Artificial Intelligence in Medical Education: Opportunities, Risks, and Guardrails
In this episode of The Pediatric Lounge, the hosts welcome back Dr. Rani Gareige, director of medical education and designated institutional official at Nicklaus Children’s Hospital and a clinical professor at Florida International University, to discuss artificial intelligence in medical education now and in the future. They preview Nicklaus Children’s Hospital’s 61st annual postgraduate pediatrics CME conference in Fort Lauderdale (Hilton Marina Resort, March 20–22), highlighting sessions on IBD, short stature, dermatology, psychological screening, AI in practice management, social media communication, genetic testing/personalized medicine, and Florida’s new requirement for EKG screening to clear athletes starting ninth grade.
The conversation covers common AI tools learners use (ChatGPT, Claude, OpenEvidence) and institutional concerns about HIPAA/PHI, including blocking public tools and using a secure in-house system (“Ask Nick”) and closed or constrained approaches (e.g., tools that search only approved sources or documents provided, such as Google Notebook).
They explore concerns about de-skilling and when to introduce AI in training, faculty development needs, and a precepting framework (DEFT-AI: Diagnosis, Evidence, Feedback, Teaching, and Recommendations for AI use) to assess clinical reasoning. The episode also discusses AI for simulated patient interactions (bad news delivery, motivational interviewing), ambient AI scribing pilots, clinician responsibility to review notes, and AI-driven coding that may reduce undercoding and administrative burden. The discussion concludes that AI will not replace physicians, but clinicians who use AI wisely may replace those who do not, stressing the importance of policies, ethics, transparency, and maintaining empathy and the art of medicine.
00:00 Podcast Intro and Guest
02:25 CME Conference Details
03:13 Hot Topics and New Laws
04:44 EKG Screening Program
07:42 AI Tools in Training
11:42 IRB and Data Privacy
14:39 Meeting Minutes Automation
16:48 Closed Models for Clinicians
19:13 AI Hallucinations and References
24:16 Deskilling and Timing AI
30:11 Teaching Frameworks for AI
32:46 Back to Evidence Basics
33:40 Questioning the Evidence
34:48 AI and Human Empathy
37:45 AI as Clinical Assistant
41:01 Recertification in the AI Era
46:32 Ethics and Prompting
50:40 AI Scribing and Guardrails
54:35 Coding and Care Gaps
57:15 Future of Medical Education
01:01:13 Virtual Trials and Wrap-Up
01:0
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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.
The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.
