Evidence map›Paper›PMID 42399988›Full record

ArticleBMC medical ethics2026

Principles for medical students' responsible use of generative AI: a student-partnered Delphi study.

Jennifer Simoni, José Luis Pereira, Ines Aschenbrenner-Noriega, Sofía Crespo Sánchez, Diego Egaña-Yin, Carlota García-Gargallo, Oliver L A Hertog, Andrés Idoate, Ian Morales-Gutiérrez, Alexandra Romero and 6 more

Abstract read
In one paragraph

Article in BMC medical ethics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

16 authors.

Jennifer SimoniMedical Education Unit, The University of Navarra School of Medicine , Calle Irunlarrea, 1, Pamplona, 31008, Spain. jsimoni@unav.es.ORCID http://orcid.org/0009-0009-7486-9503
José Luis PereiraMedical Education Unit, The University of Navarra School of Medicine , Calle Irunlarrea, 1, Pamplona, 31008, Spain.
Ines Aschenbrenner-NoriegaUniversity of Navarra School of Medicine, Pamplona, Spain.
Sofía Crespo SánchezUniversity of Navarra School of Medicine, Pamplona, Spain.
Diego Egaña-YinUniversity of Navarra School of Medicine, Pamplona, Spain.
Carlota García-GargalloUniversity of Navarra School of Medicine, Pamplona, Spain.
Oliver L A HertogUniversity of Navarra School of Medicine, Pamplona, Spain.
Andrés IdoateUniversity of Navarra School of Medicine, Pamplona, Spain.
Ian Morales-GutiérrezUniversity of Navarra School of Medicine, Pamplona, Spain.
Alexandra RomeroUniversity of Navarra School of Medicine, Pamplona, Spain.
Paula Santiago-MartínezUniversity of Navarra School of Medicine, Pamplona, Spain.
Gabriela SawczynUniversity of Navarra School of Medicine, Pamplona, Spain.
Adrián VahamakiUniversity of Navarra School of Medicine, Pamplona, Spain.
Judith Urtubia-FernandezUniversity of Navarra School of Medicine, Pamplona, Spain.
Rocio ZuritaUniversity of Navarra School of Medicine, Pamplona, Spain.
Elisa MengualDepartment of Pathology, Anatomy and Physiology, University of Navarra School of Medicine, Pamplona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to the widespread use of generative artificial intelligence (GenAI) in undergraduate medical education (UGME), this study aimed to develop a set of consensus-based principles for the responsible and ethical use of GenAI, established by medical students and faculty and further validated by international medical and artificial intelligence (AI) experts.

methodsA four-round modified Delphi process, an in-person idea-generation round, two structured rating rounds, and an external expert validation round were conducted between May 2025 and February 2026. The panel included medical students (n = 13) and medical professors (n = 2) in the first three rounds, and international experts in medical education and AI (n = 9) in the final round. In Round 1, an open-ended question yielded 37 potential principles. In Rounds 2 and 3, these items were rated using a 7-point Likert scale (1 = Strongly Disagree, 7 = Strongly Agree) with space for written comments; median scores and interquartile ranges were used to assess the strength of agreement against predefined decision rules, and the principles were retained, reworded, consolidated, or excluded accordingly. In Round 4, the near-final principles were validated by 9 international experts in AI medical education, AI ethics, AI technology education, or senior medical educators involved with AI curricula.

resultsThe process identified 14 consensus-based principles for the use of GenAI in UGME.

conclusionGiven the swift adoption of GenAI in medical education, students need explicit guidance for ethical and responsible use. We established an internationally informed, expert-validated set of principles for medical students' use of GenAI through a student-partner Delphi study with external validation by a multinational expert panel. Institutions developing GenAI guidelines may adapt this framework for implementation in local educational contexts.

Indexed as

Artificial IntelligenceEducation, Medical, UndergraduateGenerative Artificial IntelligenceStudents, MedicalConsensusDelphi TechniqueHumansAI responsible useCo-designDelphiGenerative AIPrinciples of AIUndergraduate medical education

Identifiers

PMID42399988
PMCPMC13599095

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.