Perceptions of undergraduate medical students on artificial intelligence in medicine: mixed-methods survey study from Palestine
Open accessAbstract
Background: The current applications of artificial intelligence (AI) in medicine continue to attract the attention of medical students. This study aimed to identify undergraduate medical students’ attitudes toward AI in medicine, explore present AI-related training opportunities, investigate the need for AI inclusion in medical curricula, and determine preferred methods for teaching AI curricula. Methods: This study uses a mixed-method cross-sectional design, including a quantitative study and a qualitative study, targeting Palestinian undergraduate medical students in the academic year 2022–2023. In the quantitative part, we recruited a convenience sample of undergraduate medical students from universities in Palestine from June 15, 2022, to May 30, 2023. We collected data by using an online, well-structured, and self-administered questionnaire with 49 items. In the qualitative part, 15 undergraduate medical students were interviewed by trained researchers. Descriptive statistics and an inductive content analysis approach were used to analyze quantitative and qualitative data, respectively. Results: From a total of 371 invitations sent, 362 responses were received (response rate = 97.5%), and 349 were included in the analysis. The mean age of participants was 20.38 ± 1.97, with 40.11% (140) in their second year of medical school. Most participants (268, 76.79%) did not receive formal education on AI before or during medical study. About two-thirds of students strongly agreed or agreed that AI would become common in the future (67.9%, 237) and would revolutionize medical fields (68.7%, 240). Participants stated that they had not previously acquired training in the use of AI in medicine during formal medical education (260, 74.5%), confirming a dire need to include AI training in medical curricula (247, 70.8%). Most participants (264, 75.7%) think that learning opportunities for AI in medicine have not been adequate; therefore, it is very important to study more about employing AI in medicine (228, 65.3%). Male students (3.15 ± 0.87) had higher perception scores than female students (2.81 ± 0.86) (p < 0.001). The main themes that resulted from the qualitative analysis of the interview questions were an absence of AI learning opportunities, the necessity of including AI in medical curricula, optimism towards the future of AI in medicine, and expected challenges related to AI in medical fields. Conclusion: Medical students lack access to educational opportunities for AI in medicine; therefore, AI should be included in formal medical curricula in Palestine.
AI snapshot
Written from the paper’s full text.
TL;DR
This mixed-methods survey of Palestinian undergraduate medical students found limited formal AI education and strong demand for AI inclusion in medical curricula. Most students were optimistic about AI’s future in medicine, but male students had higher perception scores regarding AI in medical education than female students.
Key findings
- Among 349 analyzed respondents (response rate 97.5%), 268 (76.79%) had not received formal education about AI before or during medical study, and 260 (74.5%) reported no prior training in AI use in medicine during formal medical education.
- Most participants thought AI would become common in the future (237, 67.9%) and revolutionize medical fields (240, 68.7%); 247 (70.8%) said AI should be specifically included in the medical curriculum, and 264 (75.7%) thought learning opportunities for AI in medicine were inadequate.
- Male students had higher perception scores than female students for AI in medical education (3.15 ± 0.87 vs 2.81 ± 0.86, p < 0.001); no significant differences were found by age, year of study, background in mathematics/statistics/computer science, technology experience, family AI degree, or university.
- Qualitative interviews produced four main themes: absence of current AI learning opportunities, necessity of including AI learning in medical curricula, optimism towards the future of AI in medicine, and expected challenges related to AI in medical fields.
Methods
- Mixed-methods cross-sectional study conducted in the West Bank and Gaza Strip, Palestine, from June 15, 2022, to May 30, 2023, targeting undergraduate medical students in the 2022–2023 academic year.
- Quantitative phase used a 49-item online self-administered questionnaire; 371 invitations were sent, 362 responses received, and 349 included in analysis. Qualitative phase used 15 individual interviews conducted via Google Meet for 5–20 minutes.
- Quantitative data were analyzed with descriptive statistics and Mann-Whitney U or Kruskal-Wallis H tests in R-Cran version 4.3.0; qualitative data were analyzed using inductive content analysis.
Limitations
- Stated: the sample was non-representative and mainly female (71.92%), limiting generalizability; the study covered only seven Palestinian universities with medical faculties; self-selection bias likely meant students interested in AI and medical technologies were more likely to participate; most participants were from the West Bank; and the study lacked sensitivity analyses.
- Evident from the text: the quantitative sample used nonprobability convenience sampling, and the study design was cross-sectional, so causal or longitudinal inferences cannot be drawn.
- Evident from the text: the qualitative interviews were brief (5–20 minutes) and relied on note-taking during interviews, which may limit depth and detail of qualitative findings.
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- Findingown data
The study found no significant difference in median scores of participants' perception of AI in medical education based on age, year of medical study, having a background in mathematics, statistics, or computer science, having a good experience in technology, having a parent or sibling with an AI major, and type of university.
“The study found no significant difference in the median scores of participants’ perception of AI in medical education based on age, year of medical study, having a background in mathematics, statistics, or computer science, having a good experience in technology, having a parent or sibling with an AI major, and type of university.”
Quote in the paperNot a substantial claim - Findingown data
There are no universities in Palestine that have a formal AI program included in the annual plan.
“Our study revealed that there are no universities that have a formal AI program included in the annual plan.”
Quote in the paperSubstantial claim - Findingown data
The overall median score of Likert responses for all participants regarding understanding of AI in medical education was 3.00 (IQR = 1).
