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Application of AIGC in medical education: a systematic review of the impact on critical thinking abilities of medical students. AIGC在医学教育中的应用:对医学生批判性思维能力影响的系统回顾。
IF 3.2 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-12-14 DOI: 10.2196/79939
Jinlei Li, Fen Ai, Juan Huang, Jueyan Wang, Bingxin Cheng, Yu Li, Zhen Chen
<p><strong>Background: </strong>With the rapid development of artificial intelligence technology, generative artificial intelligence content (AIGC) is increasingly widely applied in the field of medical education. Large language models (LLMs), such as ChatGPT, are a prominent type of AIGC technology. Critical thinking is a core ability in medical education, but the impact of AIGC technology on the critical thinking ability of medical students remains unclear. Medical students are at a crucial stage in cultivating critical thinking, and the intervention of AIGC technology may have a profound impact on this process.</p><p><strong>Objective: </strong>This study aims to systematically review the impact of AIGC technology on the complex mechanisms affecting medical students' critical thinking abilities and to build a corresponding strategic framework. The findings are intended to provide theoretical support and practical guidance for applying AIGC in medical education.</p><p><strong>Methods: </strong>This study followed 2020 PRISMA guidelines, retrieval scope limited to November 2022 to June 2025 published in the English literature. Through the PubMed database, combined with the search methods of subject terms and free words, relevant studies involving the impact of AIGC on the critical thinking of medical students were screened out around keywords such as "AIGC", "medical students", and "critical thinking". Two independent reviewers screened and evaluated the literature, and ultimately conducted qualitative analysis based on the common themes extracted from the literature.</p><p><strong>Results: </strong>AIGC technology in medical education is two-fold. On the one hand, AIGC's powerful information capabilities provide abundant learning resources and efficient tools. This accelerates knowledge acquisition and broadens learning scope. On the other hand, over-reliance on AIGC may lead to mental inertia, weaken critical thinking skills, and cause academic integrity issues among students.Research has found that strategies such as customized AIGC tools, virtual standardized patients, new models of resource integration, and proactive assessment of AI limitations can effectively make up for the deficiencies of AIGC in cultivating high-level critical thinking, helping medical students maintain and enhance their critical thinking and problem-solving abilities.</p><p><strong>Conclusions: </strong>AIGC technology application in the medical education needs to carefully weigh the pros and cons. By optimizing the design and usage of AIGC tools and combining them with the guidance and supervision of educators, they can be transformed into powerful tools for promoting the development of critical thinking among medical students. Future research should further expand the scope of study, optimize research methods, pay attention to individual differences, track long-term effects, and deeply explore the influence of ethical and cultural factors to more comprehensively ass
背景:随着人工智能技术的快速发展,生成式人工智能内容(AIGC)在医学教育领域的应用越来越广泛。大型语言模型(llm),如ChatGPT,是AIGC技术的一种突出类型。批判性思维是医学教育的核心能力,但AIGC技术对医学生批判性思维能力的影响尚不清楚。医学生正处于批判性思维培养的关键阶段,AIGC技术的介入可能会对这一过程产生深远的影响。目的:本研究旨在系统回顾AIGC技术对医学生批判性思维能力复杂机制的影响,并构建相应的策略框架。研究结果旨在为AIGC在医学教育中的应用提供理论支持和实践指导。方法:本研究遵循2020年PRISMA指南,检索范围限于2022年11月至2025年6月发表的英文文献。通过PubMed数据库,结合主题词和自由词的搜索方法,围绕“AIGC”、“医学生”、“批判性思维”等关键词,筛选出涉及AIGC对医学生批判性思维影响的相关研究。两位独立的审稿人对文献进行筛选和评估,并最终根据从文献中提取的共同主题进行定性分析。结果:AIGC技术在医学教育中具有双重作用。一方面,AIGC强大的信息能力提供了丰富的学习资源和高效的学习工具。这加快了知识获取,拓宽了学习范围。另一方面,过度依赖AIGC可能会导致心理惰性,削弱批判性思维能力,并导致学生的学术诚信问题。研究发现,定制化AIGC工具、虚拟标准化患者、资源整合新模式、主动评估AI局限性等策略可以有效弥补AIGC在培养高水平批判性思维方面的不足,帮助医学生保持和增强批判性思维和解决问题的能力。结论:AIGC技术在医学教育中的应用需要慎重权衡利弊,通过优化AIGC工具的设计和使用,并结合教育者的指导和监督,使其成为促进医学生批判性思维发展的有力工具。未来的研究应进一步扩大研究范围,优化研究方法,关注个体差异,跟踪长期效果,深入探讨伦理和文化因素的影响,更全面地评估AIGC技术在医学教育中的应用潜力和挑战。
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引用次数: 0
Large Language Model-Based Patient Simulation to Foster Communication Skills in Health Care Professionals: User-Centered Development and Usability Study. 基于大语言模型的病人模拟以培养卫生保健专业人员的沟通技巧:以用户为中心的开发和可用性研究。
IF 3.2 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-12-12 DOI: 10.2196/81271
Ahmed Elhilali, Andy Suy-Huor Ngo, Daniel Reichenpfader, Kerstin Denecke
<p><strong>Background: </strong>Case-based learning using standardized patients is a key method for teaching communication skills in medicine. Besides logistical and financial hurdles, standardized patients portrayed by actors cannot cover the complete diversity of sociodemographic factors of patients. Large language models (LLMs) show promise for creating scalable patient simulations and could probably cover a broader diversity of factors. They could also be integrated into the continuous training of future health care professionals' communication and interaction skills.</p><p><strong>Objective: </strong>This study aimed to introduce the system architecture of a digital tool that leverages LLMs to simulate patient conversations for medical education, focusing specifically on medical history taking. Through an explorative analysis, we aimed to assess the tool's usability and examine differences between LLMs in simulating patient encounters.</p><p><strong>Methods: </strong>We followed a user-centered design process, gathering initial requirements from 2 medical students. We then developed a fully functional web prototype using a Python Flask backend and a PostgreSQL database, integrating 5 LLMs from OpenAI, Anthropic, and xAI. The system includes an artificial intelligence-assisted case vignette generator and a dynamic patient simulator. For the explorative analysis of the prototype, we conducted a task-based usability test with 5 medical students, measuring their experience using the System Usability Scale (SUS) questionnaire and qualitative questions. We then conducted an explorative analysis in which 4 practicing physicians evaluated the simulation quality of 3 models (Grok 3, GPT-4, and Claude 3 Opus) across 7 criteria on a 5-point Likert scale.</p><p><strong>Results: </strong>Usability testing yielded a mean SUS score of 91.5 (SD 8.40), indicating high perceived usability in a small formative sample. Students praised the system's simplicity and intuitive design but noted the absence of a formal conclusion and performance feedback, expressing a desire for a "didactic loop" to maximize learning. The models showed limitations in simulating uncertainties and memory lapses, responding to follow-up questions, and producing natural conversational flow. They perform well in simulating a coherent symptom profile, in using patient-like language, and in describing a realistic timeline and symptom progression. The differences among the models were not statistically significant. Ratings showed limited discriminative reliability (Kendall W=0-0.19, ie, very low) and a ceiling effect, with most scores clustered at 4-5, constraining interpretation; all group differences should therefore be viewed as exploratory.</p><p><strong>Conclusions: </strong>We successfully developed a highly usable patient simulation tool that serves as a foundation for further development. Our results show that while the tool could be effective for communication training, its full pot
背景:基于案例的标准化患者学习是医学沟通技巧教学的重要方法。除了后勤和财政方面的障碍外,演员所描绘的标准化患者并不能完全涵盖患者社会人口因素的多样性。大型语言模型(llm)有望创建可扩展的患者模拟,并可能涵盖更广泛的因素。它们也可以被纳入未来卫生保健专业人员沟通和互动技能的持续培训中。目的:本研究旨在介绍一种数字工具的系统架构,该工具利用法学硕士来模拟医学教育中的患者对话,特别关注病史获取。通过探索性分析,我们旨在评估该工具的可用性,并检查法学硕士在模拟患者遭遇方面的差异。方法:我们遵循以用户为中心的设计过程,收集2名医学生的初始需求。然后,我们使用Python Flask后端和PostgreSQL数据库开发了一个功能齐全的web原型,集成了OpenAI、Anthropic和xAI的5个llm。该系统包括一个人工智能辅助的病例图像生成器和一个动态患者模拟器。为了对原型进行探索性分析,我们对5名医学生进行了基于任务的可用性测试,使用系统可用性量表(SUS)问卷和定性问题来衡量他们的体验。然后,我们进行了一项探索性分析,其中4名执业医生评估了3个模型(Grok 3, GPT-4和Claude 3 Opus)在5点李克特量表上的7个标准的模拟质量。结果:可用性测试产生的平均SUS得分为91.5 (SD 8.40),表明在一个小的形成性样本中具有较高的感知可用性。学生们称赞该系统的简单和直观的设计,但指出缺乏正式的结论和性能反馈,表达了对“教学循环”的渴望,以最大限度地提高学习效果。这些模型在模拟不确定性和记忆缺失、回答后续问题和产生自然会话流方面存在局限性。他们在模拟连贯的症状概况、使用类似病人的语言以及描述现实的时间线和症状进展方面表现良好。模型间差异无统计学意义。评分显示有限的判别信度(Kendall W=0-0.19,即非常低)和天花板效应,大多数分数聚集在4-5,限制了解释;因此,所有的群体差异都应被视为探索性的。结论:我们成功开发了一种高度可用的患者模拟工具,为进一步开发奠定了基础。我们的结果表明,虽然该工具可以有效地进行沟通培训,但它的全部潜力只能通过集成自动反馈机制来实现,以创建一个完整的教学循环,正如测试用户所要求的那样。未来的工作应该更深入地评估模型在模拟患者心理社会特征方面的差异。
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引用次数: 0
Twelve Practical Tips for Integrating AI Into Medical Education: Tutorial to Support Educators Across Teaching, Research, Administration, and Ethical Domains. 将人工智能(AI)融入医学教育的12个实用技巧。
IF 3.2 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-12-12 DOI: 10.2196/81297
Alireza Jalali, Kadidja Harbi Houssein, Salomon Fotsing

