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Artificial Intelligence in Health                                           AI in higher medical education



            guide whose answers should be examined critically. On the   are not equipped with AI knowledge, they will be less
            other hand, combining ChatGPT with another tool, such as   able to cope with the various and detailed types of ethical
            virtual simulators, can be extremely beneficial for medical   risk as practitioners. However, advances are being made
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            students.  However, it is during this time that ChatGPT   even while calls for a faster pace of change are being
            should be thoroughly tested against possible errors that   made. 46,47  An outline model for the application of AI in
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            can be made in medical education processes. It is also   medical education is provided by Zarei et al.,  along with
            worth emphasizing that the long-term impact of AI tools,   an assessment of challenges such as the current lack of
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            including ChatGPT, on learning outcomes, especially in   infrastructure. Krive et al.  designed and tested a model
            the field of medicine, should be examined. 41      comprising a modular 4-week AI course, which proved to
                                                               be successful.
              On the other hand, an interesting study  analyzed
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            medical students’ readiness for AI-based solutions.   As a specific area, radiology, for example, depends heavily
            The findings revealed that students who believed AI   on data. 50-52  It is immediately apparent that the successful
            technologies would contribute to their profession and   manipulation of information-intensive radiological data
            reduce workload outnumbered those who held a different   using AI  requires significant computational resources.
            view. In addition, a study  proposed a Persian version of   This raises concerns about energy use, costs, and
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            the Medical AI Readiness Scale to evaluate the readiness of   environmental impact, where developing countries may
            medical students to work with AI, including factors, such   be at a disadvantage, thus increasing ethical risk for them.
            as cognition, ability, vision, and ethics.         Another extremely important issue concerns how the
                                                               accuracy of AI predictions using various types of metrics
            4. Ethical risks in the implementation of AI       is to be evaluated.  This is connected with algorithmic
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            in medical education                               fairness:  If one method of evaluation produces a different
                                                               metric than another, the outcome could result in being
            Each of the four examples of AI’s significant role in   unfair to one or another cohort, an ethical issue. The most
            medicine and medical education offers great hope for   popular algorithms in the field of medicine are the Dice
            rapid improvements in medical practice. However,   coefficient and accuracy.  However, there is no accepted
                                                                                   4,55
            these advancements come with ethical risks that, if not   standardization for the assessment of such algorithms in
            addressed, could result in a curse of malpractice and bad   medicine. Turning to the issue of data biases, the extensive
            outcomes for educationalists and their students as well as   account provided by Ueda et al.  broadly separated into
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            for practitioners. There has been a discussion regarding   machine and human-originated, and the discussion of
            AI and ethics for many years, as illustrated by Dennett’s   biases identified by Pregowska and Perkins  (passim)
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            vision of a novel-writing machine and the dilemmas it   prompts the need for two underlying dimensions of bias
            raises about the notion of self.  Yet, it is only recently that   to be highlighted in addition. The first is intentional and
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            a focus on ethical risks, AI, and medical education has   unintentional. The introduction of bias into a dataset (such
            appeared, no doubt in tandem with the rapid development   as the over-representation of one demographic cohort
            of technology. Indeed, on the general level, as noted above,   at the expense of another or incorrect,  and model and
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            Weidener and Fischer  demonstrated that there is a lack of   interpretation bias ) may be intentional on the part of the
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            discussion concerning AI and medical education overall,   human agent or unintentional (due to accident, neglect,
            even though, as Civaner  et  al.  pointed out, there is a   human error, or subconscious attitude). Once intentional
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            recognition amongst many medical students that AI needs   bias has been identified, the question of motivation arises
            to play a role in medical education. This shows that there   as a second underlying dimension. Bias can be introduced
            is a student (or consumer) demand for AI in educational   into dataset selection, and datasets can be manipulated
            curricula and a need for educators to fill that gap. There is   due to social and political attitudes in some societies. The
            thus a clear requirement for AI to be integrated into medical   profit motive may also raise issues of control, ownership,
            education programs, but reasons can be advanced for the   deployment, and use of data, and even falsification.  The
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            slow pace of adoption. For example, such programs are   increasing role of AI, along with its ability to create and
            extensive and well-established, and there may be resistance   amplify biases or distort information – complicated by the
            from course designers and managers, educators, and other   need for radiological data between institutions and across
            stakeholders.  On the other hand, the integration of AI   borders  – highlights the importance of transparently
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            into medical education is likely inevitable, paving the way   identifying agents within the system and their access to AI
            for serious disruption and commercial opportunities.   tools. This transparency should be integrated into medical
            Indeed, it is necessary since a lack of integration will   education from the outset.  In addition, convincing
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            constitute a further type of broad ethical risk: if students   practitioners of the significant benefits AI offers to

            Volume 2 Issue 1 (2025)                         6                                doi: 10.36922/aih.3276
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