Table 2 Learning elements selected for inclusion, organized by core theme and round in which consensus was achieved
From: Developing a Canadian artificial intelligence medical curriculum using a Delphi study
Theme | Element for inclusion | Consensus round | EPA | CanMEDS role |
---|---|---|---|---|
Ethics | ||||
E1 | Identify key regulatory issues surrounding data sharing between healthcare institutions, academic institutions, and private organizations. | 1 | 10 | Leader, Health Advocate |
E2 | Analyze the implications of these regulatory issues on data-sharing practices in healthcare. | 1 | 10 | Leader, Health Advocate |
E3 | Apply appropriate response strategies to comply with regulatory requirements related to data sharing between healthcare institutions. | 1 | 5, 10 | Leader, Health Advocate, Professional |
E4 | Explain the importance of data privacy in the context of using artificial intelligence (AI) with healthcare data. | 1 | 10 | Communicator, Health Advocate, Scholar |
E5 | Define equitable AI and explain its importance in promoting fairness and avoiding bias in AI applications. | 1 | 9, 10 | Health Advocate |
E6 | Define and differentiate between the different types of biases that can appear in AI, including algorithmic, data, and user biases. | 1 | 10 | Scholar, Professional |
E7 | Identify real-world examples of each type of bias and their impact on the effectiveness of AI applications. | 1 | 10 | Scholar, Health Advocate |
E8 | Develop strategies to mitigate and prevent the occurrence of biases in AI applications. | 1 | 5, 10 | Scholar, Leader |
E9 | Apply strategies to promote the use of equitable AI and advocate for its implementation. | 1 | 10 | Health Advocate, Leader |
E10 | Define patient rights and the ethical considerations related to using AI in healthcare. | 1 | 9, 10 | Health Advocate, Professional |
E11 | Explain the importance of respecting patient rights when using AI and describe the potential benefits of doing so. | 1 | 9, 10 | Health Advocate, Professional |
Legal | ||||
L1 | Define data governance and explain its importance when working with AI. | 1 | 10 | Leader, Scholar |
L2 | Explain the importance of confidentiality in healthcare data when using AI. | 1 | 9, 10 | Professional, Health Advocate |
L3 | Identify potential risks to data privacy and best practices when using AI, including relevant legal and regulatory requirements. | 1 | 10 | Professional, Scholar |
L4 | Apply appropriate confidentiality measures to ensure the privacy and security of healthcare data when using AI. | 1 | 4, 5, 10 | Professional, Scholar |
L5 | List and explain the various concerns surrounding liability when using AI in healthcare. | 1 | 9, 10 | Professional, Health Advocate |
L6 | Apply strategies to mitigate liability risks associated with the use of AI in healthcare. | 1 | 9, 10 | Professional, Leader |
L7 | Explain the importance of shared decision-making with AI and the physician’s role in shared decision-making with AI. | 1 | 5, 9, 10 | Communicator, Collaborator |
L8 | Understand the legal implications of shared decision-making with AI. | 1 | 10 | Leader, Professional |
L9 | List the key issues surrounding the copyright of AI. | 2 | 10 | Leader, Scholar |
L10 | Identify the key components of a data governance framework and how they relate to AI. | 2 | 10 | Leader, Scholar |
L11 | Apply appropriate data governance measures when working with AI. | 2 | 5, 10 | Leader, Scholar, Professional |
Theory | ||||
T1 | Define and differentiate between statistical concepts of accuracy, F1 score, sensitivity, specificity, positive predictive value, negative predictive value, odds ratio, relative risk, positive and negative likelihood ratios. | 1 | 3, 12 | Scholar |
T2 | Interpret and apply these statistical concepts to real-world healthcare scenarios. | 1 | 3, 4, 12 | Scholar, Medical Expert |
T3 | Understand, interpret, and explain the different types of statistics (descriptive vs inferential). | 1 | 3, 4 | Scholar |
T4 | Understand, interpret, and explain the different types of data (numerical vs categorical). | 1 | 3, 4 | Scholar |
T5 | Understand, interpret, use, and explain common terminology used in AI. | 1 | 3, 4, 10 | Scholar |
