Teaching application of artificial intelligence in medical education: a narrative review of the current state

Authors

Keywords:

adaptative algorithms, artificial intelligence, formative feedback, generative artificial intelligence, intelligent systems, medical education, mentoring, review literature as tropic

Abstract

Introduction: artificial intelligence is one of the most influential emerging technologies in the fields of healthcare and medical education. It enables the analysis of large volumes of educational or medical data, the identification of trends in students’ performance, and the delivery of personalized learning experiences tailored to each learner’s needs.

Objective: to analyze the current state of research on the use of artificial intelligence as a support tool in medical education, its main applications, benefits, challenges, and prospects for integration in university settings.

Methods: a narrative review of the literature was conducted. The databases PubMed, Scopus, and Web of Science, as well as the Google Scholar search engine, were used to retrieve information. Articles published in Spanish and English between 2014 and 2025 were included.

Development: the use of artificial intelligence in teaching basic medical sciences is still in its early stages; however, there are promising examples. Clinical simulation is one of the fields most open to the application of this technology in medical education, along with automated assessment systems and intelligent tutors with adaptive feedback.

Conclusions: institutions should undertake the curricular integration of these technologies in an ethical, responsible, and sustainable manner, and promote a cultural shift that recognizes their benefits without losing sight of their limitations and risks. This review provides a broad and novel perspective on artificial intelligence in medical education, highlighting its strengths as well as the aspects that still require further attention.

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Author Biography

Francisco José Somarriba López, Facultad de Ciencias Médicas. Universidad Central de Nicaragua. Managua, Nicaragua.

Doctor en Medicina y Cirugía. Docente a tiempo completo de la carrera de Medicina. 

References

1. Hernández-Rincón EH, Jiménez D, Chavarro-Aguilar LA, Pérez-Flórez JM, Romero-Tapia ÁE, Jaimes-Peñuela CL. Mapping the use of artificial intelligence in medical education: a scoping review. BMC Med Educ [Internet]. 2025 [citado 8 May 2025];25(1):526. Disponible en: https://link.springer.com/content/pdf/10.1186/s12909-025-07089-8.pdf?

2. Shaw K, Henning MA, Webster CS. Artificial intelligence in medical education: a scoping review of the evidence for efficacy and future directions. Med Sci Educ [Internet]. 2025 [citado 8 May 2025]; 35(3):1803-1816. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC12228863/pdf/40670_2025_Article_2373.pdf

3. Hallquist E, Gupta I, Montalbano M, Loukas M. Applications of artificial intelligence in medical education: a systematic review. Cureus [Internet]. 2025 [citado 8 May 2025];17(3):e79878. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11872247/pdf/cureus-0017-00000079878.pdf

4. Patino GA, Amiel JM, Brown M, Lypson ML, Chan TM. The promise and perils of artificial intelligence in health professions education practice and scholarship. Acad Med [Internet]. 2024 [citado 8 May 2025];99(5):477-81. Disponible en: https://www.researchgate.net/profile/Megan-Brown-31/publication/377662752_The_Promise_and_Perils_of_Artificial_Intelligence_in_Health_Professions_Education_Practice_and_Scholarship/links/65b8e1f634bbff5ba7d9b909/The-Promise-and-Perils-of-Artificial-Intelligence-in-Health-Professions-Education-Practice-and-Scholarship.pdf

5. Lazarus MD, Truong M, Douglas P, Selwyn N. Artificial intelligence and clinical anatomical education: promises and perils. Anat Sci Educ [Internet]. 2022 [citado 8 May 2025];17(2):249-62. Disponible en: https://anatomypubs.onlinelibrary.wiley.com/doi/epdf/10.1002/ase.2221

6. Walkowski S, Lundin M, Szymas J, Lundin J. Exploring viewing behavior data from whole slide images to predict correctness of students′ answers during practical exams in oral pathology. J Pathol Inform [Internet]. 2015 [citado 8 May 2025];6(1):28. Disponible en: https://www.sciencedirect.com/science/article/pii/S2153353922004837

7. Suebnukarn S, Haddawy P. A Bayesian approach to generating tutorial hints in a collaborative medical problem-based learning system. Artif Intel lMed [Internet]. 2006 [citado 8 May 2025];38(1):5-24. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0933365705000898?via%3Dihub

8. Fazlollahi AM, Bakhaidar M, Alsayegh A, Yilmaz R, Winkler-Schwartz A, Mirchi N, et al. Effect of artificial intelligence tutoring vs expert instruction on learning simulated surgical skills among medical students. JAMA Netw Open [Internet]. 2022 [citado 8 May 2025];5(2):e2149008. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC8864513/

9. Mirchi N, Bissonnette V, Yilmaz R, Ledwos N, Winkler-Schwartz A, Del Maestro RF. The Virtual Operative Assistant: an explainable artificial intelligence tool for simulation-based training in surgery and medicine. Plos One [Internet]. 2020 [citado 8 May 2025];15(2):e0229596. Disponible en: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0229596

10. Bissonnette V, Mirchi N, Ledwos N, Alsidieri G, Winkler-Schwartz A, Del Maestro RF. Artificial intelligencedistinguishessurgical training levels in a virtual realityspinaltask. J Bone Joint Surg Am [Internet]. 2019 [citado 8 May 2025];101(23):e127. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC7406145/pdf/jbjsam-101-e127.pdf

11. Yamamoto A, Koda M, Ogawa H, Miyoshi T, Maeda Y, Otsuka F, et al. Enhancing medical interview skills through AI simulated patient interactions: non-randomized controlled trial. JMIR Med Educ [Internet]. 2024 [citado 8 May 2025];10:e58753. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11459107/

