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Dependence on Generative Artificial Intelligence Among Medical Students and Its Association With Critical Thinking: A
Siva P M1, David Sam Selva Jeyam P1, Hiranmahi Gandhi K2
1Community Medicine, Tirunelveli Medical College, Tirunelveli, IND.
Cureus
|August 11, 2026
Summary
Generative AI use is widespread among medical students, but higher dependence is linked to lower critical thinking skills. This highlights the need for AI literacy and curriculum adjustments to foster critical reasoning.
Area of Science:
- Medical Education
- Artificial Intelligence
- Cognitive Science
Background:
- Generative artificial intelligence (AI) offers significant educational benefits but poses risks of pathological dependence.
- Understanding the prevalence of AI dependency and its impact on critical thinking in medical students is crucial.
Purpose of the Study:
- To evaluate the prevalence of Generative AI dependency among undergraduate medical students.
- To assess the association between Generative AI dependence and critical thinking disposition.
Main Methods:
- A cross-sectional study was conducted with 722 undergraduate medical students in Tamil Nadu.
- Data were collected using digital questionnaires with validated Generative AI Dependency and Critical Thinking Disposition Assessment Questionnaire (CTDAQ-20) scales.
- Statistical analyses included non-parametric tests, Spearman's rank correlation, and multiple linear regression.
Main Results:
- Generative AI usage was reported by 96.3% of students.
- Higher AI dependence was observed in male and final-year students.
- AI dependence showed a significant inverse correlation with critical thinking, with higher dependence associated with lower scores.
Conclusions:
- Generative AI use is prevalent, but dependence negatively impacts critical thinking, especially in certain demographics.
- Medical curricula should integrate active learning and clinical reasoning assessments.
- Promoting AI literacy is essential to position AI as a cognitive adjunct, not a replacement.