“The overall median score of Likert responses for all participants was 3.00 (IQR = 1).”
Quote in the paperNot a substantial claim - Findingown data
68.7% (240) of participants strongly agreed or agreed that AI would revolutionize medical fields.
“revolutionize medical fields (68.7%, 240)”
Quote in the paperNot a substantial claim - Findingown data
A high percentage of interviewed participants confirmed that the current learning opportunities regarding AI were informal and outside their medical curricula.
“A high percentage of interviewed participants confirmed that the current learning opportunities regarding AI were informal and outside their medical curricula.”
Quote in the paperNot a substantial claim
- Findingown data
70.8% (247) of participants confirmed that lack of knowledge of mathematics and programming is considered the main problem that hinders understanding AI in medicine.
“Approximately 70.8% (247) confirmed that the lack of knowledge of mathematics and programming is considered the main problem that hinders understanding AI in medicine.”
Quote in the paperNot a substantial claim - Findingown data
The participants mentioned social, economic, ethical, technological, political, institutional, and information challenges as expected challenges related to learning AI.
“The participants mentioned social, economic, ethical, technological, political, institutional, and information challenges.”
Quote in the paperNot a substantial claim - Findingown data
Most participants were not concerned about the developments of AI in medicine.
“Our results revealed that most participants did not think that doctors would be replaced by AI and were not concerned about the developments of AI in medicine.”
Quote in the paperSubstantial claim - Findingown data
70.8% (247) of participants stated that AI should be specifically included in their medical curriculum.
“Participants stated that AI should be specifically included in their medical curriculum (247, 70.8%)”
Quote in the paperSubstantial claim - Findingown data
The overall median score of Likert responses for all participants regarding the future of AI and its current applications in medicine was 3.38 (IQR = 1).
“The overall median score of Likert responses for all participants was 3.38 (IQR = 1).”
Quote in the paperNot a substantial claim - Findingown data
70.2% (245) of participants strongly agreed or agreed that AI would be cost-effective.
“AI would be cost-effective (245, 70.2%)”
Quote in the paperNot a substantial claim - Findingown data
About two-thirds of students strongly agreed or agreed that AI would become common in the future (67.9%, 237).
“About two-thirds of students strongly agreed or agreed that AI would become common in the future (67.9%, 237)”
Quote in the paperNot a substantial claim - Findingown data
74.2% (259) of participants strongly disagreed or disagreed that doctors would be completely or partially replaced by AI.
“participants did not think that doctors would be completely or partially replaced by AI (259, 74.2% strongly disagree or disagree)”
Quote in the paperSubstantial claim - Findingown data
Media news (200, 57.31%), literature reviews and published research articles (58, 16.62%), and social media platforms (35, 10.03%) were the most common sources through which students learned about the uses of AI in daily life.
“Media news (200, 57.31%), literature reviews and published research articles (58, 16.62%), and social media platforms (35, 10.03%) were the most common sources through which students learned about the uses of AI in daily life (Table 3).”
Quote in the paperNot a substantial claim - Findingown data
There are still not enough educational options about AI available in Palestine at the universities that teach medicine.
“The study showed that there are still not enough educational options available in Palestine at the universities that teach medicine.”
Quote in the paperSubstantial claim - Findingown data
68.2% (238) of participants strongly agreed or agreed that benefits of AI would outweigh drawbacks.
“238 (68.2%) strongly agreed or agreed with this statement”
Quote in the paperNot a substantial claim - Findingown data
75.7% (264) of participants thought that learning opportunities regarding AI in medicine have not been adequate.
“Most participants (264, 75.7%) thought that learning opportunities regarding AI in medicine have not been adequate”
Quote in the paperSubstantial claim - Findingown data
About two-thirds of students strongly agreed or agreed that AI would revolutionize medical fields (68.7%, 240).
“and would revolutionize medical fields (68.7%, 240).”
Quote in the paperNot a substantial claim - Findingown data
Most participants did not think that doctors would be replaced by AI.
“Our results revealed that most participants did not think that doctors would be replaced by AI and were not concerned about the developments of AI in medicine.”
Quote in the paperSubstantial claim - Findingown data
66.1% (231) of participants strongly agreed or agreed that they would need to understand current uses and applications of AI during their medical career.
“participants strongly agreed or agreed (231, 66.1%) that they would need to understand the current uses and applications of AI during their medical career.”
Quote in the paperNot a substantial claim - Findingown data
Only 97 (27.8%) participants strongly agreed or agreed with their ability to understand and describe AI, ML, NN, and DL.
“only 97 (27.8%) participants strongly agreed or agreed with their ability to understand and describe AI, ML, NN, and DL”
Quote in the paperSubstantial claim - Findingcitation
Some participants were positive about AI in their medical disciplines.
“Contrary to the uncertainty about AI applicability, some participants were positive about AI in their medical disciplines [46].”
Quote in the paperNot a substantial claim - Findingown data
241 participants (69.05%) thought that learning programming or mathematics would help them better comprehend the principles and uses of AI in medicine.
“In addition, 241 (69.05%) participants thought that learning programming or mathematics would help them better comprehend the principles and uses of AI in medicine.”
Quote in the paperNot a substantial claim - Findingown data
67.9% (237) of participants strongly agreed or agreed that AI would become common in the future.
“AI would become common in the future (67.9%, 237)”
Quote in the paperNot a substantial claim - Findingown data
68.2% (238) of participants agreed that AI would never make human doctors expendable.
