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

  1. The Association of Faculties of Medicine of Canada’s entrustable professional activities (EPAs) and the CanMEDS roles are mapped for each included element.
  2. A mapping to entrusted professional activities (EPAs) as well as to CanMEDS competency framework roles is included.