Cited by 138Artificial Intelligence in Healthcare and EducationInnovations in Medical EducationArtificial Intelligence in Education

The DOI matches its Crossref record; 22 of the 24 references it cites were found in a registry or an index; none of the 40 sources its claims cite is checked for support yet.

Exploration of exposure to artificial intelligence in undergraduate medical education: a Canadian cross-sectional mixed-methods study

Open access
Pucchio, Aidan, Rathagirishnan, Raahulan, Caton, Natasha, Gariscsak, Peter J., Del Papa, Joshua, Nabhen, Jacqueline Justino, Vo, Vicky, Lee, Wonjae, Moraes, Fabio Y.·2022·BMC Medical Education

Abstract

Background: Emerging artificial intelligence (AI) technologies have diverse applications in medicine. As AI tools advance towards clinical implementation, skills in how to use and interpret AI in a healthcare setting could become integral for physicians. This study examines undergraduate medical students’ perceptions of AI, educational opportunities about of AI in medicine, and the desired medium for AI curriculum delivery. Methods: A 32 question survey for undergraduate medical students was distributed from May–October 2021 to students to all 17 Canadian medical schools. The survey assessed the currently available learning opportunities about AI, the perceived need for learning opportunities about AI, and barriers to educating about AI in medicine. Interviews were conducted with participants to provide narrative context to survey responses. Likert scale survey questions were scored from 1 (disagree) to 5 (agree). Interview transcripts were analyzed using qualitative thematic analysis. Results: We received 486 responses from 17 of 17 medical schools (roughly 5% of Canadian undergraduate medical students). The mean age of respondents was 25.34, with 45% being in their first year of medical school, 27% in their 2nd year, 15% in their 3rd year, and 10% in their 4th year. Respondents agreed that AI applications in medicine would become common in the future (94% agree) and would improve medicine (84% agree Further, respondents agreed that they would need to use and understand AI during their medical careers (73% agree; 68% agree), and that AI should be formally taught in medical education (67% agree). In contrast, a significant number of participants indicated that they did not have any formal educational opportunities about AI (85% disagree) and that AI-related learning opportunities were inadequate (74% disagree). Interviews with 18 students were conducted. Emerging themes from the interviews were a lack of formal education opportunities and non-AI content taking priority in the curriculum. Conclusion: A lack of educational opportunities about AI in medicine were identified across Canada in the participating students. As AI tools are currently progressing towards clinical implementation and there is currently a lack of educational opportunities about AI in medicine, AI should be considered for inclusion in formal medical curriculum.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

In a Canadian cross-sectional mixed-methods study, most surveyed undergraduate medical students believed AI would become common and improve medicine and wanted formal AI teaching, but most reported no formal AI education. Interviews echoed a lack of formal opportunities and concern that non-AI content would take curricular priority.

Key findings

  • Among 475 included survey respondents from all 17 Canadian medical schools, 94% agreed AI applications in medicine would become common, 84% agreed AI would improve medicine, 73% agreed they would need to use AI, 68% agreed they would need to understand AI, and 67% agreed AI should be formally taught in medical education.
  • 85% disagreed they had received formal curriculum training in AI, 74% disagreed AI-related learning opportunities were adequate, and 75.8% (360) reported no formal teaching about AI during medical school. Preferred formats were workshops (27.1%, 299), lectures (23.8%, 263), and collaborative activities with other departments such as computer science (17.3%, 191).
  • Interviews yielded three major themes: a lack of existing learning opportunities about AI, the need to incorporate AI learning in medical curriculum, and positive sentiment about the future of AI in medicine. Subthemes included elective/informal learning, scarcity of formal opportunities, desired formats, barriers to curriculum development, excitement, and fear about misuse or poor stewardship.
  • Students showed some cognitive dissonance: 74% agreed AI would revolutionize medicine, but only 31.7% agreed AI would particularly affect their specialty of choice while 35.1% disagreed; 66% disagreed that some or all physicians would be replaced by AI.

Methods

  • Cross-sectional mixed-methods study with a 56-question online survey (abstract says 32 questions) distributed May–October 2021 to all 17 Canadian medical schools; inclusion required consent and enrollment in a Canadian medical school at any time in 2021. There were 486 responses, of which 475 met inclusion criteria. Likert items were scored 1 (disagree) to 5 (agree).
  • Follow-up 10–15 minute interviews were conducted via Zoom between October and December 2021 with a stratified random sample from English-speaking medical schools; the paper reports 17 undergraduate medical students recruited from 11 medical schools, while the abstract states 18 students were interviewed.
  • Quantitative data were analyzed descriptively in SPSS 27.0, with Likert results reported as percentages agreeing/disagreeing and counts; interview transcripts were analyzed using emergent thematic analysis with two independent blinded coders, and inter-coder reliability was 82%.