Artificial intelligence (AI) is rapidly reshaping medical education, offering new opportunities to personalize learning, enhance research, and streamline administration. The aim of this study is to provide 12 practical, evidence-informed tips by drawing on current literature and real-world examples to guide the integration of AI into medical education, supporting educators across teaching, research, administration, and ethical domains. Key strategies include using adaptive learning platforms to tailor educational content, using AI tools to provide timely feedback, and incorporating AI-generated clinical scenarios in case-based learning. The importance of fostering AI literacy among students is emphasized, as well as utilizing AI-powered tools for efficient literature reviews, data analysis, and manuscript preparation. Administrative applications such as automating routine tasks, supporting strategic planning through data analysis, and enhancing faculty development with AI-driven platforms are also discussed. Ethical considerations are highlighted, with a focus on ensuring transparency, fairness, and accountability in all AI applications. By following these 12 tips, medical educators can leverage the benefits of AI to improve educational outcomes, increase efficiency, and prepare future clinicians for a technology-driven health care environment.

非结构化:人工智能(AI)正在迅速重塑医学教育,为个性化学习、加强研究和简化管理提供了新的机会。本文的目的是提供12个实用的、基于证据的提示,以指导将人工智能融入医学教育,为教学、研究、管理和伦理领域的教育工作者提供支持。本文介绍了将人工智能融入医学教育的12个实用技巧,借鉴了当前的文献和现实世界的例子。关键策略包括使用自适应学习平台定制教育内容,使用人工智能工具提供及时反馈,以及将人工智能生成的临床场景纳入基于案例的学习。强调了培养学生人工智能素养的重要性,以及利用人工智能工具进行有效的文献综述、数据分析和手稿准备的重要性。管理应用,如自动化日常任务,通过数据分析支持战略规划,以及通过人工智能驱动的平台加强教师发展,也进行了讨论。强调道德考虑,重点是确保所有人工智能应用的透明度、公平性和问责制。通过遵循这12条建议,医学教育工作者可以利用人工智能的好处来改善教育成果,提高效率,并为未来的临床医生做好准备,以适应技术驱动的医疗环境。
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引用次数: 0
Text Message (SMS) Microlearning for Tobacco Use Disorder: Pre-Post Pilot Study of Clinician Confidence. 烟草使用障碍的短信微学习:临床医生信心的前后试点研究。
IF 3.2 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-12-09 DOI: 10.2196/73821
Zehra Dhanani, Veena Dronamraju, Jamie Garfield

Background: Clinicians are central to treating tobacco use disorder, yet practical training is inconsistent, and confidence varies. Brief, text message-based microlearning may offer a low-burden way to strengthen foundational competencies in busy clinical settings.

Objective: This paper aims to evaluate whether a short SMS microlearning series improves clinicians' self-reported confidence in managing tobacco use disorder.

