Cited by 35Anatomy and Medical TechnologyArtificial Intelligence in Healthcare and EducationEthics and bioethics in healthcare

Ethical concerns surrounding artificial intelligence in anatomy education: Should AI human body simulations replace donors in the dissection room?

Open access
Cornwall, Jon, Hildebrandt, Sabine, Champney, Thomas H., Goodman, Kenneth·2024·Anatomical Sciences Education

Abstract

The potential effects of artificial intelligence (AI) on the teaching of anatomy are unclear. We explore the hypothetical situation of human body donors being replaced by AI human body simulations and reflect on two separate ethical concerns: first, whether it is permissible to replace donors with AI human body simulations in the dissection room when the consequences of doing so are unclear, and second, the overarching ethical significance of AI use in anatomy education. To do this, we highlight the key benefits of student exposure to the dissection room and body donors, including nontechnical, discipline‐independent skills, awareness and interaction with applied bioethics, and professional identity formation. We suggest that the uniqueness of the dissection room experience and the importance of the key benefits accompanying this exposure outweigh the potential and so far unknown benefits of AI technology in this space. Further, the lack of engagement with bioethical principles that are intimately intertwined with the dissection room experience may have repercussions for future healthcare professional development. We argue that interaction with body donors must be protected and maintained and not replaced with AI human body donor simulations. Any move away from this foundation of anatomy education requires scrutiny. In light of the possible adoption of AI technologies into anatomy teaching, it is necessary that medical educators reflect on the dictum that the practice of healthcare, and anatomy, is a uniquely human endeavor.

AI snapshot

Written from the paper’s full text.

TL;DR

This viewpoint argues that AI human body simulations should not replace body donors in the dissection room because donor-based dissection uniquely supports nontechnical skills, bioethical engagement, and professional identity formation. It concludes that the lack of evidence on AI’s educational outcomes and concerns about authenticity make wholesale replacement ethically unjustified.

Key findings

  • The authors frame two ethical questions: whether it is permissible to replace donors with AI human body simulations when the impact is unclear, and what the potential ethical consequences of using this technology are.
  • They argue the dissection room and donor experience uniquely foster nontechnical, discipline-independent skills such as empathy, communication, teamwork, humanistic values, and professional identity formation; applied bioethics around donor autonomy, consent, respect for the dead, and social determinants of health; and professional identity formation.
  • AI may offer adaptive ability, real-time feedback, “smart” analytics, continuous improvement, instant simulations, and “intelligent” tutoring, but the authors warn it risks erasing human connection, dehumanizing consent and provenance, reducing appreciation of anatomical variation, and normalizing questionable data acquisition.
  • The authors conclude that exposure to donors and dissection room time must be protected and maintained, not replaced by computational simulations, and that future AI in anatomy education should be shaped by close scrutiny, careful monitoring, and transparent assessment. No numerical outcome data are reported.

Methods

  • Design: a viewpoint/commentary presenting conceptual ethical analysis, not an empirical study.
  • Data or sample: no dataset or study sample; the paper draws on cited literature and the authors’ arguments about anatomy education, body donation, and AI.
  • Main analysis: structured around two ethical questions and three claimed benefits of the dissection room—nontechnical skills, engagement with bioethical principles, and professional identity formation—with Figure 1 depicting potential AI influences.

Limitations

  • The paper states that no randomized, cross-over, double-blind scientific study can definitively answer whether AI alters anatomical knowledge outcomes, and that this empirical question is impossible or very difficult to answer.
  • The paper states that nontechnical skills are difficult to measure and illuminate empirically, and that the quality and anatomical accuracy of AI replicas are unclear.
  • Evident from the text: as a viewpoint, it presents no original data, no systematic review, and no formal qualitative or quantitative analysis; its conclusions are normative and rely on cited literature and author perspective.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1002/ase.2335

Cites

36 of 36 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 12 cited sources checked · 0 supported · 0 flagged

  • Interpretationreasoning

    The use of AI human body simulations in the dissection room would likely lead to an educational gap in the understanding and application of bioethical principles.

    “Despite the lack of clarity around educational outcomes, we suggest that the use of AI human body simulations in the dissection room would likely lead to an educational gap in the understanding and application of bioethical principles given the importance of experiential learning in professional identity formation.”
    Quote in the paperNot a substantial claim
  • Premisecitation

    The interaction of the living with the dead has a profound educational and emotional impact on learners.