T6 | Identify the different domains of healthcare where AI has been successfully applied. | 1 | 3, 4, 10 | Scholar, Medical Expert |
T7 | Evaluate the strengths and benefits of using AI in each domain, including improved accuracy, efficiency, and cost-effectiveness. | 1 | 4, 10 | Scholar, Health Advocate |
T8 | Explain how AI has impacted the quality of patient care and the healthcare industry as a whole. | 1 | 10 | Scholar, Health Advocate |
T9 | Identify the limitations and challenges of using AI in different domains of healthcare. | 1 | 3, 10 | Scholar, Health Advocate |
T10 | Predict and anticipate how the workflow of physicians may change with the implementation of AI. | 1 | 4, 10 | Scholar, Leader |
T11 | Identify techniques that will better facilitate the implementation of AI. | 1 | 10 | Scholar, Leader |
T12 | Understand the basic concepts and principles of machine learning. | 1 | 4 | Scholar |
T13 | Identify and differentiate between different types of machine learning, including supervised, unsupervised, and reinforcement learning. | 1 | 4 | Scholar |
T14 | Evaluate the strengths and limitations of each type of machine learning and their applications in healthcare. | 1 | 4, 10 | Scholar |
T15 | Identify and differentiate between different types of regression analyses, including linear, logistic, and Poisson regression. | 1 | 4 | Scholar |
T16 | Understand the concept of model selection in machine learning. | 1 | 4 | Scholar |
T17 | Understand the basic concepts and principles of deep learning. | 1 | 4 | Scholar |
T18 | Understand the different applications of deep learning in healthcare, including image analysis, natural language processing, and time series analysis. | 1 | 4 | Scholar, Medical Expert |
T19 | Understand the basic concepts and principles of natural language processing (NLP). | 1 | 4 | Scholar |
T20 | Identify and differentiate between different applications of NLP in healthcare, including clinical documentation, patient communication, and disease surveillance. | 1 | 4, 6, 7, 10, 12 | Scholar, Medical Expert |
T21 | Evaluate the impact of NLP on the quality and efficiency of healthcare processes. | 1 | 4, 6, 7, 10 | Scholar, Medical Expert |
T22 | Evaluate the strengths and limitations of each type of deep learning and their applications in healthcare. | 2 | 4, 10 | Scholar |
T23 | Identify and differentiate between different types of models, including decision trees, random forests, and support vector machines. | 2 | 4, 10 | Scholar |
T24 | Evaluate the strengths and limitations of each type of model and their applications in healthcare. | 2 | 4, 10 | Scholar |
T25 | Develop skills in data preprocessing, feature engineering, model selection, and evaluation. | 2 | 10 | Scholar |
T26 | Apply these skills to solve real-world problems in healthcare using AI tools. | 2 | 4, 10 | Scholar, Medical Expert |
T27 | Evaluate the economic impact of AI adoption in healthcare, including the costs associated with implementation and maintenance. | 3 | 10, 12 | Scholar, Health Advocate |
T28 | Analyze the potential cost savings and revenue generation opportunities associated with using AI in healthcare. | 3 | 10, 12 | Scholar, Health Advocate |
T29 | Define and differentiate between big data and traditional data sets. | 3 | – | Scholar |
Application | ||||
A1 | Analyze and interpret data, including AI model input and output, to inform decision-making. | 1 | 4, 5, 8 | Medical Expert, Scholar |
A2 | Integrate evidence from AI models into clinical decision-making practices in healthcare. | 1 | 3, 4, 5 | Medical Expert, Scholar |
A3 | Critically evaluate the integrity, reliability, and applicability of research on AI applications in healthcare. | 1 | 10 | Scholar, Professional |
A4 | Create research questions that are well-designed and specific to AI research. | 2 | 10 | Scholar |
A5 | Collect and manage data effectively for AI research. | 2 | 10 | Scholar |
A6 | Apply principles of data stewardship to ensure the quality and security of AI data. | 2 | 10 | Scholar, Professional |
A7 | Validate AI models using appropriate statistical methods to ensure their accuracy and reliability for research purposes. | 2 | 10 | Scholar, Professional |