Methods: We conducted a single-arm, pre-post educational pilot at an academic medical center. A brief formative survey (13 items; 106 respondents) identified local knowledge gaps and informed message topics and sequencing. The 13-day series delivered 1 concise message per day with key teaching points and links to curated resources. The prespecified primary outcome was self-reported confidence in managing tobacco use disorder (1-100 scale) measured immediately before and after the series. Of the 34 clinicians who signed up, 22 completed the baseline questionnaire and enrolled (attendings: n=4, 18%; trainees: n=18, 82%). Changes in confidence among participants with paired ratings were tested with a paired t test. Engagement with embedded links was recorded.

Results: All enrolled participants completed the 13-day series; none unsubscribed. Postintervention confidence ratings were provided by 18 participants. Mean confidence increased from 60 (SD 16) at baseline to 85 (SD 10) after the series (t17=-10.71; P<.001). Embedded links were opened in 67% (178/266) of messages. Free-text feedback was predominantly positive and emphasized the convenience, clarity, and point-of-care usefulness of brief messages.

Conclusions: A brief SMS microlearning series was associated with a substantial improvement in clinicians' confidence to manage tobacco use disorder, with high completion and evidence of engagement. This low-cost, scalable approach appears practical for busy clinicians. Findings should be interpreted cautiously given the single-arm design, self-selection, and reliance on self-reported confidence rather than objective knowledge or clinical outcomes. Future studies should include a validated knowledge assessment, a randomized comparison, broader sampling, and follow-up to assess durability and impact on care.

