohort through board prep are the product students and programs pay for; it is 16 rather than 19 because large first-year didactic courses run at a scale where individual rapport is thin.",
    "judgment_accountability": "Deciding that a student is not safe to continue on a clinical rotation, remediating a near-miss with a real patient, and defending that call through a program's due-process appeal are the ambiguous high-stakes decisions here — 14 rather than 17 because progression standards and accreditation competency frameworks give the call a documented structure to lean on."
  },
  "rationale": "The modal worker here is clinical faculty in pharmacy, dentistry, PT/OT, medical, and allied health programs — lecture content, quiz banks, and case write-ups are exactly what generative AI now produces cheaply, but the job's center is supervising students on live patients, running skills labs and simulations, and signing off that a trainee is competent to practice. Accreditors (LCME, ACPE, CAPTE, CODA) and state boards require credentialed, often licensed, human faculty of record for clinical instruction and competency attestation, which is a regulatory moat that could narrow but not vanish. Didactic-only and adjunct lecturers are the exposed tier; clinical coordinators and preceptor-supervising faculty are the durable one.",
  "outlook": "Didactic lecture load shrinks as AI-generated content and shared course materials spread, while demand for clinical supervisors and competency assessors holds or grows with health workforce pipelines.",
  "what_would_raise_it": {
    "levers": [
      {
        "dimension": "liability_shield",
        "change": "Accreditor rules that explicitly name a licensed, credentialed faculty of record as the sole permissible signer of clinical competency attestations and entrustable professional activity (EPA) sign-offs, with AI-generated assessment barred as sole evidence — e.g., LCME Element 9.x guidance, ACPE Standards revisions, or CAPTE clarifying that AI-assisted evaluation cannot substitute for licensed supervisor judgment. Also state board rules on preceptor-to-student ratios (real, e.g. nursing board caps) extending to allied health.",
        "plausibility": "plausible",
        "would_add": 4
      },
      {
        "dimension": "judgment_accountability",
        "change": "Formalized remediation and dismissal due-process regimes where the faculty member personally owns the 'unsafe to progress' call and is deposed in student litigation — already happening as courts hear more academic-dismissal suits; if institutions respond by naming an individual attesting faculty rather than a committee, the personal ownership of ambiguous calls rises.",
        "plausibility": "plausible",
        "would_add": 3
      },
      {
        "dimension": "task_resistance",
        "change": "Task-mix shift: this occupation has a genuine two-tier structure. If lecture authoring, quiz banks, and case write-ups are substantially automated and the surviving role is simulation debriefing, direct patient-side supervision, and competency judgment, the residual day is the judgment tier. Watch for job postings shifting from 'didactic instructor' to 'clinical coordinator/simulation faculty'.",
        "plausibility": "already happening",
        "would_add": 3
      },
      {
        "dimension": "embodiment",
        "change": "Expansion of hands-on skills-lab and simulation contact-hour minimums in accreditation standards (post-COVID reversals of distance-learning flexibilities are already visible in CODA and CAPTE guidance), plus growth of in-person OSCE proctoring as remote assessment integrity fails.",
        "plausibility": "plausible",
        "would_add": 2
      },
      {
        "dimension": "trust_premium",
        "change": "Limited route: students and residency programs pay for named clinician-educators with active practice, and reputational preceptor networks matter for match placement. But tuition is paid to institutions, not individuals, and adjunct rates show no willingness to pay for human didactic instruction — this dimension is near its realistic ceiling at 16.",
        "plausibility": "unlikely",
        "would_add": 1
      }
    ],
    "ceiling_note": "The moat is accreditation, not consumer preference. If accreditors loosen contact-hour and faculty-of-record definitions to permit AI-assisted or asynchronous competency assessment — pressure that already exists from cost-driven online health programs — liability_shield and embodiment fall together and the didactic tier collapses fast. Realistic band is roughly 65-80."
  },
  "adjudication": null,
  "employment_history": {
    "points": [
      {
        "y": 2017,
        "emp": 194610,
        "wage": 97870
      },
      {
        "y": 2018,
        "emp": 199480,
        "wage": 97370
      },
      {
        "y": 2019,
        "emp": 201920,
        "wage": 97320
      },
      {
        "y": 2020,
        "emp": 200040,
        "wage": 99090
      },
      {
        "y": 2021,
        "emp": 191830,
        "wage": 102720
      },
      {
        "y": 2022,
        "emp": 207700,
        "wage": 100300
      },
      {
        "y": 2023,
        "emp": 225360,
        "wage": 105650
      },
      {
        "y": 2024,
        "emp": 229720,
        "wage": 105620
      },
      {
        "y": 2025,
        "emp": 221270,
        "wage": 107310
      }
    ],
    "from": 2017,
    "to": 2025,
    "change_pct": 13.7,
    "comparable_from": 2019,
    "spans_soc_revision": true
  },
  "pivots": [],
  "license": "https://cookedindex.com/terms"
}