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Artificial intelligence (AI) chatbots are poised to have a profound impact on medical education. Medical students, as early adopters of technology and future health care providers, play a crucial role in shaping the future of health care. However, little is known about the utilization of, perceptions on, and intention to use AI chatbots among medical students in China. This study aims to explore the utilization of, perceptions on, and intention to use generative AI chatbots among medical students in China, using the Unified Theory of Acceptance and Use of Technology (UTAUT) framework. By conducting a national cross-sectional survey, we sought to identify the key determinants that influence medical students' acceptance of AI chatbots, thereby providing a basis for enhancing their integration into medical education. Understanding these factors is crucial for educators, policy makers, and technology developers to design and implement effective AI-driven educational tools that align with the needs and expectations of future health care professionals. A web-based electronic survey questionnaire was developed and distributed via social media to medical students across the country. The UTAUT was used as a theoretical framework to design the questionnaire and analyze the data. The relationship between behavioral intention to use AI chatbots and UTAUT predictors was examined using multivariable regression. A total of 693 participants were from 57 universities covering 21 provinces or municipalities in China. Only a minority (199/693, 28.72%) reported using AI chatbots for studying, with ChatGPT (129/693, 18.61%) being the most commonly used. Most of the participants used AI chatbots for quickly obtaining medical information and knowledge (631/693, 91.05%) and increasing learning efficiency (594/693, 85.71%). Utilization behavior, social influence, facilitating conditions, perceived risk, and personal innovativeness showed significant positive associations with the behavioral intention to use AI chatbots (all P values were <.05). Chinese medical students hold positive perceptions toward and high intentions to use AI chatbots, but there are gaps between intention and actual adoption. This highlights the need for strategies to improve access, training, and support and provide peer usage examples to fully harness the potential benefits of chatbot technology.

With the growing use of technology in medical education, a framework is needed to evaluate learners' and educators' acceptance of these technologies. In this context, the Technology Acceptance Model (TAM) offers a valuable theoretical framework, providing insights into the determinants influencing users' acceptance and adoption of technology. This review aims to systematically synthesize the body of research in medical education that uses the TAM. An electronic literature search was conducted using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) approach in February 2024 on the Embase, MEDLINE, PsycINFO, PubMed, and Web of Science databases, yielding 680 articles. Upon elimination of duplicates and applying the exclusion criteria, a total of 39 articles were retained. To evaluate the quality of the study, the Medical Education Research Study Quality Instrument score was calculated for each analysis with a qualitative component. Studies using TAM in medical education began in 2010, with the model's application relatively rare up to 2016. Most of the studies were quantitative, operationalizing the TAM as a survey instrument, but it was also used as a research framework in qualitative data analysis. Structural equation modeling, descriptive analysis, and correlation analysis were the most common data analysis approaches in the studies. E-learning and mobile learning were the predominant learning interventions explored, but there were indications that novel learning technologies such as augmented reality, virtual reality, and 3D printing were being investigated. The study's findings reveal an expanding scholarly engagement with using TAM in medical education. Although the TAM has been mostly used as a survey instrument, it can also be adapted as a qualitative research framework to analyze data. This systematic review provides a foundation for future research to understand the factors influencing users' acceptance of technology, especially in medical education.