Limitations

  • The paper states non-response and participant bias; respondents made up only ~4.5% of the total Canadian undergraduate medical student population, dissemination varied by school, later-stage and male respondents were underrepresented, no formal survey validation was employed beyond an internal pilot, the survey was lengthy, and the authors could not comment on how many participants were recruited through each medium.
  • The paper states participant bias likely affected outcomes, with respondents more likely to possess interest or knowledge of AI and stronger technical understanding than non-respondents.
  • Evident in the text: the abstract reports 18 interviews while the methods/results report 17 recruited, and the abstract describes a 32-question survey while the methods describe a 56-question survey.

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

Integrity signals

Registry

Crossref · 10.1186/s12909-022-03896-5

Cites

22 of 22 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Figures

Fig. 1 Participant Likert responses about AI in medicine. A. Knowledge about current uses of AI in medicine. B. Perceptions about the future of AI in medicine
Fig. 1 Participant Likert responses about AI in medicine. A. Knowledge about current uses of AI in medicine. B. Perceptions about the future of AI in medicineCC BY · PubMed Central
Fig. 2 Participant Likert responses about the AI in medical education. A. Current educational opportunities about AI in medicine. B. Perceptions about the future of AI education in medicine
Fig. 2 Participant Likert responses about the AI in medical education. A. Current educational opportunities about AI in medicine. B. Perceptions about the future of AI education in medicineCC BY · PubMed Central

Verification

Claims the paper makes

45 Own result · 25 Not checked yet · 20 Own method · 3 Own interpretation

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Show all 45 claims

  • It may state two separate claims as one. 28
  • Probably not a substantial claim. 30
48 of 48
  • The paper relies on this without support.

    The AI content that students would be receptive to learning about and the desired mediums of curriculum delivery have not been identified.

    “Additionally, the AI content that students would be receptive to learning about and the desired mediums of curriculum delivery have not been identified.”
  • The paper relies on this without support.

    Curriculum is variable between institutions.

    “Given how variable curriculum can be between institutions, interviews are particularly valuable in exploring institutionally specific opportunities or deficits that cannot be captured by the survey instrument.”
  • The paper relies on this without support.

    Institutionally specific opportunities or deficits about AI education cannot be captured by the survey instrument.

    “Given how variable curriculum can be between institutions, interviews are particularly valuable in exploring institutionally specific opportunities or deficits that cannot be captured by the survey instrument.”
  • The paper relies on this without support.

    The absence of formal AI educational opportunities reported by participants reflects the absence of such opportunities at their medical schools.

    “All participants discussed formal institutional learning opportunities about AI, with all participants but one indicating that there were no formal educational opportunities about AI available to them.”
  • The paper relies on this without support.

    The survey and interview samples are sufficiently representative of Canadian undergraduate medical students for the study's conclusions about lack of opportunities and attitudes.

    “While we did receive responses from all medical schools in Canada, our respondent population makes up only ~ 4.5% of the total undergraduate medical student population in Canada [10].”
  • The paper relies on this without support.

    Self-reported lack of prior AI training accurately reflects actual training history.

    “but indicated they had not received training in formal curriculum previously (85% disagree; 181 strongly disagree, 196 disagree)”
  • The paper relies on this without support.

    The survey instrument's internal pilot was sufficient to ensure question clarity and validity despite no formal validation.

    “No formal validation process for the survey was employed, outside of the internal pilot to ensure question clarity; this could have reduced face validity or construct validity.”
  • The paper relies on this without support.

    The qualitative themes are transferable to the broader Canadian medical student population.

    “Three major themes emerged in the qualitative analysis: a lack of existing learning opportunities about AI, the need to incorporate AI learning in medical curriculum, and positive sentiment about the future of AI in medicine.”
8 of 8

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Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

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Metadata

Authors
Pucchio, A., Rathagirishnan, R., Caton, N., Gariscsak, P. J., Del Papa, J., Nabhen, J. J., Vo, V., Lee, W., & Moraes, F. Y.
Affiliations
  • Queen's University (CA)
  • University of British Columbia (CA)
  • Universidade Federal do Paraná (BR)
  • Western University (CA)
  • McMaster University (CA)
Venue
BMC Medical Education
Published
2022-11-28
Volume
22
Issue
1
Pages
815-815
ISSN
1472-6920 (ISSN-L)
OpenAlex
W4310153968
Cited by
138
References
24
Citations by year
2026: 39 · 2025: 46 · 2024: 38 · 2023: 14 · 2022: 1
FWCI
7.46
Type
journal article
Language
en
Open access
Locations
  • BMC Medical Education (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • cIRcle (University of British Columbia) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
  • Social Sciences › Education › Innovations in Medical Education
  • Social Sciences › Education › Artificial Intelligence in Education
Keywords
artificial intelligence in healthcare, undergraduate medical education, medical students' perceptions, AI curriculum, medical curriculum, AI literacy, Canadian medical schools
MeSH terms
Artificial Intelligence, Canada, Cross-Sectional Studies, Education, Medical, Undergraduate, Humans, Students, Medical

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