Traditional medical education assessment still faces issues such as insufficient diversification, weak formative assessment and feedback mechanisms, and the need to improve individualization, rigor, and precision. The in-depth integration of Artificial Intelligence (AI) technology is gradually revolutionizing the traditional assessment model, providing an innovative approach to enhance the objectivity, real-time performance, and personalization of assessment. This paper reviews the current application of AI in medical education assessment, including its advantages in empowering the diversification of assessment subjects, contextualizing skill assessment, personalizing process evaluation, refining assessment data, and intelligentizing assessment management. Meanwhile, it sorts out the practical cases of applying AI in scenarios such as multimodal assessment, laparoscopic operation evaluation, surgical video recognition, virtual standardized patients, and unmanned examination systems at The First Affiliated Hospital of Sun Yat-sen University. The study proposes an intelligent ″human-machine collaboration″ innovative ecosystem for medical education assessment centered on ″Multimodal Assessment-Accurate Feedback-Interactive Reflection-Need-Based Guidance″, which provides medical students with efficient and comprehensive dynamic assessment and real-time feedback, thereby facilitating the cultivation of their systematic thinking, critical thinking, and digital intelligence competence.
Zhang Junlong
,
Zhang Kunsong
,
Feng Shaoting
,
Tan Jinfu
,
Chen Chuanxi
,
Li Huiyan
,
Jiang Liang
,
Chen Shuying
,
Huang Yingxiong
. Exploration and practice of the innovation ecosystem for artificial intelligence-enabled medical education assessment system[J]. Chinese Journal of Medical Education, 2025
, 45(12)
: 911
-915
.
DOI: 10.3760/cma.j.cn115259-20250531-00610
[1] 桂顺平,余昕烊. 英国高校教师评价体系特点及对我国医学本科教学质量的思考[J].中华医学教育探索杂志,2025,24(5):604-608. DOI:10.3760/cma.j.cn116021-20241015-01947.
[2] 王言之,费娇娇. 医教背景下教学反馈评价实施现状的定性分析[J].临床医药实践, 2022, 31 (11): 846-849. DOI:10.16047/j.cnki.cn14-1300/r.2022.11.015.
[3] 李辉雁, 黄应雄, 顾宏林, 等. 形成性评价赋能临床教师:同质化教学的探索与实践[J].中国毕业后医学教育,2024,8(8):603-607. DOI: 10.3969/j.issn.2096-4293.2024.08.010.
[4] 周小芹,刘慧珍,王婷,等. 人工智能赋能医学领域的挑战与发展方向[J]. 中国胸心血管外科临床杂志, 2025, 32 (2): 244-251. DOI:10.7507/1007-4848.202407041.
[5] 张俊祥,李传富,吕维富. 人工智能在医学教育、科研和临床实践中的应用前景与挑战[J].中华全科医学,2024,22(7):1085-1089. DOI:10.16766/j.cnki.issn.1674-4152.003572.
[6] 宋超,章文,洪云霞,等. 医学虚拟仿真教学的人工智能化前景探讨[J].医学教育研究与实践,2023,31(5):515-519. DOI:10.13555/j.cnki.c.m.e.2023.05.001.
[7] 王静雯,王伟,唐俊军. 增强现实技术在心脏磁共振住院医师规范化培训教学中的应用[J].中华医学教育探索杂志,2024,23(8):1144-1148. DOI:10.3760/cma.j.cn116021-20230105-01847.
[8] Aurello P, Pace M, Goglia M, et al. Enhancing surgical education through artificial intelligence in the era of digital surgery[J]. Am Surg, 2025,91(11):1942-1948. DOI: 10.1177/00031348251346539.
[9] 冯婷婷,王佳贺. 数字孪生技术应用于全科医师继续医学教育的思考[J].中国医学教育技术,2025,39(2):206-209,234. DOI:10.13566/j.cnki.cmet.cn61-1317/g4.202502010.
[10] Hamilton BC,Dairywala MI, Highet A, et al. Artificial intelligence based real-time video ergonomic assessment and training improves resident ergonomics[J]. Am J Surg, 2023,226(5):741-746. DOI: 10.1016/j.amjsurg.2023.07.028.
[11] Khan AA, Khan AR, Munshi S, et al. Assessing the performance of ChatGPT in medical ethical decision-making: a comparative study with USMLE-based scenarios[J]. J Med Ethics, 2025,51(10):693-699. DOI: 10.1136/jme-2024-110240.
[12] 郝悦,张荣杰,钟华. 人工智能在外训学员血管外科教学中的应用与展望[J].中华医学教育探索杂志,2025,24(2):155-159. DOI:10.3760/cma.j.cn116021-20240511-01960.
[13] Gordon M, Daniel M,Ajiboye A, et al. A scoping review of artificial intelligence in medical education: BEME Guide No. 84[J]. Med Teach, 2024,46(4):446-470. DOI: 10.1080/0142159X.2024.2314198.
[14] Moorman SJ. Prof-in-a-Box: using internet-videoconferencing to assist students in the gross anatomy laboratory[J]. BMC Med Educ, 2006,6:55. DOI: 10.1186/1472-6920-6-55.
[15] Beyhoff N, Zhu M, Zanders L, et al. Teleproctoring for training in structural heart interventions: initial real-world experience during the COVID-19 pandemic[J]. J Am Heart Assoc, 2022,11(4):e023757. DOI: 10.1161/JAHA.121.023757.
[16] Nigam A, Pasricha R, Singh T, et al.A systematic review on AI-based proctoring systems: past, present and future[J]. Educ Inf Technol (Dordr), 2021,26(5):6421-6445. DOI: 10.1007/s10639-021-10597-x.
[17] Schwengel D,Villagrán I, Miller G, et al. Multimodal assessment in clinical simulations: a guide for moving towards precision education[J]. Med Sci Educ, 2025,35(2):1025-1034. DOI: 10.1007/s40670-024-02221-7.
[18] Matthews EB,Lerman D, Beach N, et al.″It′s like having that supervisor in the room″: examining AI as a reflective partner[J]. Psychother Res,2025 :1-12. DOI: 10.1080/10503307.2025.2569047.