The impact of artificial intelligence on clinical education: perceptions of postgraduate trainee doctors in London (UK) and recommendations for trainers

被引：65

作者：

Banerjee, Maya ^{[1
]}

Chiew, Daphne ^{[2
]}

Patel, Keval T. ^{[3
]}

Johns, Ieuan ^{[4
]}

Chappell, Digby ^{[2
]}

Linton, Nick ^{[4
]}

Cole, Graham D. ^{[4
]}

Francis, Darrel P. ^{[2
]}

Szram, Jo ^{[5
]}

Ross, Jack ^{[3
]}

Zaman, Sameer ^{[2
,3
,4
,6
]}

机构：

[1] UCL, Gower St, London WC1E 6BT, England

[2] Imperial Coll London, Exhibit Rd, London SW7 2AZ, England

[3] Guys & St Thomas NHS Fdn Trust, Westminster Bridge Rd, London SE1 7EH, England

[4] Imperial Coll Healthcare NHS Trust, DU Cane Rd, London W12 0HS, England

[5] Royal Coll Physicians, 11 St Andrews Pl, London NW1 4LE, England

[6] Imperial Coll London, Artificial Intelligence Healthcare Ctr Doctoral T, South Kensington Campus, London SW7 2BX, England

来源：

BMC MEDICAL EDUCATION | 2021年 / 21卷 / 01期

关键词：

Artificial intelligence; Machine learning; Medical education; Clinical training; SYSTEM;

D O I：

10.1186/s12909-021-02870-x

中图分类号：

G40 [教育学];

学科分类号：

040101 ; 120403 ;

摘要：

Background Artificial intelligence (AI) technologies are increasingly used in clinical practice. Although there is robust evidence that AI innovations can improve patient care, reduce clinicians' workload and increase efficiency, their impact on medical training and education remains unclear. Methods A survey of trainee doctors' perceived impact of AI technologies on clinical training and education was conducted at UK NHS postgraduate centers in London between October and December 2020. Impact assessment mirrored domains in training curricula such as 'clinical judgement', 'practical skills' and 'research and quality improvement skills'. Significance between Likert-type data was analysed using Fisher's exact test. Response variations between clinical specialities were analysed using k-modes clustering. Free-text responses were analysed by thematic analysis. Results Two hundred ten doctors responded to the survey (response rate 72%). The majority (58%) perceived an overall positive impact of AI technologies on their training and education. Respondents agreed that AI would reduce clinical workload (62%) and improve research and audit training (68%). Trainees were skeptical that it would improve clinical judgement (46% agree, p = 0.12) and practical skills training (32% agree, p < 0.01). The majority reported insufficient AI training in their current curricula (92%), and supported having more formal AI training (81%). Conclusions Trainee doctors have an overall positive perception of AI technologies' impact on clinical training. There is optimism that it will improve 'research and quality improvement' skills and facilitate 'curriculum mapping'. There is skepticism that it may reduce educational opportunities to develop 'clinical judgement' and 'practical skills'. Medical educators should be mindful that these domains are protected as AI develops. We recommend that 'Applied AI' topics are formalized in curricula and digital technologies leveraged to deliver clinical education.

引用

页数：10

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