在住院培训中使用AI Scribe:呼吁在研究生医学教育中提供专业社会指导
Julia A Giordano1, Elizabeth Jones2
1Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Advances in medical education and practice
|February 19, 2026
概括
主要医疗组织缺乏针对使用人工智能 (AI) 书记的居民的具体指导. 这凸显了迫切需要达成共识的指导方针,以确保在医学培训中安全有效地整合人工智能.
科学领域:
- 医学教育 医学教育
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
背景情况:
- 人工智能 (AI) 书记者有潜力减轻医疗人员的文档负担.
- 然而,对于居民在临床实践中使用人工智能书记者,存在有限的指导.
- 整合到住院培训中提出了教育,监督和患者安全方面的挑战.
研究的目的:
- 评估来自主要医疗组织的居民特定AI书写指导的可用性.
- 总结当前关于人工智能书记在居住计划中的利用证据.
主要方法:
- 审查了五个主要医疗和专业学会 (AAD,AMA,ACGME,AAMC,ABMS) 的网站,以获得指导方针.
- 对这些组织进行了直接的电子邮件查询.
- 进行了PubMed搜索,寻找对人工智能写字员的专业专注研究.
主要成果:
- 没有任何组织为使用AI书记的居民提供了具体的指导方针.
- 美国医学会强调安全,准确和非歧视性的人工智能使用;美国医学会在教育原则中提供了一般的人工智能.
- 两项研究表明,人工智能书记可以减少文档负担和认知负担,并具有可比的文档质量.
结论:
- 对于在住院使用人工智能写字器的共识准则有极大需要.
- 准则应涉及居民审查,备忘录签署,问责制,患者同意和使用范围.
- 制定这些准则对于安全有效地将AI书记者纳入医疗培训是必不可少的.
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