Background This study aims to investigate growing Internet use in relation to memory and cognition. Though literature reveals human capability to utilize the Internet as a transactive memory source, the formational mechanisms of such transactive memory systems are not extensively explored. The Internet’s comparative effects on transactive memory and semantic memory are also relatively unknown. Methods This study comprises two experimental memory task survey phases utilizing null hypothesis and standard error tests to assess significance of results. Results When information is expected to be saved and accessible, recall rates are lower, regardless of explicit instructions to remember (Phase 1, N = 20). Phase 2 suggests the importance of order of attempted recall: depending on whether users first attempt to recall (1) desired information or (2) the information’s location, subsequent successful cognitive retrieval is more likely to occur for (1) only desired information or both desired information and location thereof or (2) only desired information’s location, respectively (N = 22). Conclusions This study yields several theoretical advances in memory research. The notion of information being saved online and accessible in the future negatively affects semantic memory. Phase 2 reveals an adaptive dynamic—(1) as Internet users often have a vague idea of desired information before searching for it on the Internet, first accessing semantic memory serves as an aid for subsequent transactive memory use and (2) if transactive memory access is successful, the need to retrieve desired information from semantic memory is inherently eliminated. By repeatedly defaulting to first accessing semantic memory and then transactive memory or to accessing transactive memory only, Internet users may form and reinforce transactive memory systems with the Internet, or may refrain from enhancing and decrease reliance on transactive memory systems by repeatedly defaulting to access only semantic memory; the formation and permanence of transactive memory systems are subject to users’ will. Future research spans the domains of psychology and philosophy.

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Highlights-Medical artificial intelligence (AI) has the potential to improve the quality and efficiency of patient assessment and diagnosis. -Here, the topics of data collection, efficiency and feasibility, and patentability are discussed in relation to the implementation of diagnostic medical AI in medical settings. -Potential resolutions and future directions are provided to facilitate an agreeable implementation of diagnostic medical AI systems.