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人工智能赋能医学教育的伦理困境与疏解OA

Ethical dilemmas and solutions of artificial intelligence-empowered medical education

中文摘要英文摘要

人工智能给医学教育带来跨越式发展机遇,以健康为中心、以交叉跨界融合和人工智能技术广泛应用为特征的第四代医学教育正在到来.人工智能赋能医学教育为教师提供了多形态的帮助,包括辅助教案设计、助力课程规划等.但医学教育的特殊性与人工智能算法的机械性,导致人工智能介入医学教育时出现伦理困境,例如教学关系异化,教与学关系失衡;人文精神遗失,偏离医学育人本质;主体权利失效,算法侵害个人权益等.面对人工智能赋能下高等医学教育的伦理困境,需要政府、社会、医院、学校协同共治,并从重塑师生个体,稳固教学平衡;强化人文精神,医学人文回归本真;完善伦理环境,保障主体合法权益等多个层面采取策略.

Artificial intelligence has brought leapfrog development to medical education,and the fourth generation of medical education,characterized by health-centered,cross-disciplinary integration and extensive application of AI technologies,is on the horizon.AI-empowered medical education provides educators with multifaceted assistance,such as aiding in lesson plan design and facilitating curriculum planning.However,the particularity of medical education and the mechanical nature of AI algorithms have led to ethical dilemmas when AI is integrated into medical education,such as alienation of the teacher-student relationship and imbalance of teaching and learning relationship,the loss of humanistic spirit and deviation from the essence of medical education,as well as failure of subject rights and algorithm infringement of personal rights and interests.Confronting the ethical dilemmas of AI-empowered higher medical education,collaborative governance among the government,society,hospitals,and schools is necessitated.Countermeasures must be implemented across multiple dimensions,such as reshaping the individual teachers and students to consolidate the balance of teaching,strengthening the humanistic spirit to return medical humanities to their essence,and improving the ethical environment to safeguard the legitimate rights and interests of the subjects.

徐梓硕;曲巍;徐晶格

哈尔滨医科大学图书馆,黑龙江 哈尔滨 15000锦州医科大学医学教育研究所,辽宁 锦州 121000锦州医科大学附属第一医院研究生部,辽宁 锦州 121000

医药卫生

人工智能医学教育伦理困境人文精神

artificial intelligencemedical educationethical dilemmahumanistic spirit

《中国医学伦理学》 2026 (3)

320-327,8

10.12026/j.issn.1001-8565.2026.03.06

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