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One Does Not Simply Walk Into Artificial Intelligence: A Distributed Leadership Framework for Healthcare Simulation.

Federico Lorenzo Barra, Laleh Jalilian, Alessandro Costa

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    Summary
    This summary is machine-generated.

    Integrating artificial intelligence (AI) in healthcare simulation needs a coordinated ecosystem approach. A Fellowship model, emphasizing distributed leadership and trust, guides sustainable AI implementation across governance, infrastructure, and education.

    Keywords:
    artificial intelligencedistributed leadershiphealthcare simulationimplementation sciencemedical education

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    Area of Science:

    • Healthcare Simulation
    • Artificial Intelligence Integration
    • Educational Technology

    Background:

    • Healthcare simulation is increasingly incorporating artificial intelligence (AI).
    • Current AI implementation in simulation is fragmented, lacking unified governance.
    • A need exists for a structured approach to integrate AI effectively and sustainably.

    Purpose of the Study:

    • To propose an ecosystem-level framework for sustainable AI integration in healthcare simulation.
    • To introduce a Fellowship model for distributed leadership in AI implementation.
    • To provide practical recommendations for aligning AI with simulation practices.

    Main Methods:

    • Conceptual framework development using a literary metaphor (Tolkien's Fellowship).
    • Analysis of AI integration challenges in simulation centers.
    • Translation of principles into actionable recommendations for stakeholders.

    Main Results:

    • A Fellowship model illustrates distributed leadership, trust-building, and situational emergence of leadership.
    • Simulation centers are identified as ideal environments for AI testing and implementation.
    • Key recommendations include problem-anchoring, psychological safety, multidimensional evaluation, and continuous ethical governance.

    Conclusions:

    • Sustainable AI integration in healthcare simulation requires an ecosystem approach beyond tool-centricity.
    • The Fellowship model provides a structure for aligning diverse stakeholder perspectives and fostering trust.
    • Practical implementation strategies are essential for effective and ethical AI adoption in simulation.