数据增强,技术辅助医疗决策(DATA-MD)课程:临床实习生的机器学习和人工智能课程。

IF 5.3 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Andrew Wong, Jeremy Sussman, Nicholson Price, Maggie Makar, Benjamin Li, Jun Yang, Cornelius James
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引用次数: 0

摘要

问题:尽管人工智能(AI)和机器学习(ML)在医疗保健中的作用迅速扩大,但临床医生在评估和使用人工智能和机器学习工具的能力方面仍然存在重大知识差距。方法:开发数据增强,技术辅助医疗决策(DATA-MD)课程,向临床实习生教授基本的人工智能和机器学习概念。课程包含4个模块:(1)医疗保健中的AI/ML导论,(2)AI/ML中的流行病学和生物统计学,(3)使用AI/ML来增强诊断决策,(4)医疗保健中AI/ML的伦理和法律考虑。该课程于2023年5月和6月在密歇根大学(University of Michigan)内科住院医师中进行了试点,并向两组11名和12名住院医师提供了课程。所有学习者在课程前后完成了对AI和ML知识的课前和课后评估,并进行了回顾性的课前调查,以评估他们对AI和ML概念的熟悉程度,对AI和ML文献评估的舒适度,以及对AI和ML使用的态度。结果:23名学习者中有20名(87%)在参加DATA-MD课程前完成了职业知识评估,所有23名学习者都完成了课程后知识评估和回顾性的前后调查。模块1至模块3的知识得分中位数显著提高(模块1:2.5至3.0,P = 0.008;模块2:1.0 ~ 2.0,P = 0.049;模块3:2.0 ~ 3.0,P < .001),模块4不存在(测试前后2.0);P = .80)。学习者报告说,他们对评估人工智能和机器学习文献以及在未来实践中使用人工智能和机器学习工具的能力的信心有所增强。下一步:DATA-MD课程试点表明,标准化的人工智能和机器学习课程可以提高学员对临床人工智能和机器学习的知识和态度。下一步包括扩展到来自不同医学专业、卫生专业和学术机构的学习者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Data-Augmented, Technology-Assisted Medical Decision Making (DATA-MD) Curriculum: A Machine Learning and Artificial Intelligence Curriculum for Clinical Trainees.

Problem: Despite the rapidly expanding role of artificial intelligence (AI) and machine learning (ML) in health care, a significant knowledge gap remains among clinicians in their ability to evaluate and use AI and ML tools.

Approach: The Data-Augmented, Technology-Assisted Medical Decision Making (DATA-MD) curriculum was developed to teach fundamental AI and ML concepts to clinical trainees. The curriculum contains 4 modules: (1) Introduction to AI/ML in Healthcare, (2) Epidemiology and Biostatistics in AI/ML, (3) Use of AI/ML to Augment Diagnostic Decisions, and (4) Ethical and Legal Considerations of AI/ML in Healthcare. The curriculum was piloted in May and June 2023 among University of Michigan internal medicine residents and delivered to 2 cohorts of 11 and 12 residents. All learners completed presession and postsession assessments on AI and ML knowledge before and after the curriculum and a retrospective pre-post survey to evaluate familiarity with AI and ML concepts, comfort with AI and ML literature appraisal, and attitudes toward AI and ML use.

Outcomes: Twenty of 23 learners (87%) completed the presession knowledge assessment before participating in the DATA-MD sessions, and all 23 learners completed the postsession knowledge assessment and retrospective pre-post survey. Median knowledge scores significantly improved for modules 1 to 3 (module 1: 2.5 to 3.0, P = .008; module 2: 1.0 to 2.0, P = .049; module 3: 2.0 to 3.0, P < .001) but not module 4 (2.0 before and after testing; P = .80). Learners reported increased confidence in their abilities to appraise the AI and ML literature and use AI and ML tools in future practice.

Next steps: The DATA-MD curriculum pilot demonstrates that a standardized AI and ML curriculum can improve trainees' knowledge and attitudes about clinical AI and ML. Next steps include expansion to learners from different medical specialties, health professions, and academic institutions.

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来源期刊
Academic Medicine
Academic Medicine 医学-卫生保健
CiteScore
7.80
自引率
9.50%
发文量
982
审稿时长
3-6 weeks
期刊介绍: Academic Medicine, the official peer-reviewed journal of the Association of American Medical Colleges, acts as an international forum for exchanging ideas, information, and strategies to address the significant challenges in academic medicine. The journal covers areas such as research, education, clinical care, community collaboration, and leadership, with a commitment to serving the public interest.
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