“more than half (238, 68.2%) of participants agreed with the idea that AI would never make human doctors expendable.”
Quote in the paperNot a substantial claim - Findingown data
74.5% (260) of participants reported that they had never previously acquired training in the use of AI in medicine during formal medical education.
“reported that they had never previously acquired training in the use of AI in medicine during formal medical education (260, 74.5%)”
Quote in the paperSubstantial claim - Findingown data
Participants stated that they had not previously acquired training in the use of AI in medicine during formal medical education (260, 74.5%).
“Participants stated that they had not previously acquired training in the use of AI in medicine during formal medical education (260, 74.5%)”
Quote in the paperSubstantial claim - Findingown data
67.0% (234) of participants strongly agreed or agreed that AI would power the future of medicine.
“power the future of medicine (67.0%, 234)”
Quote in the paperNot a substantial claim - Findingown data
23.2% (81) of participants strongly disagreed or disagreed that benefits of AI would outweigh drawbacks.
“81 (23.2%) strongly disagreed or disagreed”
Quote in the paperNot a substantial claim - Findingown data
68.5% (239) of participants confirmed that they would use AI during their medical careers.
“Approximately two-thirds of medical students (239, 68.5%) confirmed that they would use AI during their medical careers.”
Quote in the paperNot a substantial claim - Findingreasoning
Male students had higher perception scores than female students.
“Our study revealed that male students had higher perception scores than female students.”
Quote in the paperNot a substantial claim - Findingown data
14.3% (50) of participants confirmed that they received training in the use of AI in medicine through research and work experience.
“or through research and work experience (50, 14.3%)”
Quote in the paperNot a substantial claim - Findingown data
70.8% (247) of participants confirmed that if medical students were given an opportunity, they would learn more about AI.
“If medical students were given an opportunity, they would learn more about AI (247, 70.8%).”
Quote in the paperNot a substantial claim - Findingown data
14.3% (50) of participants believed that they would receive training regarding employing AI in medicine during formal education in the future.
“Only 14.3% (50) of participants believed that they would receive training regarding employing AI in medicine during formal education in the future.”
Quote in the paperSubstantial claim - Findingown data
247 participants (70.8%) confirmed a dire need to include AI training in medical curricula.
“confirming a dire need to include AI training in medical curricula (247, 70.8%).”
Quote in the paperSubstantial claim - Findingown data
Most participants urgently wanted opportunities to learn the fundamentals of AI.
“The results of the study revealed that most participants thought that AI was very important to medical fields and urgently wanted opportunities to learn the fundamentals of AI.”
Quote in the paperSubstantial claim - Findingown data
57.9% (202) of participants strongly agreed or agreed that AI is usually utilized in medicine.
“it is usually utilized in medicine (57.9%, 202 strongly agree or agree)”
Quote in the paperNot a substantial claim - Findingown data
Most participants (250, 71.63%) confirmed knowing that AI, NN, ML, and DL techniques are used in medicine.
“Most participants (250, 71.63%) confirmed knowing that AI, NN, ML, and DL techniques are used in medicine”
Quote in the paperNot a substantial claim - Findingown data
62.8% (219) of participants strongly agreed or agreed that there is a lot of debate and hype around AI and its impact on medicine.
“there is a lot of debate and hype around AI and its impact on medicine (62.8%, 219)”
Quote in the paperNot a substantial claim - Findingown data
8.6% (30) of participants were not sure whether benefits of AI would outweigh drawbacks.
“30 (8.6%) were not sure”
Quote in the paperNot a substantial claim - Findingown data
73.6% (257) of participants strongly disagreed or disagreed that they were concerned about developments of AI in medicine.
“were not concerned about the developments of AI in medicine (257, 73.6% strongly disagree or disagree)”
Quote in the paperNot a substantial claim - Findingown data
Most participants thought that AI was very important to medical fields.
“The results of the study revealed that most participants thought that AI was very important to medical fields and urgently wanted opportunities to learn the fundamentals of AI.”
Quote in the paperSubstantial claim - Findingown data
65.3% (228) of participants thought it is very important to study more about employing AI in medicine.
“therefore, it is very important to study more about employing AI in medicine (228, 65.3%)”
Quote in the paperSubstantial claim - Findingown data
Most participants (264, 75.7%) think that learning opportunities for AI in medicine have not been adequate.
“Most participants (264, 75.7%) think that learning opportunities for AI in medicine have not been adequate”
Quote in the paperSubstantial claim - Findingown data
20.6% (72) of participants did not believe there is a lot of debate and hype around AI and its impact on medicine.
“some students did not believe that (72, 20.6%)”
Quote in the paperNot a substantial claim - Findingown data
65.9% (230) of participants strongly agreed or agreed that AI has improved and benefited medicine.
“it has improved and benefited medicine (65.9%, 230 strongly agree or agree)”
Quote in the paperSubstantial claim - Findingown data
Male students had higher perception scores than female students (3.15 ± 0.87 vs 2.81 ± 0.86, p < 0.001).
“Male students (3.15 ± 0.87) had higher perception scores than female students (2.81 ± 0.86) (p < 0.001).”
Quote in the paperNot a substantial claim - Findingown data
14.6% (51) of participants confirmed that they received training in the use of AI in medicine outside of formal education.
