<p>Artificial intelligence (AI) and robotics are transforming the foundations of medical practice. Their integration creates new opportunities for precision, individualization and efficiency but also raises fundamental ethical questions about knowledge, responsibility and legitimacy. This article summarizes the main opportunities and risks of the use of AI and robotics in medicine and shows how these technologies reshape the epistemic, normative and social dimensions of medical practice. While numerous ethical principles and guidelines provide initial guidance, the real impact arises only when the principles are embedded in concrete clinical, institutional and procedural contexts. There are three guiding ideas that are proposed as the basis of such ethics: epistemic transparency, shared responsibility and discursive-procedural legitimacy. These form the foundation of a&#xa0;learning, reflective and patient-centered ethics of the responsible use of technology.</p>