D.A. Hashimoto is assistant professor of surgery and computer and information science, and affiliated faculty, General Robotics, Automation, Sensing, and Perception Laboratory, University of Pennsylvania, Philadelphia, Pennsylvania; ORCID: http://orcid.org/0000-0003-4725-3104 .
K.B. Johnson is the David L. Cohen University Professor of Pediatrics, Biomedical Informatics, and Science Communication, University of Pennsylvania, Philadelphia, Pennsylvania.
Acad Med. 2023 Sep 1;98(9):978-982. doi: 10.1097/ACM.0000000000005309. Epub 2023 Jun 27.
Advances in artificial intelligence (AI) have been changing the landscape in daily life and the practice of medicine. As these tools have evolved to become consumer-friendly, AI has become more accessible to many individuals, including applicants to medical school. With the rise of AI models capable of generating complex passages of text, questions have arisen regarding the appropriateness of using such tools to assist in the preparation of medical school applications. In this commentary, the authors offer a brief history of AI tools in medicine and describe large language models, a form of AI capable of generating natural language text passages. They question whether AI assistance should be considered inappropriate in preparing applications and compare it with the assistance some applicants receive from family, physician friends, or consultants. They call for clearer guidelines on what forms of assistance-human and technological-are permitted in the preparation of medical school applications. They recommend that medical schools steer away from blanket bans on AI tools in medical education and instead consider mechanisms for knowledge sharing about AI between students and faculty members, incorporation of AI tools into assignments, and the development of curricula to teach the use of AI tools as a competency.
人工智能（AI）的进步正在改变日常生活和医学实践的格局。随着这些工具变得更加易于使用，越来越多的人，包括申请医学院的人，都能够使用 AI。随着能够生成复杂文本段落的 AI 模型的出现，人们开始质疑使用这些工具来协助准备医学院申请是否合适。在这篇评论中，作者简要介绍了 AI 在医学中的应用历史，并描述了大型语言模型，这是一种能够生成自然语言文本段落的 AI 形式。他们质疑在准备申请时是否应该认为 AI 协助是不合适的，并将其与一些申请人从家人、医生朋友或顾问那里获得的协助进行了比较。他们呼吁制定更明确的指南，规定在准备医学院申请时允许哪些形式的协助——人类协助和技术协助。他们建议医学院不要全面禁止 AI 工具在医学教育中的使用，而是考虑在学生和教职员工之间共享 AI 知识、将 AI 工具纳入作业以及制定课程来教授使用 AI 工具作为一种能力的机制。