“A small percentage of participants confirmed that they received training in the use of AI in medicine outside of formal education (51, 14.6%)”
Quote in the paperNot a substantial claim - Findingown data
102 (29.3%) participants believed they could mention different examples of applications of AI, ML, NN, and DL in medicine.
“102 (29.3%) participants believed they could mention different examples of applications of AI, ML, NN, and DL in medicine.”
Quote in the paperNot a substantial claim - Findingown data
228 participants (65.3%) think it is very important to study more about employing AI in medicine.
“therefore, it is very important to study more about employing AI in medicine (228, 65.3%).”
Quote in the paperSubstantial claim - Findingown data
16.6% (58) of participants were not sure about whether there is a lot of debate and hype around AI and its impact on medicine.
“others were not sure about this (58, 16.6%)”
Quote in the paperNot a substantial claim - Findingown data
22.9% (80) of participants were unsure whether AI would impact their medical-specific major in the future.
“Some participants were unsure whether AI would impact their medical-specific major in the future (80, 22.9%)”
Quote in the paperNot a substantial claim - Findingown data
Most participants (268, 76.79%) did not receive formal education on AI before or during medical study.
“Most participants (268, 76.79%) did not receive formal education on AI before or during medical study.”
Quote in the paperSubstantial claim - Findingown data
68.8% (240) of participants strongly agreed or agreed that AI would optimize services provided to specialists who work in medicine.
“optimize the services provided to specialists who work in medicine (240, 68.8%)”
Quote in the paperNot a substantial claim - Findingown data
21.5% (75) of participants reported that they educated themselves about AI through different scientific websites.
“75 (21.5%) participants reported that they educated themselves about AI through different scientific websites such as Google, PubMed, literature reviews, and published articles.”
Quote in the paperNot a substantial claim - Findingown data
Most participants suffered from a severe lack of theoretical and/or practical educational opportunities related to the use of AI techniques in medicine.
“Most participants did not receive formal education on AI before or during medical study and suffered from a severe lack of theoretical and/or practical educational opportunities related to the use of AI techniques in medicine.”
Quote in the paperSubstantial claim - Findingown data
Participants indicated that workshops, collaborative activities, scientific conferences, and extracurricular activities were their favorite learning types.
“the study participants indicated that workshops, collaborative activities, scientific conferences, and extracurricular activities were their favorite learning types.”
Quote in the paperSubstantial claim - Findingown data
Participants expected to face challenges and difficulties when studying AI courses during their formal education or when implementing AI in medicine during their medical career if AI is incorporated into medical fields.
“The interviews conducted with participants highlighted different challenges and difficulties they expected to face when studying AI courses during their formal education or when implementing AI in medicine during their medical career if AI is incorporated into medical fields.”
Quote in the paperSubstantial claim - Findingown data
Most participants did not receive formal education on AI before or during medical study.
“Most participants did not receive formal education on AI before or during medical study and suffered from a severe lack of theoretical and/or practical educational opportunities related to the use of AI techniques in medicine.”
Quote in the paperSubstantial claim - Findingown data
Some participants expressed concern that a lack of mathematical or computer science understanding would limit effective learning about AI.
“Although some participants expressed concern that a lack of mathematical or computer science understanding would limit effective learning about AI, the rest did not believe that technical knowledge would be a challenge to the understanding of AI.”
Quote in the paperSubstantial claim - Findingown data
One barrier to incorporating AI is the priority given by students to non-AI medical subjects.
“During the interviews, we noticed that one barrier to incorporating AI is the priority given by the students to non-AI medical subjects.”
Quote in the paperSubstantial claim - Findingown data
The rest of the participants did not believe that technical knowledge would be a challenge to the understanding of AI.
“Although some participants expressed concern that a lack of mathematical or computer science understanding would limit effective learning about AI, the rest did not believe that technical knowledge would be a challenge to the understanding of AI.”
Quote in the paperSubstantial claim - Study design and conductreasoning
The estimated sample size was 371 students based on a 5% margin of error, a 95% confidence level, and a 50% outcome response, for a population of 10,361 students.
“Based on a 5% margin of error, a 95% confidence level, and a 50% outcome response, the estimated sample size was 371 students, where the population was 10,361 students (Table 1).”
Quote in the paperNot a substantial claim - Study design and conductown data
The questionnaire had high internal consistency, with a Cronbach's alpha coefficient of 0.891.
“The Cronbach’s alpha coefficient was found to be 0.891, indicating high internal consistency.”
Quote in the paperNot a substantial claim - Study design and conductnone given
The study was conducted at only seven universities in Palestine that have a faculty of medicine.
“The second limitation is present in the fact that our study was conducted at only seven universities in Palestine that have a faculty of medicine.”
Quote in the paperNot a substantial claim - Study design and conductreasoning
Self-selection bias likely occurred because only medical students interested in AI and medical technologies probably completed the survey.
“Due to self-selection bias caused by voluntary participation, only medical students interested in AI and medical technologies probably completed the survey.”
Quote in the paperSubstantial claim
- May combine two claims. 23
- Classified as probably not a substantial claim. 21
- The quote only partly states this claim. 1
May combine two claims.
Findingown dataSocial media platforms (119, 34.1%), medical training (47, 13.47%), elective courses (46, 13.18%), and research projects (45, 12.89%) were the most common sources through which students heard about the uses and applications of AI in medicine.
