Understanding and Perception of Artificial Intelligence in Medicine Among the Undergraduate Medical Students of a Private University in Malaysia
Main Article Content
Abstract
Background : Artificial intelligence (AI) has been widely integrated into medical practice. The level of understanding of AI, perceptions of its role in medical practice, and its impact on medical education among clinical undergraduate medical students in a private university in Malaysia was studied. Methodology : A descriptive, cross-sectional study using self-administered survey questionnaire was done. Multi-stage sampling methods, comprising purposive sampling followed by random sampling, were employed to recruit all the clinical students in the semesters 6 to 10 of the Bachelor of Medicine and Bachelor of Surgery (MBBS) program at the University. Results : A total of 281 students responded (response rate 65.3%). The students had a median score of 16 for the level of understanding on AI, a mean score of 54.28 (SD 9.01) for perceived ability of AI, and a median score of 32 for perceived impact of AI. Significant differences were observed across gender (p<0.001), nationality (p=0.013), having any knowledge on Information Technology (IT) related to AI (p<0.001), and whether the students had attended or viewed any talks or lectures on AI (p<0.001). Statistically significant differences were found in the medians of perceived impact of AI for the variable of gender (p=0.001). Conclusion : The undergraduate medical students had moderate level of understanding on AI, good perceptions of the role of AI in medical practice, and its impact of AI on medical profession. AI topics should be incorporated into the undergraduate medical curriculum so that the medical students could be exposed early to AI knowledge and skills.
Downloads
Article Details
References
McCarthy J, Minsky ML, Rochester N, Shannon CE. A proposal for the dartmouth summer research project on artificial intelligence, august 31, 1955. AI magazine. 2006;27(4):12-. doi: https://doi.org/10.1609/aimag.v27i4.1904.
Russell SJ. Artificial intelligence a modern approach. Pearson Education, Inc.; 2010.
Davenport T, Kalakota R. The potential for artificial intelligence in healthcare. Future Healthc J. 2019;6(2):94-8. doi: 10.7861/futurehosp.6-2-94.
Erickson BJ, Korfiatis P, Akkus Z, Kline TL. Machine Learning for Medical Imaging. Radiographics. 2017;37(2):505-15. doi: 10.1148/rg.2017160130.
Pucchio A, Eisenhauer EA, Moraes FY. Medical students need artificial intelligence and machine learning training. Nat Biotechnol. 2021;39(3):388-9. doi: 10.1038/s41587-021-00846-2.
Mehta N, Harish V, Bilimoria K, Morgado F, Ginsburg S, Law M, et al. Knowledge and Attitudes on Artificial Intelligence in Healthcare: A Provincial Survey Study of Medical Students. MedEdPublish. 2021;10(75):75. doi: https://doi.org/10.15694/mep.2021.000075.1.
Komasawa N, Nakano T, Terasaki F, Kawata R. Attitude Survey toward Artificial Intelligence in Medicine among Japanese Medical Students. Bulletin of Osaka Medical and Pharmaceutical University. 2021;67(1):00-. doi: https://doi.org/10.57371/00000250.
Ngo B, Nguyen D. Artificial Intelligence: Has Its Time Come for Inclusion in Medical School Education? Maybe… Maybe Not. MedEdPublish. 2021;10(131):131. doi: https://doi.org/10.15694%2Fmep.2021.000131.2.
Pinto Dos Santos D, Giese D, Brodehl S, Chon SH, Staab W, Kleinert R, et al. Medical students' attitude towards artificial intelligence: a multicentre survey. European radiology. 2019;29(4):1640-6. doi: https://doi.org/10.1007/s00330-018-5601-1.
Gillissen A, Kochanek T, Zupanic M, Ehlers J. Medical Students’ Perceptions towards Digitization and Artificial Intelligence: A Mixed-Methods Study. MDPI; 2022. p. 723.