背景:临床医生是治疗烟草使用障碍的核心,但实践培训不一致,信心各不相同。简而言之,基于文本信息的微学习可以为繁忙的临床环境提供一种低负担的方式来加强基础能力。目的:本文旨在评估短短信微学习系列是否能提高临床医生在管理烟草使用障碍方面的自我报告信心。方法:我们在一家学术医疗中心进行了单臂、岗前教育试点。一项简短的形成性调查(13个项目,106名受访者)确定了当地的知识差距,并告知了信息主题和顺序。为期13天的系列课程每天提供1条简明的信息,其中包含重点教学要点和精选资源的链接。预先指定的主要结局是在研究前后立即测量的自我报告的管理烟草使用障碍的信心(1-100量表)。在注册的34名临床医生中,22名完成了基线问卷并入组(主治医生:n= 4,18%;实习生:n= 18,82%)。采用配对t检验对具有配对评分的参与者的信心变化进行检验。对嵌入链接的参与情况进行了记录。结果:所有入组参与者均完成了为期13天的系列研究;没有没订阅。干预后的信心评级由18名参与者提供。平均置信度从基线时的60(标准差16)增加到系列后的85(标准差10)(t17=-10.71)。结论:简短的SMS微学习系列与临床医生管理烟草使用障碍的信心有显著提高相关,具有高完成度和参与的证据。对于忙碌的临床医生来说,这种低成本、可扩展的方法似乎很实用。考虑到单臂设计、自我选择和依赖于自我报告的信心而不是客观知识或临床结果,研究结果应谨慎解释。未来的研究应包括有效的知识评估、随机比较、更广泛的抽样和随访,以评估持久性和对护理的影响。
{"title":"Text Message (SMS) Microlearning for Tobacco Use Disorder: Pre-Post Pilot Study of Clinician Confidence.","authors":"Zehra Dhanani, Veena Dronamraju, Jamie Garfield","doi":"10.2196/73821","DOIUrl":"10.2196/73821","url":null,"abstract":"<p><strong>Background: </strong>Clinicians are central to treating tobacco use disorder, yet practical training is inconsistent, and confidence varies. Brief, text message-based microlearning may offer a low-burden way to strengthen foundational competencies in busy clinical settings.</p><p><strong>Objective: </strong>This paper aims to evaluate whether a short SMS microlearning series improves clinicians' self-reported confidence in managing tobacco use disorder.</p><p><strong>Methods: </strong>We conducted a single-arm, pre-post educational pilot at an academic medical center. A brief formative survey (13 items; 106 respondents) identified local knowledge gaps and informed message topics and sequencing. The 13-day series delivered 1 concise message per day with key teaching points and links to curated resources. The prespecified primary outcome was self-reported confidence in managing tobacco use disorder (1-100 scale) measured immediately before and after the series. Of the 34 clinicians who signed up, 22 completed the baseline questionnaire and enrolled (attendings: n=4, 18%; trainees: n=18, 82%). Changes in confidence among participants with paired ratings were tested with a paired t test. Engagement with embedded links was recorded.</p><p><strong>Results: </strong>All enrolled participants completed the 13-day series; none unsubscribed. Postintervention confidence ratings were provided by 18 participants. Mean confidence increased from 60 (SD 16) at baseline to 85 (SD 10) after the series (t17=-10.71; P<.001). Embedded links were opened in 67% (178/266) of messages. Free-text feedback was predominantly positive and emphasized the convenience, clarity, and point-of-care usefulness of brief messages.</p><p><strong>Conclusions: </strong>A brief SMS microlearning series was associated with a substantial improvement in clinicians' confidence to manage tobacco use disorder, with high completion and evidence of engagement. This low-cost, scalable approach appears practical for busy clinicians. Findings should be interpreted cautiously given the single-arm design, self-selection, and reliance on self-reported confidence rather than objective knowledge or clinical outcomes. Future studies should include a validated knowledge assessment, a randomized comparison, broader sampling, and follow-up to assess durability and impact on care.</p>","PeriodicalId":36236,"journal":{"name":"JMIR Medical Education","volume":"11 ","pages":"e73821"},"PeriodicalIF":3.2,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12688373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quantifying Emergency Medicine Residency Learning Curves Using Natural Language Processing: Retrospective Cohort Study. 用自然语言处理量化急诊医学住院医师学习曲线:回顾性队列研究。
IF 3.2 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-12-09 DOI: 10.2196/82326
Carl Preiksaitis, Joshua Hughes, Rana Kabeer, William Dixon, Christian Rose
<p><strong>Background: </strong>The optimal duration of emergency medicine (EM) residency training remains a subject of national debate, with the Accreditation Council for Graduate Medical Education considering standardizing all programs to 4 years. However, empirical data on how residents accumulate clinical exposure over time are limited. Traditional measures, such as case logs and diagnostic codes, often fail to capture the breadth and depth of diagnostic reasoning. Natural language processing (NLP) of clinical documentation offers a novel approach to quantifying clinical experiences more comprehensively.</p><p><strong>Objective: </strong>This study aimed to (1) quantify how EM residents acquire clinical topic exposure over the course of training, (2) evaluate variation in exposure patterns across residents and classes, and (3) assess changes in workload and case complexity over time to inform the discussion on optimal program length.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study of EM residents at Stanford Hospital, analyzing 244,255 emergency department encounters from July 1, 2016, to November 30, 2023. The sample included 62 residents across 4 graduating classes (2020-2023), representing all primary training site encounters where residents served as primary or supervisory providers. Using a retrieval-augmented generation NLP pipeline, we mapped resident clinical documentation to the 895 subcategories of the 2022 Model for Clinical Practice of Emergency Medicine (MCPEM) via intermediate mapping to the Systematized Nomenclature of Medicine, Clinical Terms, Clinical Observations, Recordings, and Encoding problem list subset. We generated cumulative topic exposure curves, quantified the diversity of topic coverage, assessed variability between residents, and analyzed the progression in clinical complexity using Emergency Severity Index (ESI) scores and admission rates.</p><p><strong>Results: </strong>Residents encountered the largest increase in new topics during postgraduate year 1 (PGY1), averaging 376.7 (42.1%) unique topics among a total of 895 MCPEM subcategories. By PGY4, they averaged 565.9 (63.2%) topics, representing a 9.9% (51/515) increase over PGY3. Exposure plateaus generally occurred at 39 to 41 months, although substantial individual variation was observed, with some residents continuing to acquire new topics until graduation. Annual case volume more than tripled from PGY1 (mean 445.7, SD 112.7 encounters) to PGY4 (mean 1528.4, SD 112.7 encounters). Case complexity increased, as evidenced by a decrease in mean ESI score from 2.94 to 2.79, and a rise in high-acuity (ESI 1-2) cases from 16% (4374/27,340) to 30.9% (9418/30,466).</p><p><strong>Conclusions: </strong>NLP analysis of clinical documentation provides a scalable, detailed method for tracking EM residents' clinical exposure and progression. Many residents continue to gain new experiences into their fourth year, particularly in higher-acuity case
背景:急诊医学(EM)住院医师培训的最佳时间仍然是全国辩论的主题,研究生医学教育认证委员会考虑将所有课程标准化为4年。然而,关于居民如何随时间积累临床暴露的经验数据有限。传统的测量方法,如病例记录和诊断代码,往往无法捕捉诊断推理的广度和深度。临床文献的自然语言处理(NLP)为更全面地量化临床经验提供了一种新的方法。目的:本研究旨在(1)量化EM住院医师在培训过程中如何获得临床主题暴露,(2)评估住院医师和班级之间暴露模式的变化,以及(3)评估工作量和病例复杂性随时间的变化,从而为讨论最佳课程长度提供信息。方法:我们对斯坦福医院急诊住院医师进行了回顾性队列研究,分析了2016年7月1日至2023年11月30日期间急诊就诊的244,255例病例。样本包括4个毕业班(2020-2023年)的62名居民,代表了所有主要的培训地点,在这些培训地点,居民担任主要或监督提供者。使用检索增强生成NLP管道,我们通过中间映射到医学系统化命名法、临床术语、临床观察、记录和编码问题列表子集,将住院临床文档映射到2022年急诊医学临床实践模型(MCPEM)的895个子类别。我们生成了累积主题曝光曲线,量化了主题覆盖的多样性,评估了住院医师之间的可变性,并使用急诊严重程度指数(ESI)评分和住院率分析了临床复杂性的进展。结果:居民在研究生一年级(PGY1)期间遇到的新主题增幅最大,在总共895个MCPEM子类别中平均有376.7个(42.1%)独特主题。到PGY4,他们平均有565.9个(63.2%)话题,比PGY3增加了9.9%(51/515)。暴露平台通常发生在39至41个月,尽管观察到大量的个体差异,一些居民继续获得新的主题直到毕业。年病例量从PGY1(平均445.7例,SD 112.7例)到PGY4(平均1528.4例,SD 112.7例)增加了两倍多。病例复杂性增加,平均ESI评分从2.94下降到2.79,高敏度(ESI 1-2)病例从16%(4374/27,340)上升到30.9%(9418/30,466)。结论:临床文献的NLP分析提供了一种可扩展的、详细的方法来跟踪EM居民的临床暴露和进展。许多住院医生在第四年继续获得新的经验,特别是在高敏度的病例中。这些发现表明,4年的培训模式可以提供有意义的额外教育价值,同时也强调了个性化评估的重要性,因为学习轨迹的可变性。