“Social media platforms (119, 34.1%), medical training (47, 13.47%), elective courses provided by the university (46, 13.18%), as well as research projects with research medical teams (45, 12.89%), were the most common sources through which students heard about the uses and applications of AI in medicine (Table 4).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThere was no significant difference between median scores of perceptions about AI in medicine in terms of gender, age, year of medical study, having a background in mathematics, statistics, or computer science, having a good experience in technology, having a parent or sibling with an AI major, and type of university.
“there was no significant difference between the median scores in terms of gender, age, year of medical study, having a background in mathematics, statistics, or computer science, having a good experience in technology, having a parent or sibling with an AI major, and type of university they are studying at.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataA small percentage of participants said that including AI in the medical curriculum should not be a top priority, even though the majority of participants thought it was vital.
“A small percentage of participants said that including AI in the medical curriculum should not be a top priority, even though the majority of participants thought it was vital.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataA significant difference was found in mean perception scores concerning gender (p < 0.001), with male students (3.15 ± 0.87) having higher perception scores than female students (2.81 ± 0.86).
“A significant difference was found in the mean perception scores concerning gender (p < 0.001). Male students (3.15 ± 0.87) had higher perception scores than female students (2.81 ± 0.86).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe most highly rated methods of learning about AI in medicine were workshops (106, 30.37%), extracurricular activities (104, 29.8%), lectures (92, 26.36%), and participation in scientific activities with other departments (14, 4.01%).
“The most highly rated methods of learning about AI in medicine were workshops (106, 30.37%), extracurricular activities (104, 29.8%), lectures (92, 26.36%), as well as participation in scientific activities with other departments (mathematics, computer science) (14, 4.01%).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataParticipants revealed a variety of emotions towards AI; some reported optimism for the future of technology, while others voiced concerns that it would be misused.
“Participants revealed a variety of emotions towards AI. Some reported their optimism for the future of technology, while others voiced concerns that it would be misused.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe qualitative analysis of interview questions yielded four main themes: absence of AI learning opportunities, necessity of including AI in medical curricula, optimism towards the future of AI in medicine, and expected challenges related to AI in medical fields.
“The main themes that resulted from the qualitative analysis of the interview questions were an absence of AI learning opportunities, the necessity of including AI in medical curricula, optimism towards the future of AI in medicine, and expected challenges related to AI in medical fields.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S4 (based).
Findingnone givenThere is a general weakness among medical students in the basics of computer science, mathematics, and programming.
“Technological illiteracy plays an important role in this problem, as there is a general weakness in the basics of computer science, mathematics, and programming.”
Quote in the paperNot a substantial claimMay combine two claims.
FindingreasoningSome participants thought AI would revolutionize medicine but also thought it would not directly impact their medical careers.
“Some thought AI would revolutionize medicine but also thought it would not directly impact their medical careers.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataQualitative analysis of interview questions revealed four main themes: an absence of current AI learning opportunities, the necessity of including AI learning in medical curricula, optimism towards the future of AI in medicine, and expected challenges related to learning AI in medical fields by undergraduate medical students.
“The qualitative analysis of interview questions revealed four main themes: an absence of current AI learning opportunities, the necessity of including AI learning in medical curricula, optimism towards the future of AI in medicine, and expected challenges related to learning AI in medical fields by undergraduate medical students (Table 7).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataExtracurricular activities (40.7%, 142), collaborative activities (29.8%, 104), lectures (12.6%, 44), conferences (7.7%, 27), and workshops (5.2%, 18) were favorite formats for learning and getting more information about AI in medicine.
“Extracurricular activities (142, 40.7%), collaborative activities (104, 29.8%), lectures (44, 12.6%), conferences (27, 7.7%), and workshops (18, 5.2%) were favorite formats for learning and getting more information about AI in medicine”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown data113 participants (32.38%) were aware of the applications of AI in daily life, whereas 236 (67.62%) were not aware.
“The study revealed that 113 (32.38%) participants were aware of the applications of AI in daily life, whereas about two-thirds were not aware (236, 67.62%).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataParticipants reported social, economic, ethical, technological, political, institutional, and information challenges.
“The participants reported social, economic, ethical, technological, political, institutional, and information challenges.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe study was prepared according to the Checklist for Reporting of Survey Studies (CROSS).
“This study was prepared according to the Checklist for Reporting of Survey Studies (CROSS) (Supplementary File 1).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductreasoningThe sample size of 371 was believed to be adequate for the study's target population.
“This sample size is believed to be adequate for the study’s target population.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductreasoningDuplication of respondents was prevented by email address, and the statistician checked the email address list to ensure there were no duplicate responses from the same participant.
“We prevented duplication of respondents by email address. We did not allow access to the questionnaire without an email address, so the participants had only one access to fill out the questionnaire. Also, the statistician checked out the email address list to ensure that there were no duplicate responses from the same participant.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductcitationThe questionnaire dimensions and questions were developed from a survey designed by Pucchio et al. that had been validated through a study of the literature and discussions with medical professionals and health experts.
“We developed the questionnaire dimensions and questions from the survey designed by Pucchio et al. [40], who validated the survey through a study of the literature and discussions with medical professionals and health experts.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [40] Pucchio A, Rathagirishnan R, Caton N, Gariscsak PJ, Del Papa J, Nabhen JJ, Vo V, Lee W, Moraes FY. Exploration of exposure to artificial intelligence in undergraduate medical education: a Canadian cross-sectional mixed-methods study. BMC Med Educ. 2022;22(1):815. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe interviews were conducted in compliance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) standards.
