The AI Education Void in Internal Medicine Clerkships: From Awareness to Action - Summary - MDSpire

The AI Education Void in Internal Medicine Clerkships: From Awareness to Action

  • By

  • Jesse Burk-Rafel

  • Raja-Elie E. Abdulnour

  • Christy K. Boscardin

  • July 7, 2026

  • 0 min

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Objective:

To highlight the lack of structured AI education in internal medicine clerkships and propose a framework for integrating AI literacy into medical training, emphasizing the need for structured education.

Approach:
  • Survey Analysis: A nationally representative survey of 114 internal medicine clerkship directors was conducted to assess the state of AI education in clerkships.
  • Competency-Based Framework: Proposes applying a competency-based medical education (CBME) framework to define AI literacy for educators and develop durable AI skills.
Key Findings:
  • Despite recognizing the importance of AI, no clerkship reported structured teaching on AI use in their curriculum.
  • Over 40% of medical students use generative AI weekly, with nearly half preferring ChatGPT over attending physicians.
  • Barriers to teaching AI include faculty knowledge gaps, with 84% of faculty and 75% of clerkship directors lacking adequate training.
Interpretation:

Current educational frameworks must adapt to include AI competencies.

Limitations:
  • The survey reflects a snapshot in time and may not capture the rapidly evolving landscape of AI in medical education.
  • Responses may not represent all medical schools or clerkships across the country, and the survey had an 80% response rate.
Conclusion:

Defining basic AI literacy and integrating it into clerkship curricula is necessary to prepare future physicians for AI-augmented clinical practice.

Sources:

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