Recent Articles

With the rapid development of artificial intelligence technology, artificial intelligence–generated content (AIGC) is increasingly widely applied in the field of medical education. Large language models, such as ChatGPT, are a prominent type of AIGC technology. Critical thinking is a core ability in medical education, but the impact of AIGC technology on the critical thinking ability of medical students remains unclear. Medical students are at a crucial stage in cultivating critical thinking, and the intervention of AIGC technology may have a profound impact on this process.

Medical history-taking is a core clinical skill; yet, traditional teaching methods face challenges. We developed an artificial intelligence–powered medical history-taking training and evaluation system (AMTES) and established its technical feasibility as an extracurricular resource. Evidence on whether such tools improve learning outcomes when voluntarily embedded in routine curricula remains limited.

Simulation has become an essential pedagogical tool in health professions education, traditionally valued for its ability to approximate clinical practice. Higher simulation fidelity is often assumed to directly enhance learner engagement and improve educational outcomes; however, this assumption oversimplifies a complex relationship. Fidelity is multidimensional, encompassing physical, emotional, and contextual dimensions, as well as qualitative and quantitative considerations, each influencing learners’ perception of realism in distinct ways. Engagement is shaped not only by these dimensions of fidelity but also by intrinsic factors such as motivation, prior experience, stress, and emotional resilience, and by extrinsic factors including instructional design, facilitation, debriefing, and psychological safety. A central mediator in this process is the fiction contract, an implicit agreement that enables learners to suspend disbelief and engage authentically despite inherent limitations in realism. Technological sophistication alone does not necessarily translate into greater educational impact. Rather, fidelity should be intentionally aligned with learning objectives: advanced patient simulators may support procedural training, standardized patients may enhance communication skills, and task trainers may optimize focused psychomotor practice. This viewpoint advocates for a goal-oriented, multimodal approach that redefines high-fidelity simulation not as the pursuit of maximum realism, but as the deliberate alignment of fidelity with pedagogy to optimize learner engagement and educational effectiveness.

As an emerging delivery mode of education, online continuing medical education (CME) increases the accessibility of high-quality medical training for professionals and students in China. Guoyuan (meaning “nationwide” in Chinese) is an online CME platform delivered via a mobile app and operated by the National Telemedicine Center of China since 2018, serving as an illustrative case of mobile online CME implementation.

Radial artery puncture is a common clinical procedure essential for assessing gas exchange but is frequently perceived as stressful by inexperienced operators, who fear causing pain to their patients. Despite its practical relevance, formal training in this procedure is inconsistently integrated into medical curricula. This study evaluated whether a structured training program—combining theoretical instruction, simulation-based practice, and debriefing—could influence students’ procedural confidence and decision-making and patient experience during their first clinical arterial puncture.

Artificial intelligence (AI) is increasingly influencing medical education by enabling adaptive learning, AI-assisted assessment, and scalable instructional tools. Natural language processing, machine learning, and generative large language models offer innovative ways to support teaching and learning, yet their integration raises ethical, pedagogical, and infrastructural challenges. This viewpoint article aims to examine the current applications, benefits, and challenges of AI in medical education and propose strategies for responsible and effective integration. AI tools such as chatbots, virtual patients, and intelligent tutoring systems enhance personalized and immersive learning. Automated grading and predictive analytics support efficient evaluations, while AI-assisted writing tools streamline content creation. Despite these advances, concerns persist around data privacy, algorithmic bias, unequal access, and diminished critical thinking. Key solutions include AI literacy training, data oversight, equitable infrastructure, and curriculum reform. The FACETS framework offers six dimensions—Form, Application, Context, Instructional Mode, Technology, and the SAMR model—to evaluate AI integration effectively. AI offers substantial opportunities to transform medical education, but its adoption must be ethical, equitable, and pedagogically grounded. Strategic frameworks such as FACETS, combined with institutional governance and cross-sector collaboration, are essential to guide implementation so that AI enhances learning outcomes while preserving the humanistic foundations of medical practice.

Trust is increasingly recognized as a cornerstone for the successful implementation of digital public health initiatives, from mobile applications to the use of AI in medicine, yet it remains underrepresented in educational curricula. In the course of our research and teaching activities in the field of trust in digital public health and medicine, we identified a gap in existing educational resources aimed at supporting students in conducting structured trust analyses. Digitalization introduces new complexities into trust relationships, as interactions become increasingly mediated by digital tools. Preparing future professionals therefore demands fostering a critical understanding of how trust operates within digital systems, especially in the health sector. To address this gap, we developed and tested the first Trust Analysis Canvas for Teaching (TACT), a tool designed to guide students in conducting trust analyses of case studies in digital public health and medicine. Grounded in conceptual research on trust in health systems and health data sharing, we: (1) developed the canvas content and reviewed it with two trust researchers; (2) tested and iteratively refined the tool with 23 students (3 BSc, 14 MSc, 6 PhD) from diverse disciplines and academic levels through in-person and online focus groups at the Universities of Zurich and Bern; (3) collaborated with a graphic designer to optimize its visual layout; and (4) translated the final canvas into French, Italian, German, and Spanish to ensure accessibility across disciplines, academic levels, and languages while maintaining a clear and engaging visual design. This paper introduces TACT, a canvas comprising 16 guiding questions organized around six core dimensions to support students in conducting trust analyses of case studies in digital public health and medicine. We outline the development process and provide a practical, step-by-step tutorial demonstrating its application through a written trust analysis of a digital health case study, supported by references to relevant literature. TACT is designed to enable students from diverse disciplinary backgrounds and academic levels to engage with the complex concept of trust in a structured and guided manner, thereby addressing the identified gap in current curricula.

Laparoscopic surgery has a flatter learning curve compared to traditional open surgery. Therefore, structured programs and realistic training models are imperative to ensure patients’ safety. However, commercially available models are often too expensive or technically unrealistic for continuous surgical training.

Artificial intelligence (AI) is changing continuing professional development (CPD) in healthcare and its interactions with the broader healthcare system. Yet current scholarship lacks an integrated theoretical model that explains how AI impacts CPD as a complex sociotechnical system. Existing frameworks usually focus on isolated phenomena, such as ethics, literacy, or learning theory, leaving unaddressed the dynamics of how those phenomena interact in the complex socio-technical AI-enhanced CPD system, as well as the new roles that AI-empowered patients and society play.

Depression is a major global health care challenge, causing significant individual distress but also contributing to a substantial global burden. Timely and accurate diagnosis is crucial. To help future clinicians develop these essential skills, we trained a generative pretrained transformer (GPT)–powered chatbot to simulate patients with varying degrees of depression and suicidality.

Beyond its applications in other settings, virtual reality (VR) technology has gained attention in medical education, offering immersive learning experiences. Previous research has demonstrated its potential as an educational tool in medical settings, highlighting enhanced educational outcomes, skill acquisition and retention, standardized training experiences, and the promotion of active learning. However, there is still a dearth of research exploring various aspects of VR user experiences, with most studies focusing on its effect on skill acquisition. Limited qualitative research further hinders an in-depth understanding of user experiences, restricting a comprehensive overview of VR’s potential in medical education.
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