A8 | Use different functions and tools to visualize data in order to gain insights from it. | 2 | 10 | Scholar |
A9 | Preprocess data appropriately for AI research by cleaning, transforming, and selecting relevant features. | 3 | 10 | Scholar |
A10 | Evaluate and select appropriate algorithms for specific AI problems, based on their strengths and limitations. | 3 | 3, 4, 5, 8, 10 | Scholar, Medical Expert |
A11 | Execute and interpret error analysis in machine learning and deep learning models. | 3 | 3, 4, 5, 8, 10 | Scholar, Medical Expert |
Collaboration | ||||
C1 | Develop strategies for establishing and maintaining positive relationships with colleagues involved in the AI side of healthcare, such as data scientists. | 1 | 7, 9 | Collaborator, Leader |
C2 | Distinguish between the roles of a physician, other healthcare providers, and data scientists to promote clear communication. | 1 | 10 | Collaborator, Communicator |
C3 | Engage in shared decision-making with colleagues focused on the AI aspect of healthcare to promote patient-centered care. | 1 | 7, 8, 9 | Collaborator, Communicator |
C4 | Reflect on one’s own roles and limitations in the context of AI in healthcare, including ethical considerations and potential biases, to promote responsible use of AI tools. | 1 | 10 | Professional, Collaborator |
C5 | Identify opportunities for learning and self-improvement with respect to one’s AI abilities, including training programs and online resources, to ensure that one’s skills and knowledge remain up-to-date. | 1 | 10 | Scholar, Professional |
C6 | Identify, select, and navigate credible sources to learn about AI in healthcare, including peer-reviewed publications, expert opinion, and government reports, to ensure that one is using accurate and reliable information. | 1 | 10 | Scholar, Professional |
C7 | Explain the importance of patient inclusion when designing AI for healthcare to ensure that AI tools are designed and implemented in a way that reflects the needs and values of the patient population. | 1 | 10 | Health Advocate, Communicator |
Communication | ||||
Cm1 | Predict and anticipate how patient interactions may change with the implementation of AI. | 1 | 7 | Communicator, Health Advocate |
Cm2 | Develop effective communication strategies to disseminate AI-related knowledge and research to colleagues in the healthcare industry. | 1 | 7 | Communicator, Scholar |
Cm3 | Develop patient-friendly materials to disseminate AI-related knowledge and research to patients. | 1 | 5, 10, 12 | Communicator, Health Advocate |
Cm4 | Demonstrate empathetic communication skills when discussing the use of AI in patient care, including patient-centered approaches that encourage patient trust and autonomy. | 1 | 4, 5, 6, 7, 9, 10, 12 | Communicator, Health Advocate |
Cm5 | Manage disagreements and emotionally charged conversations related to AI effectively, including techniques for de-escalation and conflict resolution. | 1 | 7 | Communicator, Professional |
Cm6 | Collect and synthesize relevant information from patients and other sources for use in AI analysis. | 1 | 7 | Communicator, Scholar |
Cm7 | Appropriately interpret and document results from AI analyses for use in patient care and other healthcare decision-making processes. | 1 | 6, 7, 10 | Communicator, Medical Expert |
Quality improvement | ||||
Q1 | Evaluate patient feedback to identify areas of improvement for AI in healthcare. | 1 | 10 | Health Advocate, Scholar |
Q2 | Propose solutions to improve the capability of AI in healthcare based on patient feedback and experience. | 1 | 10 | Health Advocate, Leader |
Q3 | Analyze current applications of AI in healthcare to identify areas for improvement. | 1 | 10 | Health Advocate, Professional |
Q4 | Evaluate community health needs and propose solutions using AI to address these needs. | 1 | 10, 12 | Health Advocate, Leader |
Q5 | Integrate patient feedback into the development and implementation of AI in healthcare. | 1 | 10, 12 | Health Advocate, Communicator |
Q6 | Apply principles of user-centered design to improve the user experience of AI in healthcare. | 1 | 10, 12 | Health Advocate, Scholar |