12. Maicher KR, Zimmerman L, Wilcox B, Liston B, Cronau H, Macerollo A, et al. Using virtual standardized patients to accurately assess information gathering skills in medical students. Med Teach [Internet]. 2019 [citado 8 May 2025];41(9):1053-9. Disponible en: https://www.tandfonline.com/doi/full/10.1080/0142159X.2019.1616683#

13. Cheng CT, Chen CC, Fu CY, Chaou CH, Wu YT, Hsu CP, et al. Artificial intelligence-based education assists medical students’ interpretation of hip fracture. Insights Imaging [Internet]. 2020 [citado 8 May 2025];11(1);119. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC7683624/pdf/13244_2020_Article_932.pdf

14. Wang M, Sun Z, Jia M, Wang Y, Wang H, Zhu X, et al. Intelligent virtual case learning system based on real medical records and natural language processing. BMC Med Inform Decis Mak [Internet]. 2022 [citado 8 May 2025];22(1):60. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC8895690/pdf/12911_2022_Article_1797.pdf

15. Klang E, Portugez S, Gross R, Kassif LR, Brenner A, Gilboa M, et al. Advantages and pitfalls in utilizing artificial intelligence for crafting medical examinations: a medical education pilot study with GPT-4. BMC Med Educ [Internet]. 2023 [citado 8 May 2025];23(1):772. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10580534/pdf/12909_2023_Article_4752.pdf

16. Cheung BH, Lau GK, Wong GT, Lee EY, Kulkarni D, Seow CS, et al. ChatGPT versus human in generating medical graduate exam multiple choice questions—a multinational prospective study (Hong Kong S.A.R., Singapore, Ireland, and the United Kingdom). Plos One [Internet]. 2023 [citado 8 May 2025];18(8):e0290691. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10464959/pdf/pone.0290691.pdf

17. Johnsson V, Søndergaard MB, Kulasegaram K, Sundberg K, Tiblad E, Herling et al. Validity evidence supporting clinical skills assessment by artificial intelligence compared with trained clinician raters. Med Educ [Internet]. 2023 [citado 8 May 2025];58(1):105-17. Disponible en: https://asmepublications.onlinelibrary.wiley.com/doi/epdf/10.1111/medu.15190

18. Ryder CY, Mott NM, Gross CL, Anidi C, Shigut L, Bidwell SS, et al. Using artificial intelligence to gauge competency on a novel laparoscopic training system. J Surg Educ [Internet]. 2023 [citado 8 May 2025];81(2):267-274. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1931720423003811?via%3Dihub

19. Denny JC, Spickard A, Speltz PJ, Porier R, Rosenstiel DE, Powers JS. Using natural language processing to provide personalized learning opportunities from trainee clinical notes. J Biomed Inform [Internet]. 2015 [citado 8 May 2025];56:292-9. Disponible en: https://www.sciencedirect.com/science/article/pii/S1532046415001148?via%3Dihub

20. Booth GJ, Ross B, Cronin WA, McElrath A, Cyr KL, Hodgson JA, et al. Competency-Based assessments: leveraging artificial intelligence to predict subcompetency content. Acad Med [Internet]. 2022 [citado 8 May 2025];98(4):497-504. Disponible en: https://journals.lww.com/academicmedicine/abstract/2023/04000/competency_based_assessments__leveraging.20.aspx

21. Knoedler L, Alfertshofer M, Knoedler S, Hoch CC, Funk PF, Cotofana S, et al. Pure wisdom or potemkin villages? A comparison of chatgpt 3.5 and chatgpt 4 on USMLE step 3 style questions: quantitative analysis. JMIR Med Educ [Internet]. 2024 [citado 8 May 2025];10:e51148. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10799278/

22. Wang H, Tlili A, Huang R, Cai Z, Li M, Cheng Z, et al. Examining the applications of intelligent tutoring systems in real educational contexts: a systematic literature review from the social experiment perspective. Educ Inf Technol [Internet]. 2023 [citado 8 May 2025];28(7):9113-148. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC9825070/pdf/10639_2022_Article_11555.pdf

23. Mousavinasab E, Zarifsanaiey N, R Niakan-Kalhori SR, Rakhshan M, Keikha L, Ghazi-Saeedi M. Intelligent tutoring systems: a systematic review of characteristics, applications, and evaluation methods. Interact Learn Environ [Internet]. 2018 [citado 8 May 2025]:29(1):142-63. Disponible en: https://www.tandfonline.com/doi/epdf/10.1080/10494820.2018.1558257

24. Borg A, Georg C, Jobs B, Huss V, Waldenlind K, Ruiz M, et al. Virtual patient simulations using social robotics combined with large language models for clinical reasoning training in medical education: mixed methods study. J Med Internet Res [Internet]. 2025 [citado 8 May 2025];27:e63312. Disponible en: https://www.jmir.org/2025/1/e63312/

25. Feyzi-Behnagh R, Azevedo R, Legowski E, Reitmeyer K, Tseytlin E, Crowley RS. Metacognitive scaffolds improve self-judgments of accuracy in a medical intelligent tutoring system. InstrSci [Internet]. 2013 [citado 8 May 2025];42(2):159-81. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC3923630/pdf/nihms466801.pdf

Published

2025-12-16

How to Cite

1.
Somarriba López FJ. Teaching application of artificial intelligence in medical education: a narrative review of the current state. Mediciego [Internet]. 2025 Dec. 16 [cited 2026 Feb. 27];31:e4184. Available from: https://revmediciego.sld.cu/index.php/mediciego/article/view/4184

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Section

Review article