Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Nov 4:10:e51446.
doi: 10.2196/51446.

The Potential of Artificial Intelligence Tools for Reducing Uncertainty in Medicine and Directions for Medical Education

Affiliations

The Potential of Artificial Intelligence Tools for Reducing Uncertainty in Medicine and Directions for Medical Education

Sauliha Rabia Alli et al. JMIR Med Educ. .

Abstract

In the field of medicine, uncertainty is inherent. Physicians are asked to make decisions on a daily basis without complete certainty, whether it is in understanding the patient's problem, performing the physical examination, interpreting the findings of diagnostic tests, or proposing a management plan. The reasons for this uncertainty are widespread, including the lack of knowledge about the patient, individual physician limitations, and the limited predictive power of objective diagnostic tools. This uncertainty poses significant problems in providing competent patient care. Research efforts and teaching are attempts to reduce uncertainty that have now become inherent to medicine. Despite this, uncertainty is rampant. Artificial intelligence (AI) tools, which are being rapidly developed and integrated into practice, may change the way we navigate uncertainty. In their strongest forms, AI tools may have the ability to improve data collection on diseases, patient beliefs, values, and preferences, thereby allowing more time for physician-patient communication. By using methods not previously considered, these tools hold the potential to reduce the uncertainty in medicine, such as those arising due to the lack of clinical information and provider skill and bias. Despite this possibility, there has been considerable resistance to the implementation of AI tools in medical practice. In this viewpoint article, we discuss the impact of AI on medical uncertainty and discuss practical approaches to teaching the use of AI tools in medical schools and residency training programs, including AI ethics, real-world skills, and technological aptitude.

Keywords: artificial intelligence; clinical decision-making; generative AI; generative artificial intelligence; machine learning; medical education; uncertainty.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: SD is a member of the advisory board of the Subcortical Surgery Group. He is a member of the speakers bureau for the Congress of Neurological Surgeons and American Association of Neurological Surgeons. He receives research funding from Synaptive and VPIX. He receives royalty payments from Oxford University Press. He serves as the provincial lead for CNS Cancers, Ontario Health (Cancer Care Ontario). RU has received research funding from the Canadian Institutes of Health Research, Health Canada and Wellcome Trust. He serves on advisory boards for the World Health Organization, Doctors Without Borders, the College of Family Physicians of Canada, the Royal College of Physicians and Surgeons of Canada, and the Canadian Medical Association.

References

    1. Hillen MA, Gutheil CM, Strout TD, Smets EMA, Han PKJ. Tolerance of uncertainty: conceptual analysis, integrative model, and implications for healthcare. Soc Sci Med. 2017 May;180:62–75. doi: 10.1016/j.socscimed.2017.03.024. doi. Medline. - DOI - PubMed
    1. Albrecht O. In: Handbook of Social Studies in Health and Medicine. Gary LA, Ray F, Susan CS, editors. Sage Publications; 2000. doi. - DOI
    1. Simpkin AL, Schwartzstein RM. Tolerating uncertainty - the next medical revolution? N Engl J Med. 2016 Nov 3;375(18):1713–1715. doi: 10.1056/NEJMp1606402. doi. Medline. - DOI - PubMed
    1. Kiureghian AD, Ditlevsen O. Aleatory or epistemic? Does it matter? Struct Saf. 2009 Mar;31(2):105–112. doi: 10.1016/j.strusafe.2008.06.020. doi. - DOI
    1. Djulbegovic B, Hozo I, Greenland S. Philosophy of Medicine. Elsevier; 2011. Uncertainty in clinical medicine; pp. 299–356. doi. - DOI

LinkOut - more resources