Jha Nisha, Shankar Pathiyil Ravi, Al-Betar Mohammed Azmi, Mukhia Rupesh, Hada Kabita, Palaian Subish
Department of Clinical Pharmacology and Therapeutics, KIST Medical College and Teaching Hospital, Lalitpur, Bagmati, Nepal.
IMU Centre for Education, International Medical University, Kuala Lumpur, Kuala Lumpur Federal Territory, Malaysia.
Adv Med Educ Pract. 2022 Aug 23;13:927-937. doi: 10.2147/AMEP.S368519. eCollection 2022.
Artificial intelligence (AI) is playing an increasingly important role in healthcare and health professions education. This study explored medical students' and interns' knowledge of artificial intelligence (AI), perceptions of the role of AI in medicine, and preferences around the teaching of AI competencies.
In this cross-sectional study, the authors used a previously validated Canadian questionnaire and gathered responses from students and interns at KIST Medical College, Nepal. Face validity and reliability of the tool were assessed by administering the questionnaire to 20 alumni as a pilot sample (Cronbach alpha = 0.6). Survey results were analyzed quantitatively (p-value = 0.05).
In total 216 students (37% response rate) participated. The median AI knowledge score was 11 (interquartile range 4), and the maximum possible score was 25. The score was higher among final year students (p = 0.006) and among those with additional training in AI (p = 0.040). Over 49% strongly agreed or agreed that AI will reduce the number of jobs for doctors. Many expect AI to impact their specialty choice, felt the Nepalese health-care system is ill-equipped to deal with the challenges of AI, and opined every student of medicine should receive training on AI competencies.
The lack of coverage of AI and machine learning in Nepalese medical schools has resulted in students being unaware of AI's impact on individual patients and the healthcare system. A high perceived willingness among respondents to learn about AI is a positive sign and a strong indicator of futuristic successful curricula changes. Systematic implementation of AI in the Nepalese healthcare system can be a potential tool in addressing health-care challenges related to resource and manpower constraints. Incorporating topics related to AI and machine learning in medical curricula can be a useful first step.
人工智能(AI)在医疗保健和卫生专业教育中发挥着越来越重要的作用。本研究探讨了医学生和实习生对人工智能(AI)的了解、对AI在医学中作用的看法以及对AI能力教学的偏好。
在这项横断面研究中,作者使用了一份先前经过验证的加拿大问卷,并收集了尼泊尔KIST医学院学生和实习生的回复。通过向20名校友发放问卷作为试点样本(Cronbach阿尔法系数 = 0.6)来评估该工具的表面效度和信度。对调查结果进行定量分析(p值 = 0.05)。
共有216名学生参与(回复率为37%)。人工智能知识得分的中位数为11(四分位间距为4),最高可能得分为25分。最后一年的学生得分更高(p = 0.006),接受过AI额外培训的学生得分也更高(p = 0.040)。超过49%的人强烈同意或同意AI将减少医生的工作岗位。许多人预计AI会影响他们的专业选择,认为尼泊尔医疗保健系统没有能力应对AI带来的挑战,并认为每个医学生都应该接受AI能力培训。
尼泊尔医学院校缺乏对AI和机器学习的覆盖,导致学生们没有意识到AI对个体患者和医疗保健系统的影响。受访者对学习AI的高度意愿是一个积极的信号,也是未来课程成功变革的有力指标。在尼泊尔医疗保健系统中系统地实施AI可以成为应对与资源和人力限制相关的医疗保健挑战的潜在工具。将与AI和机器学习相关的主题纳入医学课程可能是有用的第一步。