Artificial intelligence (AI) is increasingly embedded in medical education, providing benefits in instructional design, content creation, and administrative efficiency. Tools like ChatGPT are reshaping training and teaching practices in digital health. However, concerns about faculty overreliance highlight risks to pedagogical autonomy, cognitive engagement, and ethics. Despite global interest, there is limited empirical research on AI dependency among medical educators, particularly in underrepresented regions like the Global South. This study focused on Palestine and aimed to (1) identify factors contributing to AI dependency among medical educators, (2) assess its impact on teaching autonomy, decision-making, and professional identity, and (3) propose strategies for sustainable and responsible AI integration in digital medical education. A qualitative research design was used, using semistructured interviews (n=22) and focus group discussions (n=24) involving 46 medical educators from nursing, pharmacy, medicine, optometry, and dental sciences. Thematic analysis, supported by NVivo (QSR International), was conducted on 15.5 hours of transcribed data. Participants varied in their frequency of AI use: 45.7% (21/46) used AI daily, 30.4% (14/46) weekly, and 15.2% (7/46) monthly. In total, 5 major themes were identified as drivers of AI dependency: institutional workload (reported by >80% [37/46] of participants), low academic confidence (noted by 28/46, 60%), and perfectionism-related stress (23/46, 50%). The following 6 broad consequences of AI overreliance were identified: Skills Atrophy (reported by 89% [41/46]): educators reported reduced critical thinking, scientific writing, and decision-making abilities. Pedagogical erosion (35/46, 76%): decreased student interaction and reduced teaching innovation. Motivational decline (31/46, 67%): increased procrastination and reduced intrinsic motivation. Ethical risks (24/46, 52%): concerns about plagiarism and overuse of AI-generated content. Social fragmentation (22/46, 48%): diminished peer collaboration and mentorship. Creativity suppression (20/46, 43%): reliance on AI for content generation diluted instructional originality., Strategies reported by participants to address these issues included establishing boundaries for AI use (n=41), fostering hybrid intelligence (n=37), and integrating AI literacy into teaching practices (n=39). While AI tools can enhance digital health instruction, unchecked reliance risks eroding essential clinician competencies. This study identifies cognitive, pedagogical, and ethical consequences of AI overuse in medical education and highlights the need for AI literacy, professional development, and ethical frameworks to ensure responsible and balanced integration.

Artificial intelligence (AI) tools have revolutionized various aspects of education and health care in recent years. Their influence extends across multiple domains of medical education, from traditional learning to research and foreign language acquisition. This study aims to evaluate the experiences and perceptions of AI tools usage in a low-resource setting and identify the factors influencing their adoption. A cross-sectional study was conducted to evaluate the experiences with AI tools and perceptions regarding their future applications in education and health care among medical students in Syria. The sample was equally divided between clinical-year students and graduates. Chi-square tests analyzed differences based on demographics and experience, while Mann-Whitney U tests compared group perceptions of AI's future role. Factors studied included academic year, gender, German language learning, computer access, and research experience. Among 400 participants, AI tools were widely used for study preparation (228/400, 57% of participants), assignments (160/400, 40% of participants), and research. Clinical students used AI more than graduates for examination preparation (P<.001), creating cases (P=.03), and writing tasks (P<.001). Males used AI more for research (P=.004) or anatomy (P=.02); German learners relied on AI for language tasks. Despite 76% (304/400) of students believing AI would enhance residency training and 71.8% (287/400) of students supporting institutional policies, only 25.5% (102/400) of students expected career benefits. Ethical concerns were higher among females and researchers. This study highlights the increasing reliance on AI tools among medical students and graduates for academic and clinical purposes. The highest usage was reported in study preparation, writing tasks, and clinical simulations. Significant differences in AI usage were observed based on academic level, gender, access to technology, and research experience. While perceptions were largely positive, concerns remained around ethical use, potential job displacement, and diminished human interaction in medicine. These findings underscore the importance of developing institutional policies to guide the ethical and effective integration of AI in medical education.

Standardized patients (SPs) have been crucial in medical education, offering realistic patient interactions to students. Despite their benefits, SP training is resource-intensive and access can be limited. Advances in artificial intelligence (AI), particularly with large language models such as ChatGPT, present new opportunities for virtual SPs, potentially addressing these limitations. This study aims to assess medical students' perceptions and experiences of using ChatGPT as an SP and to evaluate ChatGPT's effectiveness in performing as a virtual SP in a medical school setting. This qualitative study, approved by the American University of Antigua Institutional Review Board, involved 9 students (5 females and 4 males, aged 22-48 years) from the American University of Antigua College of Medicine. Students were observed during a live role-play, interacting with ChatGPT as an SP using a predetermined prompt. A structured 15-question survey was administered before and after the interaction. Thematic analysis was conducted on the transcribed and coded responses, with inductive category formation. Thematic analysis identified key themes preinteraction including technology limitations (eg, prompt engineering difficulties), learning efficacy (eg, potential for personalized learning and reduced interview stress), verisimilitude (eg, absence of visual cues), and trust (eg, concerns about AI accuracy). Postinteraction, students noted improvements in prompt engineering, some alignment issues (eg, limited responses on sensitive topics), maintained learning efficacy (eg, convenience and repetition), and continued verisimilitude challenges (eg, lack of empathy and nonverbal cues). No significant trust issues were reported postinteraction. Despite some limitations, students found ChatGPT as a valuable supplement to traditional SPs, enhancing practice flexibility and diagnostic skills. ChatGPT can effectively augment traditional SPs in medical education, offering accessible, flexible practice opportunities. However, it cannot fully replace human SPs due to limitations in verisimilitude and prompt engineering challenges. Integrating prompt engineering into medical curricula and continuous advancements in AI are recommended to enhance the use of virtual SPs.

