提出一种基于原则的医学教育中人工智能伦理教学方法。
Proposing a Principle-Based Approach for Teaching AI Ethics in Medical Education.
机构信息
UMIT TIROL - Private University for Health Sciences and Health Technology, Hall in Tirol, Austria.
出版信息
JMIR Med Educ. 2024 Feb 9;10:e55368. doi: 10.2196/55368.
The use of artificial intelligence (AI) in medicine, potentially leading to substantial advancements such as improved diagnostics, has been of increasing scientific and societal interest in recent years. However, the use of AI raises new ethical challenges, such as an increased risk of bias and potential discrimination against patients, as well as misdiagnoses potentially leading to over- or underdiagnosis with substantial consequences for patients. Recognizing these challenges, current research underscores the importance of integrating AI ethics into medical education. This viewpoint paper aims to introduce a comprehensive set of ethical principles for teaching AI ethics in medical education. This dynamic and principle-based approach is designed to be adaptive and comprehensive, addressing not only the current but also emerging ethical challenges associated with the use of AI in medicine. This study conducts a theoretical analysis of the current academic discourse on AI ethics in medical education, identifying potential gaps and limitations. The inherent interconnectivity and interdisciplinary nature of these anticipated challenges are illustrated through a focused discussion on "informed consent" in the context of AI in medicine and medical education. This paper proposes a principle-based approach to AI ethics education, building on the 4 principles of medical ethics-autonomy, beneficence, nonmaleficence, and justice-and extending them by integrating 3 public health ethics principles-efficiency, common good orientation, and proportionality. The principle-based approach to teaching AI ethics in medical education proposed in this study offers a foundational framework for addressing the anticipated ethical challenges of using AI in medicine, recommended in the current academic discourse. By incorporating the 3 principles of public health ethics, this principle-based approach ensures that medical ethics education remains relevant and responsive to the dynamic landscape of AI integration in medicine. As the advancement of AI technologies in medicine is expected to increase, medical ethics education must adapt and evolve accordingly. The proposed principle-based approach for teaching AI ethics in medical education provides an important foundation to ensure that future medical professionals are not only aware of the ethical dimensions of AI in medicine but also equipped to make informed ethical decisions in their practice. Future research is required to develop problem-based and competency-oriented learning objectives and educational content for the proposed principle-based approach to teaching AI ethics in medical education.
近年来,人工智能(AI)在医学中的应用引起了科学界和社会的极大兴趣,可能会带来诊断水平的提高等诸多进步。然而,AI 的应用也带来了新的伦理挑战,例如增加了对患者的偏见和潜在歧视的风险,以及误诊可能导致过度或漏诊,从而对患者产生重大影响。鉴于这些挑战,当前的研究强调了将 AI 伦理纳入医学教育的重要性。本观点文章旨在介绍一套用于医学教育中教授 AI 伦理的综合伦理原则。这种动态和基于原则的方法旨在具有适应性和全面性,不仅解决当前与 AI 在医学中的使用相关的伦理挑战,还解决未来可能出现的挑战。本研究对医学教育中 AI 伦理的当前学术论述进行了理论分析,确定了潜在的差距和局限性。通过在医学和医学教育中 AI 的背景下对“知情同意”进行重点讨论,说明了这些预期挑战的内在关联性和跨学科性质。本文提出了一种基于原则的 AI 伦理教育方法,基于医学伦理的 4 项原则——自主性、有利、不伤害和公正,并通过整合 3 项公共卫生伦理原则——效率、公益导向和相称性对其进行扩展。本研究提出的医学教育中教授 AI 伦理的基于原则的方法为解决使用 AI 时预期的伦理挑战提供了一个基础框架,这在当前的学术论述中得到了推荐。通过纳入公共卫生伦理的 3 项原则,这种基于原则的方法确保了医学伦理教育始终与 AI 整合在医学中的动态领域保持相关和响应。随着 AI 技术在医学中的应用预计会增加,医学伦理教育也必须相应地适应和发展。本研究提出的医学教育中教授 AI 伦理的基于原则的方法为确保未来的医疗专业人员不仅意识到 AI 在医学中的伦理维度,而且有能力在实践中做出明智的伦理决策提供了一个重要基础。需要开展未来研究,为医学教育中教授 AI 伦理的基于原则的方法制定基于问题和面向能力的学习目标和教育内容。