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Language is humanity's first general-purpose technology, developed to extend cognitive capabilities beyond biological limits. Large language models represent the latest evolution in a continuum stretching from spoken language through writing and print to digital text, extending language's capabilities through unprecedented scale, cross-domain synthesis, and cognitive adaptability. For health professions education, this framing shifts priorities from knowledge acquisition toward cognitive partnership and adaptive expertise. It demands a reconceptualisation of AI literacy — moving beyond technical prompting to understand how these tools shape reasoning — and requires assessment to evaluate students' capacity for collaborative problem-solving. Understanding LLMs as language technology offers a middle path between uncritical enthusiasm and reflexive resistance.