“The interviews were conducted in compliance with the standards for reporting qualitative research set by the Consolidated Criteria for Reporting Qualitative Research (COREQ) [44].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [44] Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Interpretationown dataMisunderstanding and lack of knowledge are factors that contribute to the expansion of the gap and complicate the situation among undergraduate medical students.
“Misunderstanding and lack of knowledge are factors that contribute to the expansion of the gap and complicate the situation among undergraduate medical students.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationAI has the potential to be a helpful medical tool in diagnostics and clinical decision-making due to its capacity to integrate vast volumes of clinical data.
“AI has the potential to be a helpful medical tool in diagnostics and clinical decision-making due to its excellent capacity to integrate vast volumes of clinical data [3, 4].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [3] Amato F, López A, Peña-Méndez EM, Vaňhara P, Hampl A, Havel J. Artificial neural networks in medical diagnosis. J Appl Biomed. 2013;11(2):47–58. source
Not checked in the free run.
- cites [4] Bennett CC, Hauser K. Artificial intelligence framework for simulating clinical decision-making: a Markov decision process approach. Artif Intell Med. 2013;57(1):9–19. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
InterpretationcitationThe higher perception scores among male students may be attributed to male students having more information and adequate knowledge related to AI than female students.
“This result may be attributed to the fact that male students have more information and adequate knowledge related to AI than female students [48, 60].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [48] Minh NT, Vo TQ, Tran HT, Nguyen HT. Healthcare students’ knowledge, attitudes, and perspectives toward artificial intelligence in the southern Vietnam. Heliyon. 2023;9:e22653. source
Not checked in the free run.
- cites [60] Alghamdi SA, Alashban Y. Knowledge, attitudes and practices towards artificial intelligence (AI) among radiologists in Saudi Arabia. J Radiation Res Appl Sci. 2023;16(2):100569.
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThirteen participants were excluded from the analysis due to incomplete responses.
“Thirteen participants have been excluded from the analysis due to their incomplete responses (partially completed survey).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenData collection continued until saturation was reached and no new topics started in the interviews.
“The collection of data was continued until it reached saturation and no new topics started in the interviews.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningThe absence of formal AI programs in Palestinian universities is due to challenges including lack of funding and absence of material and technical support.
“This is due to the many challenges that Palestinian universities face, the most important of which is the lack of funding and the absence of material and technical support.”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown dataFrom 371 invitations sent, 362 responses were received (response rate 97.5%), and 349 were included in the analysis.
“From a total of 371 invitations sent, 362 responses were received (response rate = 97.5%), and 349 were included in the analysis (Fig. 1).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationAI has an impact on medical education by providing medical students with an interactive learning environment and creating virtual simulations and training.
“As evidenced by the COVID-19 pandemic, AI has an impact on medical education where it provides medical students with an interactive learning environment and creates virtual simulations and training, allowing them to practice complicated procedures on virtual patients without endangering actual patients [17–20].”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [17] Suh I, McKinney T, Siu KC. Current perspective of Metaverse Application in Medical Education, Research and Patient Care. InVirtual Worlds. 2023;2(2):115–28. source
Not checked in the free run.
- cites [18] Malhotra K, Wong BN, Lee S, Franco H, Singh C, Silva LA, Iraqi H, Sinha A, Burger S, Breedt DS, Goyal K. Role of Artificial Intelligence in global surgery: a Review of opportunities and challenges. Cureus. 2023;15(8):e43192.
Not checked in the free run.
- cites [19] Dave M, Patel N. Artificial intelligence in healthcare and education. Br Dent J. 2023;234(10):761–4. source
Not checked in the free run.
- cites [20] Gomes RF, Schmith J, Figueiredo RM, Freitas SA, Machado GN, Romanini J, Carrard VC. Use of artificial intelligence in the classification of elementary oral lesions from clinical images. Int J Environ Res Public Health. 2023;20(5):3894. source
Not checked in the free run.
The quote only partly states this claim.
Interpretationown dataMedical students lack access to educational opportunities for AI in medicine.
“Medical students lack access to educational opportunities for AI in medicine; therefore, AI should be included in formal medical curricula in Palestine.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationMany educational institutions struggle to effectively integrate AI into their teaching practices due to a lack of teachers qualified in AI, the expensive cost of AI software, and ethical issues.
“However, due to a lack of teachers qualified in AI, the expensive cost of AI software, and ethical issues, many educational institutions struggle to effectively integrate AI into their teaching practices [21, 22].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [21] Thurzo A, Strunga M, Urban R, Surovková J, Afrashtehfar KI. Impact of artificial intelligence on dental education: a review and guide for curriculum update. Educ Sci. 2023;13(2):150. source
Not checked in the free run.
- cites [22] Sedaghat S. Early applications of ChatGPT in medical practice, education and research. Clin Med. 2023;23(3):278–9. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThere were no missing data.
“There were no missing data.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe study was approved by the Ethics Committee of the Faculty of Science of the Palestine Technical University, Kadoorie, Hebron, Palestine (App. ID 10-2022).
“The present study was conducted according to the guidelines of the Declaration of Helsinki and approved by the Ethics Committee of the Faculty of Science of the Palestine Technical University, Kadoorie, Hebron, Palestine (App. ID 10-2022).”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningThe inconsistencies among participants can be attributed to lack of knowledge of AI applications, misconceptions around AI perpetuated by the media, and lack of practical exposure to AI in a medical environment.
