Lindqwister Alexander L, Hassanpour Saeed, Levy Joshua, Sin Jessica M
Department of Internal Medicine, California Pacific Medical Center, San Francisco, CA, United States.
Geisel School of Medicine at Dartmouth, Dartmouth College, Hanover, NH, United States.
Front Med Technol. 2023 Jan 4;4:1007708. doi: 10.3389/fmedt.2022.1007708. eCollection 2022.
Artificial intelligence and data-driven predictive modeling have become increasingly common tools integrated in clinical practice, heralding a new chapter of medicine in the digital era. While these techniques are poised to affect nearly all aspects of medicine, medical education as an institution has languished behind; this has raised concerns that the current training infrastructure is not adequately preparing future physicians for this changing clinical landscape. Our institution attempted to ameliorate this by implementing a novel artificial intelligence in radiology curriculum, "AI-RADS," in two different educational formats: a 7-month lecture series and a one-day workshop intensive.
The curriculum was structured around foundational algorithms within artificial intelligence. As most residents have little computer science training, algorithms were initially presented as a series of simple observations around a relatable problem (e.g., fraud detection, movie recommendations, etc.). These observations were later re-framed to illustrate how a machine could apply the underlying concepts to perform clinically relevant tasks in the practice of radiology. Secondary lessons in basic computing, such as data representation/abstraction, were integrated as well. The lessons were ordered such that these algorithms were logical extensions of each other. The 7-month curriculum consisted of seven lectures paired with seven journal clubs, resulting in an AI-focused session every two weeks. The workshop consisted of six hours of content modified for the condensed format, with a final integrative activity.
Both formats of the AI-RADS curriculum were well received by learners, with the 7-month version and workshop garnering 9.8/10 and 4.3/5 ratings, respectively, for overall satisfaction. In both, there were increases in perceived understanding of artificial intelligence. In the 7-lecture course, 6/7 lectures achieved statistically significant ( < 0.02) differences, with the final lecture approaching significance ( = 0.07). In the one-day workshop, there was a significant increase in perceived understanding ( = 0.03).
As artificial intelligence becomes further enmeshed in clinical practice, it will become critical for physicians to have a basic understanding of how these tools work. Our AI-RADS curriculum demonstrates that it is successful in increasing learner perceived understanding in both an extended and condensed format.
人工智能和数据驱动的预测建模已日益成为临床实践中常用的工具,开创了数字时代医学的新篇章。虽然这些技术有望影响医学的几乎所有方面,但作为一个机构的医学教育却落在了后面;这引发了人们对当前培训基础设施是否足以让未来的医生为这种不断变化的临床格局做好准备的担忧。我们机构试图通过以两种不同的教育形式实施一门放射学领域的新型人工智能课程“AI-RADS”来改善这种情况:一个为期7个月的讲座系列和一个为期一天的强化工作坊。
该课程围绕人工智能的基础算法构建。由于大多数住院医师几乎没有计算机科学方面的培训,算法最初被呈现为围绕一个相关问题的一系列简单观察(例如,欺诈检测、电影推荐等)。这些观察后来被重新构建,以说明机器如何应用基础概念在放射学实践中执行临床相关任务。基础计算方面的次要课程,如数据表示/抽象,也被整合进来。课程的安排使得这些算法相互之间是逻辑上的延伸。为期7个月的课程包括7次讲座和7次期刊俱乐部活动,每两周有一次以人工智能为重点的课程。工作坊包括为浓缩形式修改的6小时内容以及最后的综合活动。
AI-RADS课程的两种形式都受到了学习者的好评,7个月版本和工作坊的总体满意度评分分别为9.8/10和4.3/5。在这两种形式中,学习者对人工智能的理解都有所提高。在7次讲座的课程中,7次讲座中有6次实现了具有统计学意义(<0.02)的差异,最后一次讲座接近显著水平(=0.07)。在为期一天的工作坊中,学习者的理解有显著提高(=0.03)。
随着人工智能在临床实践中进一步融入,医生对这些工具如何工作有基本的了解将变得至关重要。我们的AI-RADS课程表明,它在以扩展形式和浓缩形式增加学习者的理解方面都是成功的。