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Enterprise AI Analysis: Teaching the bioethics of information technologies and artificial intelligence in healthcare: Case-based learning for identifying and addressing ethical issues

Enterprise AI Analysis

Teaching the bioethics of information technologies and artificial intelligence in healthcare: Case-based learning for identifying and addressing ethical issues

As applications of artificial intelligence (AI) integrate rapidly into healthcare, there is a pressing need for educational strategies to prepare various health professionals to identify, interrogate, and address AI-related ethical challenges. However, few pedagogical resources exist to support end users as they consider the ethical dimensions of healthcare AI. Involving highly technical elements and emerging regulatory structures, healthcare AI presents unique challenges to educators. The rapid pace of AI innovation and lack of transparency behind AI algorithms can limit opportunities to examine nuanced ethical themes related to algorithmic biases and validation. These limitations have far reaching implications when applied in practice, raising broader ethical concerns related to end-use and public trust, distribution of accountability for clinical decisions, and oversight of healthcare AI. While evidence supports the use of case-based learning in ethics education, the complexity of AI technologies demands careful consideration for how to integrate case-based learning into ethics education. In this paper, the authors describe pedagogical strategies used in an AI ethics course for healthcare professionals and biomedical scientists. Drawing on their experiences in teaching the course over three years, the authors describe the use of AI cases to promote consideration of ethical implications of AI among professionals whose careers may be impacted by the integration of AI-enabled technologies into healthcare. The authors close with reflections and lessons learned on the promises and challenges of graduate education as a tool in the responsible integration of AI into healthcare.

Executive Impact

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0 Years teaching the AI ethics course
0 Key ethical concerns addressed (Autonomy, Privacy, Transparency, Trust, Bias, Fairness, Governance)
0 Weeks in the graduate course curriculum

Deep Analysis & Enterprise Applications

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The course utilizes a framework of ethical principles including Autonomy, Privacy, Confidentiality, Responsibility, Transparency, Accountability, Trustworthiness, Accounting for Bias, Fairness, Justice, and Governance. These principles guide students in understanding and addressing AI's ethical implications in healthcare.

Case-based learning is foundational for this course, allowing students to apply theoretical principles to real-world scenarios. It fosters decision-making skills, self-reflection, and enables learners to implement cognitive reasoning strategies in a low-stakes environment, addressing ambiguity and high-risk aspects of AI in healthcare.

Applications of AI/IT are rapidly integrating into healthcare, from predictive analytics and generative AI to clinical decision support and patient-facing tools. This creates unique ethical challenges related to data bias, transparency, accountability, and patient autonomy, requiring specialized education.

83% Diagnostic error rate of GPT 3.5 in pediatric case studies (Barile et al. 2024)

Educational Design Process

Identify Ethical Concerns (Autonomy, Privacy, Bias, etc.)
Develop Evaluative Framework
Evaluate Emerging Technologies
Engage in Informed Conversation

AI Ethics Education vs. Traditional Bioethics

Aspect Traditional Bioethics AI Ethics Education
Focus
  • Moral dilemmas at bedside, individual conflicts
  • Systemic AI applications, transparency, bias, accountability
Pedagogy
  • Historical case scenarios, theoretical frameworks
  • Real-world AI cases, stakeholder perspectives, technical understanding
Scope
  • Primarily clinician-patient interactions
  • End-users, developers, patients, regulatory bodies, institutional decision-making
Challenges
  • Limited by historical context
  • Rapid innovation, lack of transparency, faculty expertise

Case Study 1: LLM in EHR for Patient Inquiries

A health information company partnered with a technology company to integrate generative AI (LLM) into the EHR. Dr. S used the LLM to draft a response to a patient's blood pressure inquiry. Later, he discovered the LLM used outdated cutoffs, creating a dilemma about patient trust and his clinical expertise.

Key Ethical Issues

  • Transparency of AI algorithms and data provenance (outdated information)
  • Impact on clinician-patient relationship and trust
  • Professional judgment vs. AI-generated recommendations
  • Accountability for AI errors

Recommendations

  • Implement robust validation processes for AI-generated content in EHR
  • Ensure clear disclosure of AI assistance to patients
  • Provide training for clinicians on critically evaluating AI outputs
  • Establish clear guidelines for responsibility when AI provides incorrect information

Advanced ROI Calculator

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Implementation Roadmap

A structured approach to integrating AI ethics into your enterprise.

Phase 1: Foundational Knowledge

Introduce AI/IT basics, ethical frameworks, and historical context through didactic lectures and readings.

Phase 2: Case-Based Application

Engage students in real-world AI cases, fostering discussion and problem-solving in small groups.

Phase 3: Deep Dive & Customization

Students research and present their own AI ethics cases, tailored to their professional interests.

Phase 4: Continuous Iteration

Regularly update course content, cases, and guest speakers based on AI advancements and student feedback.

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