{"title":"Quantifying Emergency Medicine Residency Learning Curves Using Natural Language Processing: Retrospective Cohort Study.","authors":"Carl Preiksaitis, Joshua Hughes, Rana Kabeer, William Dixon, Christian Rose","doi":"10.2196/82326","DOIUrl":"10.2196/82326","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The optimal duration of emergency medicine (EM) residency training remains a subject of national debate, with the Accreditation Council for Graduate Medical Education considering standardizing all programs to 4 years. However, empirical data on how residents accumulate clinical exposure over time are limited. Traditional measures, such as case logs and diagnostic codes, often fail to capture the breadth and depth of diagnostic reasoning. Natural language processing (NLP) of clinical documentation offers a novel approach to quantifying clinical experiences more comprehensively.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aimed to (1) quantify how EM residents acquire clinical topic exposure over the course of training, (2) evaluate variation in exposure patterns across residents and classes, and (3) assess changes in workload and case complexity over time to inform the discussion on optimal program length.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We conducted a retrospective cohort study of EM residents at Stanford Hospital, analyzing 244,255 emergency department encounters from July 1, 2016, to November 30, 2023. The sample included 62 residents across 4 graduating classes (2020-2023), representing all primary training site encounters where residents served as primary or supervisory providers. Using a retrieval-augmented generation NLP pipeline, we mapped resident clinical documentation to the 895 subcategories of the 2022 Model for Clinical Practice of Emergency Medicine (MCPEM) via intermediate mapping to the Systematized Nomenclature of Medicine, Clinical Terms, Clinical Observations, Recordings, and Encoding problem list subset. We generated cumulative topic exposure curves, quantified the diversity of topic coverage, assessed variability between residents, and analyzed the progression in clinical complexity using Emergency Severity Index (ESI) scores and admission rates.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Residents encountered the largest increase in new topics during postgraduate year 1 (PGY1), averaging 376.7 (42.1%) unique topics among a total of 895 MCPEM subcategories. By PGY4, they averaged 565.9 (63.2%) topics, representing a 9.9% (51/515) increase over PGY3. Exposure plateaus generally occurred at 39 to 41 months, although substantial individual variation was observed, with some residents continuing to acquire new topics until graduation. Annual case volume more than tripled from PGY1 (mean 445.7, SD 112.7 encounters) to PGY4 (mean 1528.4, SD 112.7 encounters). Case complexity increased, as evidenced by a decrease in mean ESI score from 2.94 to 2.79, and a rise in high-acuity (ESI 1-2) cases from 16% (4374/27,340) to 30.9% (9418/30,466).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;NLP analysis of clinical documentation provides a scalable, detailed method for tracking EM residents' clinical exposure and progression. Many residents continue to gain new experiences into their fourth year, particularly in higher-acuity case","PeriodicalId":36236,"journal":{"name":"JMIR Medical Education","volume":"11 ","pages":"e82326"},"PeriodicalIF":3.2,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12688050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Engaging Undergraduate Medical Students With Introductory Research Training via an Educational Escape Room: Mixed Methods Evaluation. 通过教育密室进行本科医学生入门性研究训练:混合方法评估。
IF 3.2 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-12-08 DOI: 10.2196/71339
Bastien Le Guellec, Victoria Gauthier, Rémi Lenain, Alexandra Nuytten, Luc Dauchet, Brigitte Bonneau, Erwin Gerard, Claire Castandet, Patrick Truffert, Marc Hazzan, Philippe Amouyel, Raphaël Bentegeac, Aghiles Hamroun
<p><strong>Background: </strong>Early exposure to research methodology is essential in medical education, yet many students show limited motivation to engage with nonclinical content. Gamified strategies such as educational escape rooms may help improve engagement, but few studies have explored their feasibility at scale or evaluated their impact beyond student satisfaction.</p><p><strong>Objective: </strong>This study aimed to assess the feasibility, engagement, and perceived educational value of a large-scale escape room specifically designed to introduce third-year medical students to the principles of diagnostic test evaluation.</p><p><strong>Methods: </strong>We developed a low-cost immersive escape room based on a fictional diagnostic accuracy study with 6 puzzles mapped to five predefined learning objectives: (1) identifying key components of a diagnostic study protocol, (2) selecting an appropriate gold standard test, (3) defining a relevant study population, (4) building and interpreting a contingency table, and (5) critically appraising diagnostic metrics in context. The intervention was deployed to an entire class of third-year medical students across 12 sessions between March 2023 and April 2023. Each session included 60 minutes of gameplay and a 45-minute debriefing. Students completed pre- and postintervention questionnaires assessing their knowledge of diagnostic test evaluation and perceptions of research training. Descriptive statistics and 2-tailed paired t tests were used to evaluate score changes; univariate linear regressions assessed associations with demographics. Free-text comments were analyzed using the hierarchical classification by Reinert.</p><p><strong>Results: </strong>Of the 530 participants, 490 (92.5%) completed the full evaluation. Many participants had had limited previous exposure to escape rooms (206/490, 42% had never participated in one), and most (253/490, 51.6%) reported low initial confidence with critical appraisal of scientific articles. Mean overall knowledge scores increased from 62 of 100 (SD 1) before to 82 of 100 (SD 2) after the activity (+32%; P<.001). Gains were observed across all learning objectives and were not influenced by age, sex, or previous experience. Students rated the educational escape room as highly entertaining (mean score 9.1/10, SD 1.1) and educational (mean score 8.2/10, SD 1.5). Following the intervention, 86.9% (393/452) felt more comfortable with critical appraisal of diagnostic test studies, and 79% (357/452) considered the escape room format highly appropriate for an introductory session.</p><p><strong>Conclusions: </strong>This study demonstrates the feasibility and enthusiastic reception of a large-scale, reusable escape room aimed at teaching the fundamental principles of diagnostic test evaluation to undergraduate medical students. This approach may serve as a valuable entry point to engage students with evidence-based reasoning and pave the way for deeper exploration
背景:早期接触研究方法在医学教育中是必不可少的,然而许多学生表现出有限的动机参与非临床内容。游戏化策略(如教育逃生室)可能有助于提高参与度,但很少有研究探索其大规模可行性,或评估其对学生满意度以外的影响。目的:本研究旨在评估专门设计的大型逃生室的可行性、参与度和感知教育价值,以向医三年级学生介绍诊断测试评估的原则。方法:我们基于一个虚构的诊断准确性研究开发了一个低成本的沉浸式逃生室,其中6个谜题映射到五个预定义的学习目标:(1)确定诊断研究方案的关键组成部分,(2)选择合适的金标准测试,(3)定义相关的研究人群,(4)建立和解释列联表,以及(5)在上下文中批判性地评估诊断指标。该干预措施在2023年3月至2023年4月的12个学期中对整个三年级医科学生进行了部署。每个环节包括60分钟的游戏和45分钟的汇报。学生完成了干预前和干预后的问卷调查,评估他们对诊断测试评估的知识和对研究训练的看法。采用描述性统计和双尾配对t检验评价评分变化;单变量线性回归评估与人口统计学的关联。使用Reinert分层分类对自由文本评论进行分析。结果:在530名参与者中,490人(92.5%)完成了完整的评估。许多参与者之前对密室密室的接触有限(206/490,42%从未参与过密室密室),大多数参与者(253/490,51.6%)报告对科学文章的批判性评价的初始置信度较低。平均知识总分由活动前的62分(SD 1)提高到活动后的82分(SD 2)(+32%)。结论:本研究证明了大规模、可重复使用的逃生室用于医学本科学生诊断性测验评价基本原理教学的可行性和受欢迎程度。这种方法可以作为一个有价值的切入点,让学生参与循证推理,并为深入探索医学研究方法铺平道路。
