Cited by 82Innovations in Medical EducationHealth and Medical EducationEmpathy and Medical Education

The Empirical Challenge of 21st-Century Medical Education

Wartman, Steven A.·2019·Academic Medicine

Abstract

Medical education is at a crossroads. Facing challenges wrought by science and technology as well as societal change, the curriculum is increasingly out of synch with new needs in teaching content and medical practice. The path to significant curricular reform is difficult because of a variety of factors, including deeply entrenched values, the natural resistance to change, and the accreditation process. Indeed, even the very definition of what it means to be a professional is changing with profound implications for the future role of the physician and the sacrosanct doctor–patient relationship. In this Invited Commentary, the author enumerates challenges facing medical education in the current era. To address these challenges, the author recommends specific curricular emphases for 21st-century medical education: knowledge capture and curation, collaboration with and management of artificial intelligence applications, a deep understanding of probabilistic reasoning, and the cultivation of empathy and compassion in accordance with ethical standards. Given these needs, it is imperative that schools act today to undertake significant curricular reform and, in so doing, strive to make the hard changes necessary to produce optimal practitioners in a rapidly transforming 21st century. The author provides first steps an institution can take to begin to address these challenges.

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Crossref · 10.1097/acm.0000000000002866

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  • Gaps in medical faculty knowledge of AI may be inhibiting learners who have an active interest in AI applications but lack exposure to knowledgeable faculty to help them understand, access, and apply AI.

    “these gaps may be inhibiting learners who have an active interest in AI applications but lack exposure to knowledgeable faculty to help them understand, access, and apply them.42,56”
  • The exposure of gaps in medical faculty knowledge of AI is likely to conclude that there is a need to restructure faculty positions to bridge those gaps.

    “The exposure of gaps in medical faculty knowledge of AI is in the process of research but is likely to conclude that there is a need to restructure faculty positions to bridge these gaps;”

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Authors
Wartman, S. A.
Affiliations
Association of Academic Health Centers (US)
Corresponding author
Wartman, Steven A.
Venue
Academic Medicine
Published
2019-10
Volume
94
Issue
10
Pages
1412-1415
ISSN
1040-2446 (ISSN-L)
OpenAlex
W2962544139
Cited by
82
References
5
Citations by year
2026: 7 · 2025: 10 · 2024: 11 · 2023: 15 · 2022: 13 · 2021: 19 · 2020: 5 · 2019: 2
Type
journal article
Language
en
Open access
closed
Locations
  • Academic Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
  • Health Sciences › Health Professions › General Health Professions › Health and Medical Education
  • Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
Keywords
medical education, curriculum reform, artificial intelligence in healthcare, probabilistic reasoning, empathy and compassion, physician-patient relationship, professional identity, medical accreditation, knowledge curation, medical ethics
MeSH terms
Clinical Decision-Making, Accreditation, Artificial Intelligence, Curriculum, Education, Medical, Empathy, Humans, Physician-Patient Relations, Probability, Knowledge

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