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Artificial Intelligence in Health





                                        BRIEF REPORT
                                        Feasibility of artificial intelligence-driven

                                        personalized learning for internal medicine
                                        residents: Integrating adaptive artificial

                                        intelligence in flipped classrooms



                                                                                     2
                                                                                                 2
                                        Marcos A. Sanchez-Gonzalez * , Noelani-Mei Ascio , Omar Shah ,
                                                                 1
                                        Ashley Matejka 3  , Mark Terrell 4  , and Salman Muddassir 2
                                        1 LECOM School of Health Services Administration, Bradenton, Florida, United States of America
                                        2 Internal Medicine Program, HCA Florida Oak Hill Hospital, Brooksville, Florida, United States of
                                        America
                                        3 Research and Development, QHSLab, Inc., West Palm Beach, Florida, United States of America
                                        4 Department of Medical Education, Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania,
                                        United States of America



            *Corresponding author:
            Marcos A. Sanchez-Gonzalez   Abstract
            (msanchez-gonzalez@lecom.edu)
            Citation: Sanchez-Gonzalez MA,   Medical residency training faces persistent challenges in delivering individualized
            Ascio N, Shah O, Matejka A,   learning experiences.  While  flipped classroom models promote engagement,
            Terrell M, Muddassir S. Feasibility   they often lack real-time, personalized feedback. Artificial intelligence (AI)-driven
            of AI-driven personalized learning
            for internal medicine residents:   platforms offer a promising solution by dynamically adapting content to residents’
            Integrating adaptive AI in flipped   evolving needs. This study evaluated the feasibility and effectiveness of integrating
            classrooms. Artif Intell Health.   adaptive AI beings into a flipped classroom model for internal medicine residents.
            2025;2(4):139-145.
            doi: 10.36922/AIH025130023  The AI-powered platform, edYOU, incorporated a personalized ingestion engine to
                                        customize learning content and an intelligent curation engine to ensure content
            Received: March 25, 2025    integrity. Residents interacted with AI beings capable of adjusting real-time content
            1st revised: May 23, 2025   delivery based on performance and progress. Learning outcomes were assessed
            2nd revised: May 30, 2025   using platform engagement metrics, simulation-based quiz results, and resident
                                        feedback. Among eligible residents, 92% actively used the platform, spending an
            3rd revised: June 4, 2025   average of 32.3 h (a few minutes to 148 h). A significant positive correlation was
            4th revised: June 13, 2025  observed between time spent on the platform and quiz performance (r = 0.63,
            Accepted: June 16, 2025     p<0.001), with 82.6% of educational topics engaged. Learners spent more time
                                        on difficult content areas, highlighting the system’s ability to adapt to individual
            Published online: July 16, 2025  challenges. Integrating AI into the flipped classroom proved feasible and was
            Copyright: © 2025 Author(s).   associated with improved engagement, learning efficiency, and academic
            This is an Open-Access article   performance. These results support using AI-enhanced educational tools to foster
            distributed under the terms of the
            Creative Commons Attribution   tailored, learner-centered experiences in graduate medical education. Further
            License, permitting distribution,   research is warranted to optimize implementation strategies and evaluate the
            and reproduction in any medium,   long-term impact of AI-driven learning environments on resident development
            provided the original work is
            properly cited.             and competency outcomes.
            Publisher’s Note: AccScience
            Publishing remains neutral with   Keywords: Artificial intelligence; Personalized learning; Internal medicine; Flipped
            regard to jurisdictional claims in
            published maps and institutional   classroom; Residency training; Medical education
            affiliations.




            Volume 2 Issue 4 (2025)                        139                          doi: 10.36922/AIH025130023
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