Where medical education meets artificial intelligence: 'Does technology care?'.
'Cold' technologies and 'warm' hands‐on medicine need to walk hand‐in‐hand: Technologies, such as deep learning artificial intelligence (AI), promise benign solutions to thorny, complex problems; but this view is misguided. Though AI has revolutionised aspects of technical medicine, it has brought i...
| Publicado en: | Medical Education Vol. 55; no. 1; pp. 30 - 37 |
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| Autores principales: | , |
| Formato: | review Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147674315&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147674315 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03080110 ESF jtl: Medical Education issn: 03080110 maglogo: Y pubinfo: dt: Jan2021 vid: 55 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 147674315 147674315 147674315 10.1111/medu.14131 147674315 ppf: 30 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Where medical education meets artificial intelligence: 'Does technology care?'. aug: au: Niet, Anneke G. Bleakley, Alan affil: Faculty of Health, Medicine and Life Sciences, School of Health Professions Education, Maastricht University, Maastricht, the Netherlands sug: subj: Education, Medical Artificial Intelligence Technology, Medical Physician-Patient Relations Problem Solving Robotic Surgical Procedures Empathy Compassion ab: 'Cold' technologies and 'warm' hands‐on medicine need to walk hand‐in‐hand: Technologies, such as deep learning artificial intelligence (AI), promise benign solutions to thorny, complex problems; but this view is misguided. Though AI has revolutionised aspects of technical medicine, it has brought in its wake practical, conceptual, pedagogical and ethical conundrums. For example, widespread adoption of technologies threatens to shift emphasis from 'hands‐on' embodied clinical work to disembodied 'technology enhanced' fuzzy scenarios muddying ethical responsibilities. Where AI can offer a powerful sharpening of diagnostic accuracy and treatment options, 'cold' technologies and 'warm' hands‐on medicine need to walk hand‐in‐hand. This presents a pedagogical challenge grounded in historical precedent: in the wake of Vesalian anatomy introducing the dominant metaphor of 'body as machine,' a medicine of qualities was devalued through the rise of instrumental scientific medicine. The AI age in medicine promises to redouble the machine metaphor, reducing complex patient experiences to linear problem‐solving interventions promising 'solutionism.' As an instrumental intervention, AI can objectify patients, frustrating the benefits of dialogue, as patients' complex and often unpredictable fleshly experiences of illness are recalculated in solution‐focused computational terms. Suspicions about solutions: The rate of change in numbers and sophistication of new technologies is daunting; they include surgical robotics, implants, computer programming and genetic interventions such as clustered regularly interspaced short palindromic repeats (CRISPR). Contributing to the focus of this issue on 'solutionism,' we explore how AI is often promoted as an all‐encompassing answer to complex problems, including the pedagogical, where learning 'hands‐on' bedside medicine has proven benefits beyond the technical. Where AI and embodied medicine have differing epistemological, ontological and axiological roots, we must not imagine that they will readily walk hand‐in‐hand down the aisle towards a happy marriage. Their union will be fractious, requiring lifelong guidance provided by a perceptive medical education suspicious of 'smart' solutions to complex problems. van der Niet & Bleakley examine ambiguous and ethically problematic effects of Artificial Intelligence for medical education, including shifting practice towards objectification of patients. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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