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Artificial Intelligence in Health                                 AI-driven personalized learning in residency



            1. Introduction                                    instruction in undergraduate medical education, their
                                                               application in graduate medical education, particularly
            Artificial intelligence (AI) has recently transformed   within the time-constrained and high-stakes context of
            medical education by offering personalized, adaptive   residency training, remains underexplored.  Given the
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            learning experiences and content delivery. Traditional   increasing demands for competency-based education
            medical residency training programs (graduate medical   and personalized learning environments in graduate
            education) face challenges in meeting the diverse learning   medical education, integrating AI into residency curricula
            needs of trainees, as standardized approaches often fail   may represent a transformative step in optimizing
            to accommodate individual differences in knowledge   knowledge acquisition, supporting just-in-time learning,
            acquisition and clinical preparedness.  Flipped classroom   and ultimately improving patient care outcomes across
                                          1
            models, which shift passive learning outside the classroom         10-12
            and emphasize active engagement during instructional   healthcare systems.   In this vein, through real-time
                                                               adaptation, the AI beings provide personalized support,
            sessions, have demonstrated improved learner engagement,   ensuring residents receive targeted reinforcement in
            comprehension, and new language acquisition.  The   areas  of  difficulty.  Prior  research  has  demonstrated  that
                                                     2,3
            evolution of AI in education has followed both incremental   AI-assisted learning enhances engagement, reduces study
            and  disruptive  paths,  supporting  personalized  learning
            through increasingly sophisticated cognitive models   time, and improves performance in formative as well as
                                                                                  13,14
            that could enhance the flipped classroom methodology.    summative assessments.   Given the increasing demand
                                                          4
            When enhanced by AI, flipped classroom models further   for competency-based medical education, AI-driven
            personalize  instruction,  offer  real-time  feedback,  and   platforms have the potential to bridge gaps in traditional
            significantly accelerate the acquisition of new skills and   learning methods by offering scalable, data-driven
                                                               solutions tailored to individual learning needs.
            languages by adapting content to individual learning needs
            and preferences. 3,5                                 Accordingly,  the  present  study  sought  to evaluate
              Traditional  flipped  classroom  models,  while  effective   the feasibility of integrating adaptive AI beings into a
            in promoting active learning, often fail to account for the   flipped classroom model for internal medicine residents.
            heterogeneity of learner progression, intrinsic cognitive   Addressing the aforementioned deficiencies of earlier
            load, and the unpredictable demands of clinical training   models, the AI-driven platform used in this study
            environments.  In fact, traditional flipped classroom   leverages natural language processing and machine
                       6
            models  are  inherently  limited  by their  reliance  on pre-  learning  algorithms to assess  learner’s  progress and
            designed, static, repetitive content and a lack of responsive   optimize  instructional  delivery.  This  novel  integration
                              1,7
            feedback mechanisms.  These models often fail to account   aims to advance the pedagogical utility of flipped learning
            for the heterogeneity of learner progression, cognitive load,   by offering a scalable, data-informed solution that delivers
            and the dynamic nature of clinical training environments.   real-time personalization within the demanding context of
            As a result, residents may struggle to bridge understanding   graduate medical education.
            gaps or receive timely clarification on complex topics,   2. Data methods
            particularly when self-directed study occurs outside of
            scheduled instructional time. In this context, AI-driven   2.1. Study design and setting
            educational platforms offer a compelling advancement   This study employed a feasibility design to evaluate
            by introducing real-time adaptability into the flipped   integrating an AI-driven learning platform into an internal
            classroom structure. A systematic review of AI applications   medicine  residency  program.  The  AI-enhanced  flipped
            in higher education reveals widespread use in intelligent   classroom model was implemented at HCA Florida Oak
            tutoring, predictive analytics, and learning support tools.    Hill Hospital’s Internal Medicine residency program, with
                                                          8
            These systems can analyze user input, track performance   participation of residents from post-graduate years 1 to 3.
            patterns, and  deliver  content  dynamically  tailored  to   The 6-month educational intervention examined resident
            individual learning trajectories.                  engagement, learning efficiency, and performance changes
              Through automated feedback loops and continuous   in preparation for in-service examinations. Residents
            assessment, AI platforms can identify areas of difficulty,   were introduced to the AI platform through detailed
            reinforce core concepts, and adjust content delivery   orientation sessions and continuous access to the platform
            accordingly – features that are otherwise challenging to   throughout the study period. The platform provided
            implement in traditional didactic or blended formats.    adaptive learning pathways tailored to each resident’s
                                                          1
            While early studies have demonstrated the feasibility   performance. Engagement was monitored through various
            and learner satisfaction associated with AI-enhanced   metrics, including total study time, frequency and duration


            Volume 2 Issue 4 (2025)                        140                          doi: 10.36922/AIH025130023
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