Readying Military Medicine for AI-Enabled Warfare
Rebekah Cole1,2, Sean Simmons3, Joshua Duncan4
1Department of Military and Emergency Medicine, Uniformed Services University, Bethesda, MD, United States.
Military Medicine
|September 26, 2025
Summary
Artificial intelligence (AI) presents new challenges for military medicine. Enhancing medical education and training is crucial for readiness in AI-driven warfare.
Area of Science:
- Military Medicine
- Artificial Intelligence in Warfare
- Medical Education and Training
Background:
- Artificial intelligence (AI) is fundamentally altering warfare through autonomous systems and data analytics.
- Current military medical education and doctrine lag behind the rapid advancements in AI-enabled combat environments.
- This gap creates significant operational, ethical, and clinical challenges for military medical readiness.
Purpose of the Study:
- To outline systemic vulnerabilities in military medicine's preparedness for AI-enabled large-scale combat operations.
- To identify critical gaps in trauma training, medical logistics, and ethical preparedness.
- To propose concrete recommendations for adapting military medicine to AI-driven warfare.
Main Methods:
- Analysis of systemic vulnerabilities including infrastructure, data integrity, and cybersecurity.
- Review of recent conflicts and emerging technologies impacting military medicine.
- Identification of gaps in current educational and doctrinal alignment with the evolving battlespace.
Main Results:
- Significant infrastructure gaps, data integrity issues, and cybersecurity threats hinder readiness.
- Lack of doctrinal and educational alignment with AI-enhanced battlefields is a critical vulnerability.
- Gaps exist in trauma training, medical logistics, and ethical preparedness for AI-driven conflicts.
Conclusions:
- Military medicine requires targeted curricular redesign, ethical education, and interdisciplinary collaboration.
- Recommendations include embedding AI scenarios in simulations and training human-AI teaming.
- Adapting military medicine is essential to ensure operational readiness in future AI-driven conflicts.
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