“These results can be attributed to several reasons, such as the lack of knowledge of AI applications, misconceptions around AI perpetuated by the media, and a lack of practical exposure to AI in a medical environment.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataAll participants provided informed consent before completing the questionnaire.
“All participants provided informed consent to participate before completing the questionnaire.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationTo verify rigor, the study used Lincoln and Guba's criteria for confirmability, credibility, dependability, and transferability.
“To verify the rigor of this study, we used Lincoln and Gube’s [45] criteria for confirmability, credibility, dependability, and transferability.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [45] Lincoln YS, Guba EG. Naturalistic inquiry. sage; 1985. source
Not checked in the free run.
May combine two claims.
Study design and conductown dataThe study's sample size is not representative of all governorates of Palestine, where most of the participants were from the West Bank.
“This study’s sample size is not representative of all governorates of Palestine, where most of the participants were from the West Bank.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S4 (based). May combine two claims.
InterpretationreasoningTraining the next generation of medical students in how AI will fit into clinical practices will help them make major changes in the medical field, enhancing the careful use of these instruments in manual practice and ultimately improving the healthcare system.
“Given that AI instruments are likely to be extensively utilized in the future, training the next generation of medical students in how AI will fit into clinical practices will help them make major changes in the medical field, enhancing the careful use of these instruments in manual practice and ultimately improving the healthcare system.”
Quote in the paperNot a substantial claim- Rests on an assumption: AI instruments are likely to be extensively utilized in the future.
Probably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningThere is a dire need for the incorporation of AI courses in medical curricula.
“As the participants had not previously acquired training in the employment of AI in medicine during formal education, this confirmed a dire need for the incorporation of AI courses in medical curricula.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable).
Interpretationown dataAI curriculum building can be achieved in a well-informed manner in Palestine due to insights provided by this study and results regarding preferred AI education formats and obstacles to AI education.
“AI curriculum building can be achieved in a well-informed manner in Palestine due to insights provided by this study and results regarding preferred AI education formats and obstacles to AI education.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe study lacked sensitivity analyses.
“Finally, this study lacked sensitivity analyses.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductown dataThe study sample was non-representative, mainly female (71.92%), which may limit the generalizability of the findings to a wider population.
“Limitations of this study include the non-representativeness of the study sample, which mainly consisted of female students (71.92%). This may limit the generalizability of our findings to a wider population.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
There is a knowledge gap in Palestine because no recent studies have investigated Palestinian medical students’ perceptions about the integration of AI in medical education.
“An evident knowledge gap is present in this field in Palestine, which must be addressed due to the inevitable future increase in AI use in the medical field.”
“However, based on our knowledge, there are no recent studies investigating the perceptions of Palestinian medical students about the integration of AI in medical education.”
The paper relies on this without support.
AI use in the medical field will inevitably increase in the future.
“An evident knowledge gap is present in this field in Palestine, which must be addressed due to the inevitable future increase in AI use in the medical field.”
The paper relies on this without support.
AI is quickly advancing and its usage in medical fields worldwide is increasing.
“given the quick advancement and the increasing usage of AI in the medical fields around the world”
The paper relies on this without support.
The skills needed to use AI may differ from those traditionally possessed by medical students.
“as the skills needed to use AI may differ from those traditionally possessed by medical students”
The paper relies on this without support.
Teaching medical students the basics of computer science, mathematics, and programming before incorporating AI into the medical curriculum requires a longer time (two semesters).
“this in turn requires a longer time (two semesters)”
The paper relies on this without support.
Students who join workshops and attend courses on AI in medicine will become educated and have more knowledge of AI and higher perception and awareness of AI-related topics.
“students who join workshops and attend courses on AI in medicine will become educated and have more knowledge of AI; therefore, they will have a higher perception and awareness of AI-related topics.”
The paper relies on this without support.
AI instruments are likely to be extensively utilized in the future.
“Given that AI instruments are likely to be extensively utilized in the future”
The paper relies on this without support.
No previous Palestinian study focused on the perceptions of medical students about AI in medicine.
“Based on our knowledge, no previous Palestinian study focused on the perceptions of medical students about AI in medicine.”
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?
Qualitative insights from Palestine and Ireland highlight students' preference for interactive, practice-oriented learning experiences, such as AI-assisted simulations, to enhance hands-on competence.
“Qualitative insights from Palestine [49] and Ireland [34] further highlight students’ preference for interactive, practice-oriented learning experiences, such as AI-assisted simulations, to enhance hands-on competence.”
From Is it time to introduce an artificial intelligence curriculum in undergraduate medical education? medical students’ perspectives: a systematic review and meta-analysis (2026) · cites this paper as [49]
The Results and Discussion (pages unavailable in our copy) report that Palestinian students favored workshops, collaborative activities, and extracurricular learning, and one student mentioned an AI simulation tool. They do not establish that students preferred AI-assisted simulations as a learning format or that such simulations enhanced hands-on competence. The Ireland finding is attributed to a different citation and is not assessed here. (LLM, conf=0.84)
Experimental — accuracy not yet measured
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.
Interview sampling is described as both random and purposive
MajorThe account of recruiting interviewees calls them a random sample, while the qualitative-study methods say purposive sampling was used at that stage.
“To conduct the interviews, the researchers contacted a representative random sample of medical students who answered “yes” to the question, “Would you like to participate in an interview that will be conducted by the researchers?”.”
