Redefining Mentorship in Medical Education with Artificial Intelligence: A Delphi Study on the Feasibility and Implications.

IF 2.1 3区 教育学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Levent Çetinkaya
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引用次数: 0

Abstract

In the dynamically evolving field of medicine, mentorship is crucial for educating students, and Artificial Intelligence (AI) potentially revolutionizes this process through automated and data-enhanced guidance. This study aims to investigate AI's potential in mentoring medical students by collecting expert opinions, assessing its potential benefits and limitations, and developing a consensus-driven framework for the effective integration of AI-based mentorship into medical education. Specifically, it addresses ethical concerns such as data security, algorithmic bias, and the potential for reduced human interaction. Using a structured online Delphi technique, this interdisciplinary research involved 27 experts in medical education and AI to investigate the intersection of AI with medical mentorship. The study employed both qualitative (e.g., expert interviews) and quantitative (e.g., survey data) research methods, with consensus measured via descriptive and inferential statistics, including Fleiss' kappa and the Intraclass Correlation Coefficient (ICC). Detailed methodological steps, including the selection criteria for experts and the iterative feedback process across the four Delphi rounds, were meticulously followed to ensure robust consensus building. Conducted over four rounds, the Delphi technique achieved substantial consensus among panelists regarding the AI mentors' capabilities and the critical aspects requiring attention, with a kappa value of .79 ([.73-.85]) and high reliability (ICC=.873). The study also compared traditional mentorship roles with those enhanced by AI, highlighting areas where AI can complement and extend human mentorship rather than replace it. Panelists recognized AI mentors' potential to enhance learning processes, while also identifying limitations in areas requiring deep human judgment, emphasizing the need for careful application. AI mentors can significantly guide students across various aspects of medical training, from career planning to achieving academic goals, through personalized learning experiences. They hold promise for improving clinical skills and decision-making abilities through real-time feedback and adaptive learning modules. However, their limitations and the potential risks of overreliance necessitate balanced and cautious application. Ethical considerations, such as ensuring data integrity and preventing bias, are paramount in the deployment of AI mentors. These insights advocate the strategic implementation of AI mentors in medical education, suggesting phased integration and interdisciplinary oversight to harness their full educational potential while mitigating possible drawbacks. Furthermore, the study proposes a hybrid mentorship model that combines AI-driven insights with human empathy and ethical oversight to create a more comprehensive and effective mentorship framework. This study lays the groundwork for future research into the optimal integration of AI in medical mentorship, ensuring ethical standards and maximizing educational benefits, thereby fostering a more effective and humane educational environment.

用人工智能重新定义医学教育中的师友关系:可行性和意义的德尔菲研究。
在动态发展的医学领域,指导对于教育学生至关重要,人工智能(AI)通过自动化和数据增强的指导可能会彻底改变这一过程。本研究旨在通过收集专家意见,评估其潜在的好处和局限性,并制定一个共识驱动的框架,以有效地将基于人工智能的指导融入医学教育,来研究人工智能在指导医学生方面的潜力。具体来说,它解决了数据安全、算法偏见以及减少人类互动的可能性等伦理问题。利用结构化的在线德尔菲技术,这项跨学科研究涉及27名医学教育和人工智能专家,以调查人工智能与医学指导的交集。该研究采用了定性(如专家访谈)和定量(如调查数据)研究方法,并通过描述性和推断性统计(包括Fleiss kappa和class内相关系数(ICC))来衡量共识。详细的方法步骤,包括专家的选择标准和四轮德尔菲的迭代反馈过程,都被精心遵循,以确保建立强有力的共识。经过四轮的研究,德尔菲技术在小组成员之间就人工智能导师的能力和需要注意的关键方面达成了实质性的共识,kappa值为0.79([.73-.85]),可靠性很高(ICC=.873)。该研究还将传统的导师角色与人工智能增强的导师角色进行了比较,强调了人工智能可以补充和扩展而不是取代人类导师的领域。小组成员认识到人工智能导师在提高学习过程方面的潜力,同时也指出了需要人类深度判断的领域的局限性,强调了谨慎应用的必要性。人工智能导师可以通过个性化的学习体验,在医学培训的各个方面为学生提供重要指导,从职业规划到实现学术目标。它们有望通过实时反馈和适应性学习模块提高临床技能和决策能力。然而,它们的局限性和过度依赖的潜在风险需要平衡和谨慎的应用。在部署人工智能导师时,确保数据完整性和防止偏见等道德考虑至关重要。这些见解主张在医学教育中战略性地实施人工智能导师,建议分阶段整合和跨学科监督,以充分利用其教育潜力,同时减轻可能的缺点。此外,该研究还提出了一种混合师友模式,将人工智能驱动的见解与人类的同理心和道德监督相结合,以创建一个更全面、更有效的师友框架。本研究为未来研究人工智能在医学指导中的最佳整合,确保伦理标准,最大化教育效益,从而营造更有效、更人性化的教育环境奠定了基础。
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来源期刊
Teaching and Learning in Medicine
Teaching and Learning in Medicine 医学-卫生保健
CiteScore
5.20
自引率
12.00%
发文量
64
审稿时长
6-12 weeks
期刊介绍: Teaching and Learning in Medicine ( TLM) is an international, forum for scholarship on teaching and learning in the health professions. Its international scope reflects the common challenge faced by all medical educators: fostering the development of capable, well-rounded, and continuous learners prepared to practice in a complex, high-stakes, and ever-changing clinical environment. TLM''s contributors and readership comprise behavioral scientists and health care practitioners, signaling the value of integrating diverse perspectives into a comprehensive understanding of learning and performance. The journal seeks to provide the theoretical foundations and practical analysis needed for effective educational decision making in such areas as admissions, instructional design and delivery, performance assessment, remediation, technology-assisted instruction, diversity management, and faculty development, among others. TLM''s scope includes all levels of medical education, from premedical to postgraduate and continuing medical education, with articles published in the following categories:
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