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生成式人工智能对医师培训期间专业素质课程及反思性论文的影响

Impact of generative artificial intelligence on the professional qualities curriculum and reflection essays during physician training.

作者信息

Wang Louis William

机构信息

Department of Vascular Medicine, St Vincent's Hospital, Sydney, New South Wales, Australia.

Department of Medicine, Sydney Hospital, Sydney, New South Wales, Australia.

出版信息

Intern Med J. 2025 Jul;55(7):1208-1211. doi: 10.1111/imj.70087. Epub 2025 May 28.

DOI:10.1111/imj.70087
PMID:40434153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12240007/
Abstract

The professional development curriculum is a vital component in physician training and is important for helping trainees develop as competent and reflective practitioners. The advent of generative artificial intelligence (AI) will likely have a significant impact on the assessment of the professional qualities curriculum in physician training. The development of professional qualities as well as self-reflection is currently assessed through personal reflection essays. These reflection essays are particularly vulnerable to new developments in generative AI, which are capable of producing high-quality outputs that can pass as trainee-created responses. Generative AI-produced reflection essays are becoming increasingly difficult to detect using AI-detection software. The challenge remains how best to incorporate AI into learning while safeguarding the attainment and assessment of learning goals within the multiple domains of professional development. This article discusses several options for safeguarding the professional qualities curriculum in medical education and vocational training. Discussion-based activities may very well prove to be a suitable potential replacement for the current professional reflection essay.

摘要

专业发展课程是医师培训的重要组成部分,对于帮助受训人员成长为有能力且善于反思的从业者至关重要。生成式人工智能(AI)的出现可能会对医师培训中专业素质课程的评估产生重大影响。目前,专业素质的培养以及自我反思是通过个人反思文章来评估的。这些反思文章特别容易受到生成式AI新发展的影响,因为生成式AI能够生成高质量的内容,这些内容可以冒充受训人员自己创作的回答。使用AI检测软件越来越难以检测出生成式AI生成的反思文章。挑战仍然在于如何在保障专业发展多个领域学习目标的达成和评估的同时,最好地将AI融入学习过程。本文讨论了在医学教育和职业培训中保障专业素质课程的几种选择。基于讨论的活动很可能被证明是当前专业反思文章的合适潜在替代方案。

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本文引用的文献

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A systematic scoping review of group reflection in medical education.群组反思在医学教育中的系统范围综述
BMC Med Educ. 2024 Apr 10;24(1):398. doi: 10.1186/s12909-024-05203-w.
2
Twelve tips for addressing ethical concerns in the implementation of artificial intelligence in medical education.人工智能在医学教育中的应用中涉及伦理问题的 12 点建议
Med Educ Online. 2024 Dec 31;29(1):2330250. doi: 10.1080/10872981.2024.2330250. Epub 2024 Apr 3.
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Medical students' honesty in summative reflective writing: A rapid review.医学生在总结性反思写作中的诚实性:一项快速综述。
Clin Teach. 2023 Oct;20(5):e13649. doi: 10.1111/tct.13649. Epub 2023 Sep 1.
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Medical students' reflective capacity and its role in their critical thinking disposition.医学生的反思能力及其在批判性思维倾向中的作用。
BMC Med Educ. 2023 Mar 30;23(1):198. doi: 10.1186/s12909-023-04163-x.
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Medical student perceptions of reflective practice in the undergraduate curriculum.医学生对本科课程中反思性实践的看法。
MedEdPublish (2016). 2022 Dec 8;12:53. doi: 10.12688/mep.19211.3. eCollection 2022.
6
Everybody is able to reflect, or aren't they? Evaluating the development of medical professionalism via a longitudinal portfolio mentoring program from a student perspective.每个人都能够进行反思,不是吗?从学生的视角评估纵向组合导师辅导计划对医学职业素养发展的影响。
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