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引用次数: 0
Virtual Standardized Patients for Improving Clinical Thinking Ability Training in Residents: Randomized Controlled Trial. 虚拟标准化患者提高住院医师临床思维能力训练:随机对照试验。
IF 3.2 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-12-08 DOI: 10.2196/73196
Liyuan Xu, Qinrong Xu, Chunya Liu, Baozhen Chen, Chunxia Wang
<p><strong>Background: </strong>Clinical internal medicine practice training traditionally relies on case-based teaching. This approach limits the development of students' clinical thinking skills. It also places significant pressure on instructors. Virtual standardized patients (VSPs) could offer an alternative solution. However, evidence on their feasibility and effectiveness remains limited.</p><p><strong>Objective: </strong>This study aims to use the "VSPs in general practice" interactive diagnostic and teaching system, which uses VSPs to provide 3D virtual simulated patients and mimic virtual clinical scenarios. Medical students are trained through system-preset cases. This study aims to establish the clinical application of VSPs through a "VSPs in general practice" system and compare its effectiveness with traditional teaching in improving students' clinical thinking ability.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted from October 20, 2022, to October 20, 2024. A total of 60 medical students interning at Quzhou People's Hospital were enrolled and divided into 2 groups: the experimental group receiving VSP training (30/60, 50%) and the control group receiving traditional academic training (30/60, 50%). The teaching effectiveness was evaluated using basic knowledge assessments and virtual system scoring. After completing the course, students were surveyed with a questionnaire to assess their satisfaction with the course.</p><p><strong>Results: </strong>All enrolled medical students completed the study. In the evaluation of training effectiveness, the experimental group showed significantly greater improvement in theoretical scores compared to the control group (mean 17.07, SD 4.24 vs mean 10.67, SD 4.91; F1, 59=29.20; Cohen d=1.15; 95% CI 12.43-15.31; P<.001); the total score improvement in the virtual clinical thinking training system test was also significantly better in the experimental group than in the control group (mean 42.60, SD 9.56 vs mean 31.63, SD 7.24; F1, 59=25.10; Cohen d=1.09; 95% CI 34.51-39.72; P<.001). Specifically, improvements in consultation skills (mean 8.76, SD 1.67 vs mean 7.66, SD 2.08; F1, 59=31.09; Cohen d=0.55; 95% CI 7.70-8.70; P<.001), overall objective improvement (mean 11.97, SD 2.77 vs mean 8.15, SD 2.62; F1, 59=30.08; Cohen d=1.16; 95% CI 9.21-10.91; P<.001), initial diagnostic ability (mean 8.74, SD 1.67 vs mean 7.66, SD 2.08; F1, 59=4.91; Cohen d=0.55, 95% CI 7.70-8.70; P=.03), and ability to provide patient treatment (mean 7.23, SD 2.41 vs mean 5.72, SD 2.19; F1, 59=6.42; Cohen d=0.63; 95% CI 5.85-7.01; P=.01) were significantly higher in the experimental group than in the control group. The questionnaire results indicated that 90% (27/30) of the students who participated in the VSPs' training believed it could enhance their clinical thinking abilities.</p><p><strong>Conclusions: </strong>VSPs reinforce the foundational knowledge of internal medicine among medical students
背景:临床内科实践培训传统上依赖于案例教学。这种方法限制了学生临床思维能力的发展。这也给教师带来了巨大的压力。虚拟标准化病人(vsp)可以提供另一种解决方案。然而,关于其可行性和有效性的证据仍然有限。目的:本研究旨在利用“全科VSPs”交互式诊断教学系统,利用VSPs提供三维虚拟模拟患者,模拟虚拟临床场景。医学生通过系统预设的案例进行培训。本研究旨在通过“全科VSPs”体系建立VSPs的临床应用,并比较其与传统教学在提高学生临床思维能力方面的效果。方法:于2022年10月20日至2024年10月20日进行随机对照试验。选取衢州市人民医院实习医学生60名,分为实验组(30/ 60,50%)和对照组(30/ 60,50%)。采用基础知识评估和虚拟系统评分对教学效果进行评价。课程结束后,学生们接受了一份问卷调查,以评估他们对课程的满意度。结果:所有入组的医学生均完成了研究。在培训效果评价方面,实验组的理论成绩较对照组有显著提高(mean 17.07, SD 4.24 vs mean 10.67, SD 4.91); F1, 59=29.20; Cohen d=1.15; 95% CI 12.43 ~ 15.31;结论:VSPs强化了医学生的内科基础知识,增强了他们的临床思维能力,提高了他们独立工作的能力。VSP系统可行、实用、性价比高,值得在临床教育中进一步推广。
{"title":"Virtual Standardized Patients for Improving Clinical Thinking Ability Training in Residents: Randomized Controlled Trial.","authors":"Liyuan Xu, Qinrong Xu, Chunya Liu, Baozhen Chen, Chunxia Wang","doi":"10.2196/73196","DOIUrl":"10.2196/73196","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Clinical internal medicine practice training traditionally relies on case-based teaching. This approach limits the development of students' clinical thinking skills. It also places significant pressure on instructors. Virtual standardized patients (VSPs) could offer an alternative solution. However, evidence on their feasibility and effectiveness remains limited.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aims to use the \"VSPs in general practice\" interactive diagnostic and teaching system, which uses VSPs to provide 3D virtual simulated patients and mimic virtual clinical scenarios. Medical students are trained through system-preset cases. This study aims to establish the clinical application of VSPs through a \"VSPs in general practice\" system and compare its effectiveness with traditional teaching in improving students' clinical thinking ability.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A randomized controlled trial was conducted from October 20, 2022, to October 20, 2024. A total of 60 medical students interning at Quzhou People's Hospital were enrolled and divided into 2 groups: the experimental group receiving VSP training (30/60, 50%) and the control group receiving traditional academic training (30/60, 50%). The teaching effectiveness was evaluated using basic knowledge assessments and virtual system scoring. After completing the course, students were surveyed with a questionnaire to assess their satisfaction with the course.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;All enrolled medical students completed the study. In the evaluation of training effectiveness, the experimental group showed significantly greater improvement in theoretical scores compared to the control group (mean 17.07, SD 4.24 vs mean 10.67, SD 4.91; F1, 59=29.20; Cohen d=1.15; 95% CI 12.43-15.31; P&lt;.001); the total score improvement in the virtual clinical thinking training system test was also significantly better in the experimental group than in the control group (mean 42.60, SD 9.56 vs mean 31.63, SD 7.24; F1, 59=25.10; Cohen d=1.09; 95% CI 34.51-39.72; P&lt;.001). Specifically, improvements in consultation skills (mean 8.76, SD 1.67 vs mean 7.66, SD 2.08; F1, 59=31.09; Cohen d=0.55; 95% CI 7.70-8.70; P&lt;.001), overall objective improvement (mean 11.97, SD 2.77 vs mean 8.15, SD 2.62; F1, 59=30.08; Cohen d=1.16; 95% CI 9.21-10.91; P&lt;.001), initial diagnostic ability (mean 8.74, SD 1.67 vs mean 7.66, SD 2.08; F1, 59=4.91; Cohen d=0.55, 95% CI 7.70-8.70; P=.03), and ability to provide patient treatment (mean 7.23, SD 2.41 vs mean 5.72, SD 2.19; F1, 59=6.42; Cohen d=0.63; 95% CI 5.85-7.01; P=.01) were significantly higher in the experimental group than in the control group. The questionnaire results indicated that 90% (27/30) of the students who participated in the VSPs' training believed it could enhance their clinical thinking abilities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;VSPs reinforce the foundational knowledge of internal medicine among medical students","PeriodicalId":36236,"journal":{"name":"JMIR Medical Education","volume":"11 ","pages":"e73196"},"PeriodicalIF":3.2,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12685284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Open-Access Web-Based Gamification in Pharmacology Education for Medical Students: Quasi-Experimental Study. 开放存取网络游戏化在医学生药理学教育中的应用:准实验研究。
IF 3.2 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-12-05 DOI: 10.2196/73666
Lujain Aloum, Halah Ibrahim, Senthil Kumar Rajasekaran, Eman Alefishat

