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Physician associate preceptorship: Experience of a novel programme in Inverness. 助理医师实习:因弗内斯的一项新计划的经验。
Pub Date : 2024-10-24 eCollection Date: 2024-12-01 DOI: 10.1016/j.fhj.2024.100200
Liam Allan, Duncan Scott, Ed Paterson, Tony Golabek

Physician associates (PAs) are a developing profession in the UK. The Faculty of Physician Associates (FPA) recommends the establishment of local preceptorship programmes for PAs in the first year of practice who have successfully passed the PA national exam. Limited evidence currently exists around the evaluation of such local programmes and the experience of the intern PAs involved. Over the course of a 12-month period, four intern PAs completed a structured preceptorship comprising clinical supervision, teaching and mentoring. Upon completion of this programme, qualitative data were recorded and analysed to influence the development of the preceptorship in future. In conclusion, a structured preceptorship has been shown to be a useful method of improving clinician confidence and competence while offering a supported working environment for newly qualified PAs.

在英国,助理医师(PA)是一个发展中的职业。助理医师协会(FPA)建议为顺利通过助理医师国家考试的第一年执业助理医师设立地方实习计划。目前,有关此类地方计划的评估和实习助理医师的经验的证据有限。在为期 12 个月的时间里,四名实习助理医师完成了包括临床督导、教学和指导在内的结构化实习指导。该计划完成后,对定性数据进行了记录和分析,以影响未来实习医生培训计划的发展。总之,结构化的实习前指导被证明是提高临床医师信心和能力的有效方法,同时也为新获得资格的助理医师提供了一个支持性的工作环境。
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引用次数: 0
Sharpening the double-edged sword: Revisiting the evolving role of social media within medical education.
Pub Date : 2024-10-21 eCollection Date: 2024-12-01 DOI: 10.1016/j.fhj.2024.100194
Jonathan Guckian, Éabha Lynn, Sarah Edwards
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引用次数: 0
Practical implementation of generative artificial intelligence systems in healthcare: A United States perspective. 生成式人工智能系统在医疗保健领域的实际应用:美国的视角。
Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1016/j.fhj.2024.100166
Barclay Burns, Bo Nemelka, Anmol Arora
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引用次数: 0
Artificial intelligence: The good, the bad and the beautifiable. A patient's view. 人工智能:好的、坏的和可美化的。病人的观点。
Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1016/j.fhj.2024.100167
Marlene Winfield
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引用次数: 0
Artificial intelligence: friend or foe? 人工智能:是敌是友?
Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1016/j.fhj.2024.100184
Andrew Duncombe
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引用次数: 0
Democratising artificial intelligence in healthcare: community-driven approaches for ethical solutions. 医疗保健领域的人工智能民主化:社区驱动的伦理解决方案。
Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1016/j.fhj.2024.100165
Ceilidh Welsh, Susana Román García, Gillian C Barnett, Raj Jena

The rapid advancement and widespread adoption of artificial intelligence (AI) has ushered in a new era of possibilities in healthcare, ranging from clinical task automation to disease detection. AI algorithms have the potential to analyse medical data, enhance diagnostic accuracy, personalise treatment plans and predict patient outcomes among other possibilities. With a surge in AI's popularity, its developments are outpacing policy and regulatory frameworks, leading to concerns about ethical considerations and collaborative development. Healthcare faces its own ethical challenges, including biased datasets, under-representation and inequitable access to resources, all contributing to mistrust in medical systems. To address these issues in the context of AI healthcare solutions and prevent perpetuating existing inequities, it is crucial to involve communities and stakeholders in the AI lifecycle. This article discusses four community-driven approaches for co-developing ethical AI healthcare solutions, including understanding and prioritising needs, defining a shared language, promoting mutual learning and co-creation, and democratising AI. These approaches emphasise bottom-up decision-making to reflect and centre impacted communities' needs and values. These collaborative approaches provide actionable considerations for creating equitable AI solutions in healthcare, fostering a more just and effective healthcare system that serves patient and community needs.

人工智能(AI)的快速发展和广泛应用为医疗保健领域带来了新的可能性,从临床任务自动化到疾病检测,无所不包。人工智能算法具有分析医疗数据、提高诊断准确性、个性化治疗方案和预测患者预后等潜力。随着人工智能的普及,其发展速度超过了政策和监管框架,引发了人们对伦理因素和合作发展的担忧。医疗保健面临着自身的伦理挑战,包括数据集存在偏见、代表性不足和资源获取不公平,所有这些都导致了人们对医疗系统的不信任。为了在人工智能医疗解决方案中解决这些问题,并防止现有的不平等现象长期存在,让社区和利益相关者参与人工智能生命周期至关重要。本文讨论了共同开发合乎伦理的人工智能医疗解决方案的四种社区驱动方法,包括了解需求并确定优先次序、定义共同语言、促进相互学习和共同创造以及实现人工智能民主化。这些方法强调自下而上的决策,以反映和集中受影响社区的需求和价值观。这些合作方法为在医疗保健领域创建公平的人工智能解决方案提供了可操作的考虑因素,促进建立一个更加公正、有效的医疗保健系统,以满足患者和社区的需求。
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引用次数: 0
Artificial intelligence in the NHS: Moving from ideation to implementation. 国家医疗服务系统中的人工智能:从构想到实施。
Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1016/j.fhj.2024.100183
Anmol Arora, Tom Lawton
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引用次数: 0
Fairness in AI for healthcare. 医疗保健人工智能的公平性。
Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1016/j.fhj.2024.100177
Siân Carey, Allan Pang, Marc de Kamps

Artificial intelligence (AI) is a technology that enables computers to simulate human intelligence and has the potential to improve healthcare in a multitude of ways. However, there are also possibilities that it may continue, or exacerbate, current disparities. We discuss the problem of bias in healthcare and AI, and go on to highlight some of the ongoing and future solutions that are being researched in the area.

人工智能(AI)是一种能让计算机模拟人类智能的技术,有可能以多种方式改善医疗保健。然而,人工智能也有可能延续或加剧当前的差距。我们将讨论医疗保健和人工智能中的偏见问题,并重点介绍该领域正在研究的一些解决方案和未来的解决方案。
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引用次数: 0
How should we train clinicians for artificial intelligence in healthcare? 我们应该如何培训临床医生在医疗保健领域使用人工智能?
Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1016/j.fhj.2024.100162
Rohan Misra, Pearse A Keane, Henry David Jeffry Hogg
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引用次数: 0
Explaining decisions without explainability? Artificial intelligence and medicolegal accountability. 无法解释的决定?人工智能与医疗法律责任。
Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1016/j.fhj.2024.100171
Melissa D McCradden, Ian Stedman

Image, graphical abstract.

图像,图形摘要。
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引用次数: 0
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