In the past couple of years, student submissions in discussion posts have become remarkably well written. I often wonder how much of the content is related to the student's unique contribution vs how much is me just grading the work of their AI system. I try to provoke further thought by the student by asking questions but feel that they just plug that into the software also. I spend some time, particularly for student that are going into healthcare, educating students that in live scenarios there will not be time to check with AI systems. On the other hand AI use is growing exponentially in all healthcare environments. I find AI use in discussions to be the biggest challenge in assessing the student's true progress and use of course content in that forum.