Refining AI perspectives: assessing the impact of ai curricular on medical students’ attitudes towards artificial intelligence

Abstract This study explores the impact of Artificial Intelligence (AI) curricula on medical students’ perceptions of AI, a critical topic given AI’s transformative potential in healthcare and its rapid integration into medical practice and education. Using data from a global cross-sectional survey...

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Main Authors: Li Zheng, Yu Xiao
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-025-07669-8
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author Li Zheng
Yu Xiao
author_facet Li Zheng
Yu Xiao
author_sort Li Zheng
collection DOAJ
description Abstract This study explores the impact of Artificial Intelligence (AI) curricula on medical students’ perceptions of AI, a critical topic given AI’s transformative potential in healthcare and its rapid integration into medical practice and education. Using data from a global cross-sectional survey involving 4,596 students across 48 countries, we employed Coarsened Exact Matching (CEM) to address selection bias and Structural Equation Modeling (SEM) to examine mediating effects. Regression models were also applied to estimate the relationships between AI curricular and students’ knowledge about and attitudes towards AI. Results reveal that participation in AI curricula significantly enhances students’ knowledge about AI (β = .140, p < .001), equipping them with essential skills for AI-driven healthcare systems. However, it concurrently diminishes their enthusiasm for integrating AI into medical education (β = -.108, p < .001), reflecting potential concerns about ethical and professional implications. No significant effects were observed on students’ attitudes towards Artificial Intelligence application in medicine, the physician’s role, or AI-related ethical and legal conflicts. Heterogeneity analysis shows stronger positive effects on knowledge for veterinary students and those from developing countries, where AI education addresses critical resource gaps. Conversely, the negative effect on enthusiasm for AI teaching is more pronounced among students from developed countries, where advanced AI applications are more prevalent. SEM results reveal that preparedness for work with AI partially mediates the relationship between AI curricula and students' knowledge (β = .062, p < .001) and attitudes (β = .023, p < .001), adding theoretical depth to the findings. These results underscore the importance of balanced AI education to enhance knowledge while addressing concerns about its integration in education. This research has significant practical and theoretical implications, emphasizing the need for tailored AI curricula that align with students’ professional goals and regional educational contexts. The study offers pathways for optimizing AI literacy globally, bridging resource disparities, and preparing future healthcare professionals for AI-driven advancements.
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spelling doaj-art-61d0756e28534bcd8ceabff45cbb09832025-08-20T03:45:56ZengBMCBMC Medical Education1472-69202025-07-0125111910.1186/s12909-025-07669-8Refining AI perspectives: assessing the impact of ai curricular on medical students’ attitudes towards artificial intelligenceLi Zheng0Yu Xiao1School of Education, Shanghai Normal UniversitySchool of Education, Tsinghua UniversityAbstract This study explores the impact of Artificial Intelligence (AI) curricula on medical students’ perceptions of AI, a critical topic given AI’s transformative potential in healthcare and its rapid integration into medical practice and education. Using data from a global cross-sectional survey involving 4,596 students across 48 countries, we employed Coarsened Exact Matching (CEM) to address selection bias and Structural Equation Modeling (SEM) to examine mediating effects. Regression models were also applied to estimate the relationships between AI curricular and students’ knowledge about and attitudes towards AI. Results reveal that participation in AI curricula significantly enhances students’ knowledge about AI (β = .140, p < .001), equipping them with essential skills for AI-driven healthcare systems. However, it concurrently diminishes their enthusiasm for integrating AI into medical education (β = -.108, p < .001), reflecting potential concerns about ethical and professional implications. No significant effects were observed on students’ attitudes towards Artificial Intelligence application in medicine, the physician’s role, or AI-related ethical and legal conflicts. Heterogeneity analysis shows stronger positive effects on knowledge for veterinary students and those from developing countries, where AI education addresses critical resource gaps. Conversely, the negative effect on enthusiasm for AI teaching is more pronounced among students from developed countries, where advanced AI applications are more prevalent. SEM results reveal that preparedness for work with AI partially mediates the relationship between AI curricula and students' knowledge (β = .062, p < .001) and attitudes (β = .023, p < .001), adding theoretical depth to the findings. These results underscore the importance of balanced AI education to enhance knowledge while addressing concerns about its integration in education. This research has significant practical and theoretical implications, emphasizing the need for tailored AI curricula that align with students’ professional goals and regional educational contexts. The study offers pathways for optimizing AI literacy globally, bridging resource disparities, and preparing future healthcare professionals for AI-driven advancements.https://doi.org/10.1186/s12909-025-07669-8Artificial intelligenceMedical studentsAI curricularCoarsened exact matchingStructural equation modeling
spellingShingle Li Zheng
Yu Xiao
Refining AI perspectives: assessing the impact of ai curricular on medical students’ attitudes towards artificial intelligence
BMC Medical Education
Artificial intelligence
Medical students
AI curricular
Coarsened exact matching
Structural equation modeling
title Refining AI perspectives: assessing the impact of ai curricular on medical students’ attitudes towards artificial intelligence
title_full Refining AI perspectives: assessing the impact of ai curricular on medical students’ attitudes towards artificial intelligence
title_fullStr Refining AI perspectives: assessing the impact of ai curricular on medical students’ attitudes towards artificial intelligence
title_full_unstemmed Refining AI perspectives: assessing the impact of ai curricular on medical students’ attitudes towards artificial intelligence
title_short Refining AI perspectives: assessing the impact of ai curricular on medical students’ attitudes towards artificial intelligence
title_sort refining ai perspectives assessing the impact of ai curricular on medical students attitudes towards artificial intelligence
topic Artificial intelligence
Medical students
AI curricular
Coarsened exact matching
Structural equation modeling
url https://doi.org/10.1186/s12909-025-07669-8
work_keys_str_mv AT lizheng refiningaiperspectivesassessingtheimpactofaicurricularonmedicalstudentsattitudestowardsartificialintelligence
AT yuxiao refiningaiperspectivesassessingtheimpactofaicurricularonmedicalstudentsattitudestowardsartificialintelligence