Evidence map›Paper›PMID 42732410›Full record

ReviewAdvances in medical education and practice2026

Effects of Artificial Intelligence-Supported Education on Critical Thinking, Problem-Solving, Clinical Reasoning, and Decision-Making in Health Science Education: A Systematic Review of Interventional Studies.

Anas Ali Alhur, Nouf Khalid Al-Kahtani, Emad A Mahgoub

Abstract readReview
In one paragraph

Review in Advances in medical education and practice, 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. Article
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

3 authors.

Anas Ali AlhurDepartment of Health Information Management and Technology, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.ORCID 0000-0001-6044-7072
Nouf Khalid Al-KahtaniDepartment of Health Information Management and Technology, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.ORCID 0000-0003-0211-5461
Emad A MahgoubDepartment of Health Psychology, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Artificial intelligence (AI) is increasingly incorporated into health science education through diagnostic systems, intelligent tutoring systems, adaptive learning platforms, chatbots, virtual patients, and large language models. However, its effects on higher-order cognitive skills remain uncertain. Objective: To synthesize interventional evidence on the effects of AI-supported education on critical thinking, problem-solving, clinical reasoning, and decision-making among health science learners. Methods: This systematic review followed PRISMA 2020 and a prospectively registered protocol (PROSPERO CRD420251128495). PubMed, Scopus, the Cochrane Library, Google Scholar, and supplementary sources were searched for interventional studies evaluating AI-supported education and at least one of four predefined cognitive outcomes: critical thinking, problem-solving, clinical reasoning, or decision-making. Searches were updated through 24 August 2026. Randomized studies were assessed using RoB 2, non-randomized intervention studies using ROBINS-I, and quasi-experimental studies using JBI critical appraisal criteria. Findings were synthesized narratively and classified as positive, null, mixed, or negative. Results: Twenty-nine interventional studies involving 2138 participants met the eligibility criteria. The included studies evaluated conventional and generative AI technologies, including diagnostic AI systems, intelligent tutoring systems, AI-enabled chatbots, generative image systems, and large language models. Findings varied across the four cognitive outcomes. Structured AI-supported interventions frequently demonstrated favorable effects on selected clinical reasoning, decision-making, problem-solving, and critical-thinking outcomes; however, null, mixed, and negative findings were also reported, particularly when AI was compared with established educational resources or used without structured instructional guidance. Conclusion: AI-supported education may enhance selected higher-order cognitive outcomes among health science learners, but the evidence is inconsistent across technologies, instructional designs, comparators, and cognitive constructs. Structured integration that preserves active learner engagement and independent reasoning appears important. Further rigorous studies using validated outcome measures and assessments of sustained, unaided performance are needed.

Indexed as

artificial intelligenceclinical reasoningcritical thinkingdecision-makinghealth science educationproblem-solvingsystematic review

Identifiers

PMID42732410
PMCPMC13570614

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.