Teng M, Singla R, Yau O, Lamoureux D, Gupta A, Hu Z, et al. Health Care Students’ Perspectives on Artificial Intelligence: Countrywide Survey in Canada. JMIR medical education. 2022;8(1):e33390. doi: https://doi.org/10.2196%2F33390.
Sachdev R, Garg K, Srivastava A. Awareness and education of medical students toward artificial intelligence and radiology: A cross-sectional multicenter survey at Kanpur, Uttar Pradesh. Dentistry and Medical Research. 2021;9(2):77. doi: 10.4103/dmr.dmr_17_21.
Xuan PY, Fahumida MIF, Hussain MIbAN, Jayathilake NT, Khobragade S, Htoo H, et al. Readiness towards Artificial Intelligence among Undergraduate Medical Students in Malaysia. Education in Medicine Journal. 2023;15(2):49-60. doi: https://doi.org/10.21315/eimj2023.15.2.4.
Al Saad MM, Shehadeh A, Alanazi S, Alenezi M, Eid H, Alfaouri MS, et al. Medical Students’ Knowledge and Attitude Towards Artificial Intelligence: An Online Survey. The Open Public Health Journal. 2022;15(1). doi: 10.2174/18749445-v15-e2203290
Jha N, Shankar PR, Al-Betar MA, Mukhia R, Hada K, Palaian S. Undergraduate Medical Students’ and Interns’ Knowledge and Perception of Artificial Intelligence in Medicine. Advances in Medical Education and Practice. 2022;13:927. doi: https://doi.org/10.2147/amep.s368519.
Blease C, Kharko A, Bernstein M, Bradley C, Houston M, Walsh I, et al. Machine learning in medical education: a survey of the experiences and opinions of medical students in Ireland. BMJ Health Care Inform. 2022;29(1). doi: 10.1136/bmjhci-2021-100480.
Bisdas S, Topriceanu C-C, Zakrzewska Z, Irimia A-V, Shakallis L, Subhash J, et al. Artificial intelligence in medicine: a multinational multi-center survey on the medical and dental students' perception. Frontiers in public health. 2021;9. doi: https://doi.org/10.3389/fpubh.2021.795284.
Ejaz H, McGrath H, Wong BLH, Guise A, Vercauteren T, Shapey J. Artificial intelligence and medical education: A global mixed-methods study of medical students' perspectives. Digital health. 2022;8:20552076221089099. doi: https://doi.org/10.1177/20552076221089099.
Machleid F, Kaczmarczyk R, Johann D, Balčiūnas J, Atienza-Carbonell B, von Maltzahn F, et al. Perceptions of digital health education among European medical students: mixed methods survey. Journal of medical Internet research. 2020;22(8):e19827. doi: https://doi.org/10.2196%2F19827.
Yun D, Xiang Y, Liu Z, Lin D, Zhao L, Guo C, et al. Attitudes towards medical artificial intelligence talent cultivation: an online survey study. Ann Transl Med. 2020;8(11):708. doi: 10.21037/atm.2019.12.149.
Diaz O, Guidi G, Ivashchenko O, Colgan N, Zanca F. Artificial intelligence in the medical physics community: An international survey. Phys Med. 2021;81:141-6. doi: 10.1016/j.ejmp.2020.11.037.
Forum WE. Assessing Gender Gaps in Artificial Intelligence. Available online at: https://jp.weforum.org/publications/reader-global-gender-gap-report-2018/in-full/assessing-gender-gaps-in-artificial-intelligence/#:~:text=Only%2022%25%20of%20AI%20professionals,able%20to%20outperform%20the%20average. 2024.
Council B. Men Use AI More than Women - Here's Why? Available online from: https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q= Men+Use+AI+More+than+Women +Here%27s+Why%3F&btnG =. 2023.
Pucchio A, Caton N, Gariscsak P, Del Papa J, Nabhen JJ, Vo V, et al. Artificial intelligence curriculum in medical education: a Canadian cross-sectional mixed-methods study. 2022. doi: https://doi.org/10.21203/rs.3.rs-1759145/v1.