“Purposive sampling was carried out at this stage.”
Table 6 places non-count values in the age-group sample-size column
MinorTable 6 labels its second column n(%), but its age rows contain means and standard deviations there. Table 2 instead gives the age-group counts as 140 and 209.
“| < 20 years | 2.88 ± 0.81 | 3.22 ± 0.7 | 3(1) | 5,1 | 0.64a | | ≥ 20 years | 2.93 ± 0.91 | 3.24 ± 0.75 | 3(1) | 5,1 | 0.64a |”
“| < 20 years | < 20 years | 140(40.11%) | | ≥ 20 years | ≥ 20 years | 209(59.89%) |”
Table 5 reverses the computer-science background counts
MinorTable 2 reports 115 participants with this background and 234 without it. Table 5 assigns those same counts to the opposite answers; Table 6 repeats the reversal.
“| Yes | 234(67.05%) | 3.21 ± 0.74 | 3.31(1) | 4.69,1.44 | 0.44a | | No | 115(32.95%) | 3.27 ± 0.71 | 3.44(0.93) | 4.69,1.62 | 0.44a |”
“| No | No | 234(67.05%) | | Yes | Yes | 115(32.95%) |”
Discussion calls matching findings inconsistent
MinorThe discussion says its students were not concerned about AI developments, then calls a study finding that the issue was not a concern inconsistent with its results.
“These results are inconsistent with the study carried out by Pinto dos Santos et al. [25], which indicated that this issue was not a concern for the students.”
“Our results revealed that most participants did not think that doctors would be replaced by AI and were not concerned about the developments of AI in medicine.”
Subgroup tables reverse the technological-literacy counts
MinorTable 2 reports 131 participants answering yes and 218 answering no. Table 5 assigns 218 to yes and 131 to no, a reversal also present in Table 6.
“| Yes | 218(62.46%) | 3.22 ± 0.74 | 3.31(1) | 4.69,1.44 | 0.70a | | No | 131(37.54%) | 3.25 ± 0.71 | 3.38(0.94) | 4.69,1.5 | 0.70a |”
“| No | No | 218(62.46%) | | Yes | Yes | 131(37.54%) |”
An interviewee is described as fourth-year despite no fourth-year interviewees being listed
MinorThe breakdown of all fifteen interviewees includes first-, second-, third-, and fifth-year students only. A later interview account identifies a student in their fourth year.
“Another medical student in their 4th year of study said that”
“Four participants were in their first year of medical school, six were in their second year, one was in their third year, and four were in their fifth year.”
Subgroup tables reverse the counts for relatives with AI degrees
MinorTable 2 reports 89 participants with a parent or sibling holding an AI-related degree and 260 without one. Table 5 assigns those counts to the opposite answers; Table 6 does likewise.
“| Yes | 260(74.5%) | 3.21 ± 0.73 | 3.31(0.96) | 4.69,1.44 | 0.45a | | No | 89(25.5%) | 3.28 ± 0.73 | 3.44(1) | 4.69,1.62 | 0.45a |”
“| No | No | 260(74.50%) | | Yes | Yes | 89(25.50%) |”
Table 5 age-group means cannot match its gender-group means
MinorThe two age groups cover all participants and have reported means of 2.88 and 2.93. The two gender groups also cover all participants but have means of 3.20 and 3.31. Both partitions cannot describe the same total perception score.
“| < 20 years | 140(40.11%) | 2.88 ± 0.81 | 3.31(0.88) | 4.69,1.44 | 0.78a | | ≥ 20 years | 209(59.89%) | 2.93 ± 0.91 | 3.44(1.13) | 4.69,1.5 | 0.78a |”
“| Female | 251(71.92%) | 3.20 ± 0.75 | 3.31(1.06) | 4.69,1.44 | 0.22a | | Male | 98(28.08%) | 3.31 ± 0.68 | 3.50(1) | 4.69,1.5 | 0.22a |”
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“The questions from the interviews were extracted from a previous survey [40].”
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- Authors
- Jebreen, K., Radwan, E., Kammoun-Rebai, W., Alattar, E., Radwan, A., Safi, W., Radwan, W., & Alajez, M.
- Affiliations
- An-Najah National University (PS)
- Islamic University of Gaza (PS)
- University College of Applied Science (PS)
- Al-Azhar University – Gaza (PS)
- Corresponding author
- Radwan, Eqbal
- ORCID
- Venue
- BMC Medical Education
- Published
- 2024-05-07
- Volume
- 24
- Issue
- 1
- Pages
- 507-507
- ISSN
- 1472-6920 (ISSN-L)
- PMC
- PMC11077786
- OpenAlex
- W4396691973
- Semantic Scholar
- 1945bfa6a2989235cd9aa7ead469299f7cc9ad8e
- Cited by
- 63
- References
- 68
- Citations by year
- 2026: 22 · 2025: 31 · 2024: 10
- FWCI
- 5.89
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Medical Education (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Physical Sciences › Computer Science › Information Systems › Artificial Intelligence in Education
- Keywords
- artificial intelligence in healthcare, medical students' attitudes, artificial intelligence in medical education, Palestine, medical education
- MeSH terms
- Adult, Artificial Intelligence, Attitude of Health Personnel, Cross-Sectional Studies, Curriculum, Education, Medical, Undergraduate, Female, Humans, Male, Middle East, Surveys and Questionnaires, Students, Medical, Arabs, Qualitative Research, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-06.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-06.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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