    “The interaction of the living with the dead has a profound educational and emotional impact on learners (Montross, 2007;Fountain, 2014;Goss et al., 2019).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Montross, 2007

      Not checked in the free run.

    • cites Fountain, 2014

      Not checked in the free run.

    • cites Goss et al., 2019

      Not checked in the free run.

  • Interpretationreasoning

    Nontechnical, discipline-independent skills that are dependent on and unique to interaction with donors will likely be compromised in future healthcare professionals if AI human body simulations replace body donors.

    “however, nontechnical, discipline-independent skills that are dependent on, and unique to, interaction with donors will likely be compromised in future healthcare professionals should AI human body simulations replace body donors.”
    Quote in the paperNot a substantial claim
  • Interpretationreasoning

    A change in the use of donors or elimination of anatomical dissection could lead to an erosion of opportunities to learn about and apply bioethical principles in healthcare.

    “A change in the use of the donors or the elimination of anatomical dissection could influence the ability to apply these standards in the dissection room and could lead to an erosion of opportunities to learn about and apply bioethical principles in health care.”
    Quote in the paperSubstantial claim
  • Premisecitation

    The dissection room and interaction with human donors provide unique contributions to the development of healthcare professionals, including nontechnical, discipline-independent skills (empathy, communication, teamwork, humanistic values) and professional identity formation, that are best learned through in-person experiences.

    “There are contributions to the development of healthcare professionals that are best learned by in-person experiences, allowing individuals to develop and mature their professional identity.These include the acquisition of many nontechnical, discipline-independent skills such as empathy, communication, teamwork, humanistic values, and professional identity formation (Rizzolo, 2002;Escobar-Poni & P”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Rizzolo, 2002 source

      Not checked in the free run.

    • cites Escobar-Poni & Poni, 2006

      Not checked in the free run.

    • cites Pawlina, 2006 source

      Not checked in the free run.

  • May combine two claims. 8
  • Classified as probably not a substantial claim. 15
  • May combine two claims.

    Premisecitation

    The dissection room facilitates an awareness of the development of a balance between empathy and clinical detachment and the appreciation of the inherently human characteristics that make someone a living, sentient being.

    “The dissection room also facilitates an awareness of the development of a balance between empathy and clinical detachment (Hildebrandt, 2010), and the appreciation of the inherently human characteristics that make someone a living, sentient being.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Hildebrandt, 2010

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Premisenone given

    Some skills are learned by actual physical contact with the donor; merely observing the donor does not provide the same impact as physical interaction.

    “Some of these skills are learned by the actual physical contact with the donor: merely observing the donor does not provide the same impact as a physical interaction while learning the intricacies of the human body.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisenone given

    The dissection room exposes students to an examination of death, stimulates reflections on how colleagues and classmates interact with and respect the dead, highlights the altruism of humans who donate their remains, and reinforces core ethical principles underlying healthcare.

    “The dissection room exposes students to an examination of death, stimulates reflections on how colleagues and classmates interact with and respect the dead, highlights the altruism of humans who willingly donate their remains to strangers for improving their knowledge, and reinforces core ethical principles underlying healthcare and the interaction between the physician and patient.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationreasoning

    If AI-generated simulations were widely used in the dissection room, appreciation of consent and provenance would be minimalized and dehumanized.

    “If AIgenerated simulations were to be widely used in the dissection room, appreciation of consent and provenance would be minimalized and dehumanized.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationreasoning

    The experience of the dissection room and engagement with donors forms a unique and valuable learning environment, which cannot be wholly replicated or simulated.

    “However, without doubt, the experience of the dissection room and engagement with donors forms a unique and valuable learning environment, which cannot be wholly replicated or simulated.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Premisereasoning

    The dissection room is a liminal space where students undergo significant personal and professional transformation.

    “The dissection room is, educationally, a liminal space where students undergo significant personal and professional transformation.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).

    Interpretationreasoning

    It is unclear whether learning outcomes around anatomical knowledge will be altered by AI technology because no randomized, cross-over, double-blind study can definitively answer this question.

    “It is unclear whether learning outcomes around anatomical knowledge will be altered by the arrival of AI technology because there will be no randomized, cross-over, double-blind, scientific study that can definitively answer this question.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    No AI-developed representation of a body can replace the human connection or experience of the dissection room.

    “No AI-developed representation of a body can replace this human connection or experience, and this is indeed essential, as the actual practice of healthcare is fundamentally a human-to-human endeavor.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based). May combine two claims.