Johnston SC. Anticipating and Training the Physician of the Future: The Importance of Caring in an Age of Artificial Intelligence. Acad Med. 2018;93(8):1105-6. doi: 10.1097/ACM.0000000000002175.
Sassis L, Kefala-Karli P, Sassi M, Zervides C. Exploring medical students' and faculty's perception on artificial intelligence and robotics. A questionnaire survey. Journal of Artificial Intelligence for Medical Sciences. 2021;2(1-2):76-84. doi: https://doi.org/10.2991/jaims.d.210617.002.
Doraiswamy PM, Blease C, Bodner K. Artificial intelligence and the future of psychiatry: Insights from a global physician survey. Artif Intell Med. 2020;102:101753. doi: 10.1016/j.artmed.2019.101753.
Boillat T, Nawaz FA, Rivas H. Readiness to Embrace Artificial Intelligence Among Medical Doctors and Students: Questionnaire-Based Study. JMIR Medical Education. 2022;8(2):e34973. doi: 10.2196/34973.
Abdullah R, Fakieh B. Health care employees’ perceptions of the use of artificial intelligence applications: survey study. Journal of medical Internet research. 2020;22(5):e17620. doi: doi:10.2196/17620.
Manyika J, Chui M, Miremadi M, Bughin J, George K, Willmott P, et al. A future that works: AI, automation, employment, and productivity. McKinsey Global Institute Research, Tech Rep. 2017;60:1-135.
Rowe JP, Lester JC. Artificial Intelligence for Personalized Preventive Adolescent Healthcare. J Adolesc Health. 2020;67(2S):S52-S8. doi: 10.1016/j.jadohealth.2020.02.021.
Gong B, Nugent JP, Guest W, Parker W, Chang PJ, Khosa F, et al. Influence of artificial intelligence on Canadian medical students' preference for radiology specialty: A National survey study. Academic radiology. 2019;26(4):566-77. doi: 10.1016/j.acra.2018.10.007.
Wood EA, Ange BL, Miller DD. Are we ready to integrate artificial intelligence literacy into medical school curriculum: students and faculty survey. Journal of Medical Education and Curricular Development. 2021;8:23821205211024078. doi: https://doi.org/10.1177/23821205211024078.
Al-Hwsali A, Alsaadi B, Abdi N, Khatab S, Alzubaidi M, Solaiman B, et al. Scoping Review: Legal and Ethical Principles of Artificial Intelligence in Public Health. Stud Health Technol Inform. 2023;305:640-3. doi: 10.3233/SHTI230579.
Chauvin J, Perera Y, Clarke M. Digital technologies for population health and health equity gains: the perspective of public health associations. J Public Health Policy. 2016;37(Suppl 2):232-48. doi: 10.1057/s41271-016-0013-4.
Masters K. Artificial intelligence in medical education. Med Teach. 2019;41(9):976-80. doi: 10.1080/0142159X.2019.1595557.
Liu DS, Sawyer J, Luna A, Aoun J, Wang J, Boachie L, et al. Perceptions of US Medical Students on Artificial Intelligence in Medicine: Mixed Methods Survey Study. JMIR Med Educ. 2022;8(4):e38325. doi: 10.2196/38325.
Wartman SA, Combs CD. Medical education must move from the information age to the age of artificial intelligence. Academic Medicine. 2018;93(8):1107-9. doi: 10.1097/ACM.0000000000002044.
Waheed MA, Liu L. Perceptions of Family Physicians About Applying AI in Primary Health Care: Case Study From a Premier Health Care Organization. JMIR AI. 2024;3:e40781. doi: https://doi.org/10.2196/40781
Hanna K, Chartash D, Liaw W, Archer D, Parente D, Shah NR, et al. Family medicine must prepare for artificial intelligence. The Journal of the American Board of Family Medicine. 2024;37(4):520-4. doi: 10.3122/jabfm.2023.230360R1