Evidence map›Paper›PMID 36939809›Full record

ArticleJMIR medical education2023

Computerization of the Work of General Practitioners: Mixed Methods Survey of Final-Year Medical Students in Ireland.

Charlotte Blease, Anna Kharko, Michael Bernstein, Colin Bradley, Muiris Houston, Ian Walsh, Kenneth D Mandl

Abstract read
In one paragraph

Article in JMIR medical education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Charlotte BleaseGeneral Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, United States.ORCID https://orcid.org/0000-0003-3657-2476
Anna KharkoHealthcare Sciences and e-Health, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0003-0908-6173
Michael BernsteinDepartment of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, RI, United States.ORCID https://orcid.org/0000-0001-7221-0697
Colin BradleySchool of Medicine, University College Cork, Cork, Ireland.ORCID https://orcid.org/0000-0002-3595-9567
Muiris HoustonSchool of Medicine, National University of Ireland Galway, Galway, Ireland.ORCID https://orcid.org/0000-0003-4124-8523
Ian WalshDentistry and Biomedical Sciences, School of Medicine, Queen's University, Belfast, Ireland.ORCID https://orcid.org/0000-0002-3750-2499
Kenneth D MandlComputational Health Informatics Program, Boston Children's Hospital, Boston, MA, United States.ORCID https://orcid.org/0000-0002-9781-0477

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe potential for digital health technologies, including machine learning (ML)-enabled tools, to disrupt the medical profession is the subject of ongoing debate within biomedical informatics.

objectiveWe aimed to describe the opinions of final-year medical students in Ireland regarding the potential of future technology to replace or work alongside general practitioners (GPs) in performing key tasks.

methodsBetween March 2019 and April 2020, using a convenience sample, we conducted a mixed methods paper-based survey of final-year medical students. The survey was administered at 4 out of 7 medical schools in Ireland across each of the 4 provinces in the country. Quantitative data were analyzed using descriptive statistics and nonparametric tests. We used thematic content analysis to investigate free-text responses.

resultsIn total, 43.1% (252/585) of the final-year students at 3 medical schools responded, and data collection at 1 medical school was terminated due to disruptions associated with the COVID-19 pandemic. With regard to forecasting the potential impact of artificial intelligence (AI)/ML on primary care 25 years from now, around half (127/246, 51.6%) of all surveyed students believed the work of GPs will change minimally or not at all. Notably, students who did not intend to enter primary care predicted that AI/ML will have a great impact on the work of GPs.

conclusionsWe caution that without a firm curricular foundation on advances in AI/ML, students may rely on extreme perspectives involving self-preserving optimism biases that demote the impact of advances in technology on primary care on the one hand and technohype on the other. Ultimately, these biases may lead to negative consequences in health care. Improvements in medical education could help prepare tomorrow's doctors to optimize and lead the ethical and evidence-based implementation of AI/ML-enabled tools in medicine for enhancing the care of tomorrow's patients.

Indexed as

artificial intelligencebiomedicalCOVID-19designdigital healthgeneral practitionersmachine learningmedical educationmedical professionalmedical studentssurveytechnologytool

Identifiers

PMID36939809
PMCPMC10131917

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.