    Interpretationnone given

    The dissection room environment and experience with human donors are authentic, while AI anatomy is not.

    “What is also true is that the dissection room environment and experience with human donors are authentic, while AI anatomy is not.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based). May combine two claims.

    Interpretationreasoning

    Students risk experiencing the normalization of questionable forms of data acquisition, which might influence the adoption of inappropriate professional constructs for appropriate data use, with possible ethical erosion regarding the use of others' digital data.

    “Students risk experiencing the normalization of questionable forms of data acquisition.This, in turn, might influence the adoption of inappropriate professional constructs for appropriate data use, with possible ethical erosion regarding the use of others' digital data.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationnone given

    The amount of time persons experience human and donor interaction in the dissection room likely has implications for students' understanding and application of ethical standards and principles.

    “The amount of time persons experience human and donor interaction in the dissection room likely has implications for students' understanding and application of ethical standards and principles.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based). May combine two claims.

    Interpretationreasoning

    The dissection room and donor experience are unique and valuable.

    “Though it is true the three benefits listed can be facilitated using a variety of different methods, we argue that the dissection room and donor experience are unique and valuable.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationreasoning

    Simulations created through access to resources on the internet reduce, without evidence of their superiority, the ethical challenges addressed when learners reflect on the importance of consent and its absence.

    “Simulations created through access to resources on the internet reducewithout evidence of their superiority-the ethical challenges addressed when learners reflect on the importance of consent and its absence.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable). May combine two claims.

    Interpretationreasoning

    The dissection room and donor experience are essential for authentic personal contact and the professional identity formation that they underpin.

    “Yet it also holds more serious challenges than other technologies for one of the core tenets of anatomy-that dissection room experiences are essential for authentic personal contact, and the professional identity formation that they underpin.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationnone given

    The less authentic the situation, the greater the likelihood of making the educational experience, and its consequences, more detached, impersonal, and unreal.

    “The less authentic the situation, the greater the likelihood of making the educational experience, and its consequences, more detached, impersonal, and unreal.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisenone given

    The three benefits (nontechnical skills, bioethics, professional identity) can be facilitated using a variety of different methods.

    “Though it is true the three benefits listed can be facilitated using a variety of different methods, we argue that the dissection room and donor experience are unique and valuable.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based). May combine two claims.

    Premisenone given

    Personal interaction and communication are important attributes that help shape professional identity and support ethical growth.

    “Personal interaction and communication are important attributes that help shape professional identity and support ethical growth.”
    Quote in the paperNot a substantial claim
17 of 17
  • The paper relies on this without support.

    The dissection room experience and interaction with human donors are necessary for the development of nontechnical, discipline-independent skills and professional identity in healthcare professionals.

    “There are contributions to the development of healthcare professionals that are best learned by in-person experiences, allowing individuals to develop and mature their professional identity.”
    “we argue that the dissection room and donor experience are unique and valuable.”
  • The paper relies on this without support.

    The ethical principles learned in the dissection room are essential for future patient care.

    “This could compromise the application of these principles in the treatment of future patients.”
2 of 2

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

Research works printed but not linked: 2

  1. Fountain TK, 2014, Rhetoric in the flesh. Trained vision, technical expertise, and the gross lab
  2. Jones DG, 2017, Human anatomy: reviews and medical advances, 3

Cited by

Sorted by citations

Authors
Cornwall, J., Hildebrandt, S., Champney, T. H., & Goodman, K.
Affiliations
  • University of Otago (NZ)
  • Boston Children's Hospital (US)
  • University of Miami (US)
Corresponding author
Cornwall, Jon
Venue
Anatomical Sciences Education
Publisher
Wiley
Published
2023-09-26
Volume
17
Issue
5
Pages
937-943
ISSN
  • 1935-9772 (ISSN-L)
  • 1935-9780
OpenAlex
W4387033057
Cited by
35
References
36
Citations by year
2026: 11 · 2025: 15 · 2024: 9
FWCI
2.76
Type
journal article
Language
en
Open access
Locations
  • Anatomical Sciences Education (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Topics
  • Physical Sciences › Engineering › Biomedical Engineering › Anatomy and Medical Technology
  • Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
Keywords
artificial intelligence, anatomy education, dissection, AI ethics in education, professional identity formation, non-technical skills
MeSH terms
Simulation Training, Anatomy, Artificial Intelligence, Cadaver, Curriculum, Dissection, Humans, Tissue Donors, Human Body

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