整合人工智能书记到医学教育:保护临床推理的护
Jane Abernethy1, Anna Shah2, Belinda Chen3
1Johns Hopkins Bayview Medical Center, Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. jaberne1@jhmi.edu.
Journal of general internal medicine
|February 2, 2026
概括
人工智能 (AI) 书记可以通过支持临床推理来帮助医生培训. 教师应该指导学员使用人工智能工具作为学习的支架,而不是替代批判性思维技能.
科学领域:
- 医学教育 医学教育
- 医疗信息学 医疗信息学
背景情况:
- 临床文档对于医生培训至关重要,促进临床推理和叙事合成.
- 人工智能书记的兴起使笔记生成自动化,这给医学教育带来了潜在的挑战.
研究的目的:
- 探索人工智能书记对医疗学员临床推理和文档技能的影响.
- 为整合人工智能书记者纳入居留计划提出最佳实践建议.
主要方法:
- 在48名内科住院医生中,对AI写作工具进行了为期6个月的试点实施.
- 创建了近1000个人工智能辅助的临床笔记.
主要成果:
- 人工智能书记可以支持,而不是阻碍,反思实践和诊断思维的发展.
- 开发了七种最佳实践,并将其映射到ACGME核心能力中.
结论:
- 教师必须指导学员利用人工智能作为增强推理的工具,而不是作为其替代品.
- 结构化的培训和批判性审查对于有效的AI编写者集成至关重要.
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