Background: Medical education continues to favor didactic lectures as the predominant method of instruction. However, in recent years, there has been a shift toward active learning methodologies such as gamification.

Objective: This study aimed to describe the implementation of 3 open-access, web-based pharmacology games tailored for medical students: Cross DRUGs, Find the DRUG, and DRUGs Escape Room. The study also evaluated the impact of gamification on knowledge retention, student engagement, and learning experience in pharmacology education.

Methods: We used a quasi-experimental design to examine the effects of gamification on knowledge retention by comparing pretest and posttest scores between the gamer and control groups. Each week, students self-selected into either the gamer group or the control group based on personal preference. All students were provided with online access to the same lecture slides. Students in the control group completed both the pretest and posttest but did not play any of the games. A survey was administered to assess students' perceptions of gamification as a learning tool.

Results: Of the 72 students enrolled in the course, 49 (68%) agreed to participate, with 40 (56%) students completing both the pretest and posttest and being included in our analysis. As participation could vary weekly, an individual student might have appeared in both groups across different weeks, resulting in 59 gamer sessions and 20 control sessions. The mean pretest scores were 6.05 (SD 2.31) for the control group and 6.20 (SD 2.13) for the gamer group. The mean posttest scores were 6.90 (SD 2.02) for the control group and 8.47 (SD 1.30) for the gamer group. The gamer group exhibited significantly improved posttest scores (P=.006), while the control group did not (P=.21). Most respondents (25/30, 83%) found the games enjoyable and agreed that the games effectively helped them understand pharmacological concepts (24/30, 80%). Additionally, 70% (21/30) of students believed they learned better from the gaming format than from didactic lectures. Most favored a blended approach that combines lectures with games or case studies.

Conclusions: Gamification can serve as an effective complementary teaching tool for helping medical students learn pharmacological concepts.

背景:医学教育继续倾向于教学讲座作为主要的教学方法。然而,近年来,有一种转向主动学习方法,如游戏化。目的:本研究旨在描述为医学生量身定制的3个开放获取的基于网络的药理学游戏:Cross DRUGs, Find the DRUG和DRUG Escape Room。该研究还评估了游戏化对药理学教育中知识保留、学生参与和学习体验的影响。方法:我们采用准实验设计,通过比较游戏玩家和对照组的测试前和测试后得分,来检验游戏化对知识保留的影响。每周,学生们根据个人喜好自行选择进入游戏玩家组或对照组。所有学生都可以在线观看相同的讲座幻灯片。对照组的学生完成了前测和后测,但没有玩任何游戏。我们进行了一项调查,以评估学生对游戏化作为学习工具的看法。结果:在参加课程的72名学生中,49名(68%)同意参加,其中40名(56%)学生完成了前测和后测,并被纳入我们的分析。由于参与者每周都在变化,单个学生可能会在不同的周内出现在两个组中,结果是59个游戏会话和20个控制会话。对照组的平均前测分数为6.05 (SD 2.31),游戏组的平均前测分数为6.20 (SD 2.13)。对照组平均后测分数为6.90 (SD 2.02),游戏组平均后测分数为8.47 (SD 1.30)。游戏玩家组表现出显著的后测分数提高(P= 0.006),而对照组没有(P= 0.21)。大多数受访者(25/ 30,83%)认为游戏很有趣,并认为游戏有效地帮助他们理解药理学概念(24/ 30,80%)。此外,70%(21/30)的学生认为他们从游戏中学到的东西比从说教中学到的东西更好。大多数人喜欢将讲座与游戏或案例研究相结合的混合方法。结论:游戏化可以作为一种有效的辅助教学工具,帮助医学生学习药理学概念。
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引用次数: 0
Implementation and Evaluation of a Cancer Immunotherapy Elective for Medical Students: A Mixed-Methods Descriptive Study. 医学生癌症免疫治疗选修课的实施与评价:一项混合方法描述性研究。
IF 3.2 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-12-03 DOI: 10.2196/71628
Mark Raynor, Rivers Hock, Brandon Godinich, Satish Maharaj, Houriya Ayoubieh, Cynthia Perry, Jessica Chacon
<p><strong>Background: </strong>Cancer immunotherapy represents a transformative advancement in oncology, offering new avenues for treating malignancies by harnessing the immune system. Despite its growing clinical relevance, immunotherapy remains underrepresented in undergraduate medical education, particularly in curricula integrating foundational immunology with clinical application. To address this gap, we developed and implemented a fully online elective for fourth-year medical students focused on core immunology concepts, immunotherapy mechanisms, FDA-approved treatments, immune-related adverse events, and patient-centered therapeutic decision-making.</p><p><strong>Objective: </strong>This study aimed to evaluate the effectiveness of an asynchronous-synchronous online cancer immunotherapy elective in improving medical student knowledge, engagement, and critical-thinking skills. We hypothesized that participation in the elective would be associated with perceived improvements in knowledge and clinical preparedness and inform future strategies for integrating cancer immunotherapy into medical curricula.</p><p><strong>Methods: </strong>We conducted a mixed-methods study with fourth-year medical students enrolled in a two-week elective at a U.S. medical school. The curriculum included a self-paced foundational module, online discussion board, and a capstone oral presentation requiring students to propose a novel immunotherapy approach. Participants completed pre- and post-course quizzes assessing immunotherapy knowledge and an anonymous post-course Likert-scale survey. Quantitative data were summarized descriptively, and Likert responses were reported using medians and interquartile ranges (IQR). Due to the small sample size, unpaired t-tests comparing pre- and post-course quiz averages were underpowered to detect statistically significant differences. Qualitative data were analyzed using inductive thematic analysis with investigator triangulation.</p><p><strong>Results: </strong>A total of 35 students completed the elective, and 20 submitted the post-course survey (response rate: 57%). Across all Likert-scale items, students reported a median response of 5 (Strongly Agree) with IQR values ranging from 0 to 1, indicating uniformly positive perceptions and minimal variability in their evaluation of the course. Descriptively, average post-course quiz scores were higher than pre-course scores, suggesting improved conceptual understanding. Qualitative thematic analysis revealed three major themes: (1) increased confidence engaging with complex immunotherapy mechanisms, (2) appreciation for the flexibility and interactivity afforded by the hybrid asynchronous-synchronous model, and (3) enhanced understanding of the real-world clinical application of immunotherapy across interdisciplinary settings.</p><p><strong>Conclusions: </strong>Descriptive quantitative and qualitative findings suggest that a targeted online cancer immunotherapy elective may enh
背景:癌症免疫治疗代表了肿瘤学的变革进步,为利用免疫系统治疗恶性肿瘤提供了新的途径。尽管免疫疗法的临床意义越来越大,但在本科医学教育中,特别是在将基础免疫学与临床应用相结合的课程中,免疫疗法的代表性仍然不足。为了解决这一差距,我们为四年级医学生开发并实施了一门完全在线选修课程,重点是核心免疫学概念、免疫治疗机制、fda批准的治疗方法、免疫相关不良事件和以患者为中心的治疗决策。目的:本研究旨在评估异步同步在线癌症免疫治疗选修课在提高医学生知识、参与度和批判性思维技能方面的有效性。我们假设参加选修课将与认知知识和临床准备的改善有关,并为将癌症免疫治疗纳入医学课程的未来策略提供信息。方法:我们对在美国一所医学院参加为期两周选修课的四年级医学生进行了一项混合方法研究。课程包括一个自定进度的基础模块,在线讨论板,以及要求学生提出一种新的免疫治疗方法的顶级口头报告。参与者完成了课程前和课程后评估免疫治疗知识的测验和匿名课程后李克特量表调查。描述性地总结定量数据,并使用中位数和四分位数范围(IQR)报告李克特反应。由于样本量小,比较课前和课后测验平均值的非配对t检验不足以发现统计学上显著的差异。定性数据分析采用归纳专题分析与调查员三角法。结果:共有35名学生完成了选修课,20名学生提交了课后调查,回复率为57%。在所有李克特量表项目中,学生报告的中位数反应为5(非常同意),IQR值范围从0到1,表明他们对课程的评价一致积极,变化最小。描述性地说,课后测验的平均分数高于课前分数,表明概念理解有所提高。定性专题分析揭示了三个主要主题:(1)增强了参与复杂免疫治疗机制的信心;(2)对异步-同步混合模式提供的灵活性和互动性的赞赏;(3)增强了对跨学科环境中免疫治疗的实际临床应用的理解。结论:描述性定量和定性研究结果表明,有针对性的在线癌症免疫治疗选修课可以增强学习者对新兴癌症治疗方法的认知知识和批判性思维能力。该课程的混合结构提供了灵活性、可访问性和潜在的可扩展性。随着免疫疗法在临床实践中的不断扩展,这种模式为整合到医学课程中提供了一个有希望的框架。未来的工作应该包括更大的队列和住院医师的纵向随访,以更严格地评估教育的影响。临床试验:
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引用次数: 0
What Are the Opportunities and Challenges of Using AI in Medical Education in Vietnam? 越南医学教育中使用人工智能的机遇和挑战是什么?
IF 3.2 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2025-12-02 DOI: 10.2196/77817
Trung Anh Nguyen, Thanh Binh Nguyen, Duy Cuong Nguyen, Anh Dung Vu, Khanh Linh Dang, Nhu Quynh Le, Duy Anh Ngo, Dang Kien Nguyen, Van Thuan Hoang, Thanh Binh Ngo