Three-dimensional modalities are increasingly being used as adjuncts for medical trainees learning about complex anatomical concepts, such as congenital heart disease. This study aimed to evaluate the use of 2 such modalities, 3D-printed models, and augmented reality (AR), in improving medical students' understanding and knowledge retention of congenital heart disease when compared to traditional teaching methods. A prospective cohort pilot study was performed with 26 first-year medical students. Students were randomly assigned to receive a 30-minute teaching session using traditional slide-based lecture, 3D-printed model, or AR. Participants completed a 16-question pretest consisting of 4 basic general cardiology questions and 6 questions each regarding the anatomy and physiology of tetralogy of Fallot and hypoplastic left heart syndrome. Participants completed a posttest immediately following the teaching session, as well as a delayed posttest 3 weeks later. When comparing overall and subsection posttest scores, the AR group obtained perfect immediate posttest scores at a significantly increased rate compared to the lecture and 3D model groups (6/9, 67% vs 1/8, 13% and 1/9, 11%, respectively; large effect size Cramér V=0.57; P=.02). Participants in the lecture group reported difficulty understanding cardiac anatomy and physiology using only 2D diagrams, whereas those in the 3D-printed model and AR groups almost unanimously reported improved visualization of complex cardiac defects, which enhanced their understanding. Due to the visuospatial benefits of 3D-printed models and AR, there is potential for use in medical education to improve students' knowledge of complex anatomical and physiological concepts. Students who received teaching using 3D-printed models or AR overwhelmingly reported improved 3D visualization of congenital cardiac defects compared to those who were taught via lecture. Additionally, AR and 3D-printed models offer practical opportunities for implementation into medical education curricula as both adjunct and stand-alone teaching modalities.

The venipuncture is one of the most frequently performed procedures in health care. Arm phantoms are available for training, because the procedure itself can be challenging. These phantom arms do not represent a realistic setting and do not offer opportunities to train challenging scenarios. This randomized, single-blind study aimed to train health care workers on both a commercially available injection arm and an in-house developed 3D-printed arm, to evaluate the perceived realism and adequacy of training on both arms. Participants were trained on both the commercially available arm (arm A) and the 3D-printed arm (arm B). Participants were randomized and blinded from knowing which arm they started training on. A questionnaire was filled in on, among others, the perceived realism of the arm (0 for not realistic, 100 for realistic) and adequacy of the training (inadequate, moderate, or adequate). A total of 68 participants evaluated the perceived realism of arm A and B, which were scored on average 62.97 (SD 21.47) and 63.79 (SD 17.45), respectively. The difference in perceived realism of the two arms was not statistically significant (based on the paired t test, mean difference=-0.82, P=.78). Training on arm A was reported inadequate by 7% (5/68 participants), moderately adequate by 31% (21/68), and adequate by 62% (42/68). This was not significantly different from arm B (marginal homogeneity test, P=.74), with 4% (3/68), 38% (26/68), and 57% (39/68), respectively, reporting that the training was inadequate, moderately adequate, and adequate. The 3D-printed arm is as realistic and provides an equally adequate training compared to the commercially available arm. The 3D-printed arm offers the additional possibility to design different models representing several levels of difficulty for vascular morphology. This potentially lowers the number of venipuncture failures by preparing health care workers on challenging scenarios.