Unlabelled: Artificial intelligence (AI) has the potential to transform medical training through adaptive learning, immersive simulations, automated assessments, and data-driven insights, offering solutions to persistent issues such as high student-to-faculty ratios, overcrowded classrooms, and limited clinical exposure. Globally, many universities have already embedded AI literacy and competencies into undergraduate, postgraduate, and continuing education programs, while in Vietnam, the use of AI in medical education remains limited and fragmented. Most students have little formal exposure to AI, and empirical evidence on faculty or institutional readiness is scarce. Experiences from other countries, including Malaysia, Palestine, and Oman, demonstrate that incremental adoption and faculty development can facilitate cultural acceptance and curricular innovation, providing useful lessons for Vietnam. At the same time, significant barriers remain. These include inadequate infrastructure in provincial universities, low levels of AI literacy among both students and educators, underdeveloped regulatory and ethical frameworks, and resistance to pedagogical change. Cost-effectiveness and sustainability are additional concerns in a middle-income context, where upfront investments must be balanced against long-term benefits and equitable access. Advancing AI in Vietnamese medical education will therefore require a coordinated national strategy that prioritizes infrastructure, AI literacy, faculty development, quality assurance, and sustainable funding models, alongside ethical and legal safeguards. By addressing these key foundations, Vietnam can harness AI not only to modernize medical education but also to strengthen preparedness for a digitally enabled health workforce.

未标记:人工智能(AI)有可能通过自适应学习、沉浸式模拟、自动评估和数据驱动的见解来改变医学培训,为学生与教师比例高、教室拥挤和临床曝光有限等长期存在的问题提供解决方案。在全球范围内,许多大学已经将人工智能知识和能力融入到本科、研究生和继续教育课程中,而在越南,人工智能在医学教育中的应用仍然有限且分散。大多数学生几乎没有正式接触过人工智能,关于教师或机构准备程度的经验证据也很少。马来西亚、巴勒斯坦和阿曼等其他国家的经验表明,渐进式的采用和师资队伍的发展可以促进文化接受和课程创新,为越南提供了有益的经验。与此同时,重大障碍依然存在。这些问题包括省级大学基础设施不足,学生和教育工作者对人工智能的认识水平较低,监管和道德框架不发达,以及对教学变革的抵制。在中等收入背景下,成本效益和可持续性是另一个值得关注的问题,在这种情况下,前期投资必须与长期利益和公平获取相平衡。因此,在越南医学教育中推进人工智能将需要一项协调一致的国家战略,优先考虑基础设施、人工智能素养、教师发展、质量保证和可持续融资模式,以及道德和法律保障。通过解决这些关键基础问题,越南不仅可以利用人工智能实现医学教育的现代化,还可以加强对数字化卫生人力的准备。
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JMIR Medical Education
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