<?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:googleplay="http://www.google.com/schemas/play-podcasts/1.0"><channel><title><![CDATA[AI × MedEd]]></title><description><![CDATA[I'm a medical educator. I read the literature so you don't have to, then write one short letter every Monday. For faculty, residents, curriculum leads, and anyone in higher ed who teaches.]]></description><link>https://newsletter.aomalley.com</link><image><url>https://substackcdn.com/image/fetch/$s_!XUtj!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fecbf160b-deb3-47ba-b379-5de94f7e34ff_400x400.png</url><title>AI × MedEd</title><link>https://newsletter.aomalley.com</link></image><generator>Substack</generator><lastBuildDate>Mon, 28 Sep 2026 23:22:27 GMT</lastBuildDate><atom:link href="https://newsletter.aomalley.com/feed" rel="self" type="application/rss+xml"/><copyright><![CDATA[Andrew O’Malley]]></copyright><language><![CDATA[en]]></language><webMaster><![CDATA[andrewomalley@substack.com]]></webMaster><itunes:owner><itunes:email><![CDATA[andrewomalley@substack.com]]></itunes:email><itunes:name><![CDATA[Andrew O'Malley PhD]]></itunes:name></itunes:owner><itunes:author><![CDATA[Andrew O'Malley PhD]]></itunes:author><googleplay:owner><![CDATA[andrewomalley@substack.com]]></googleplay:owner><googleplay:email><![CDATA[andrewomalley@substack.com]]></googleplay:email><googleplay:author><![CDATA[Andrew O'Malley PhD]]></googleplay:author><itunes:block><![CDATA[Yes]]></itunes:block><item><title><![CDATA[Better than nothing, or better than us?]]></title><description><![CDATA[Adoption of generative AI in medical education has outrun the evidence, the competencies and the institutional rules, with a new meta-analysis unable to separate AI instruction from a good teacher.]]></description><link>https://newsletter.aomalley.com/p/better-than-nothing-or-better-than</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/better-than-nothing-or-better-than</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Mon, 28 Sep 2026 07:37:32 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/f730aeda-d99e-4b70-bfd3-b58d09281af6_1376x768.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<blockquote><h3>This Week in MedEd</h3><p>16 open funding calls, 57 upcoming events, 60 live jobs (21 new, 11 closing this week), including:</p><ul><li><p>&#128176; Digital Skills and Jobs Platform: National Coalitions for Digital Skills and Jobs (up to &#8364;2M from the European Commission&#8217;s Digital Europe Programme, deadline 1 Oct 2026)</p></li><li><p>&#127891; 2027 AAMC Medical Education Innovation Conference (Indianapolis, IN, 17-20 Apr 2027)</p></li><li><p>&#128188; Assistant/Associate Professor in AI for Medical Education (Duke-NUS Medical School, Singapore)</p></li></ul><p>The full list, with deadlines, links and eligibility, is one tap away. <a href="https://www.aomalley.com/3860c8b9">Try everything free for 30 days.</a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.aomalley.com/subscribe?coupon=3860c8b9&amp;utm_content=208330611&quot;,&quot;text&quot;:&quot;Get 30 day free trial&quot;,&quot;action&quot;:null,&quot;class&quot;:&quot;button-wrapper&quot;}" data-component-name="ButtonCreateButton"><a class="button primary button-wrapper" href="https://www.aomalley.com/subscribe?coupon=3860c8b9&amp;utm_content=208330611"><span>Get 30 day free trial</span></a></p></blockquote><div class="callout-block" data-callout="true"><p><strong>Key points</strong></p><ul><li><p>Across four randomised trials, AI-assisted surgical skills training was statistically indistinguishable from expert human instruction.</p></li><li><p>The apparent benefit of AI training shows up only when the comparator is doing very little.</p></li><li><p>96.3% of medical and health science students at one UK school had used generative AI academically, but only 40.0% had received any formal training in it.</p></li><li><p>Students who had been trained reported significantly <em>lower</em> trust in AI outputs, which is probably the point of training.</p></li><li><p>A 30-author international working group has published seven domains and 24 learning objectives, and is asking the ACGME and national Royal Colleges to make AI competency a required and assessable element of training.</p></li></ul></div><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JzsN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" width="1456" height="73" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:73,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3722,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:&quot;&quot;,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw" fetchpriority="high"></picture><div></div></div></a></figure></div><p><strong>Cai et al.</strong> undertook a systematic review and meta-analysis of studies that looked at AI-assisted training for operative technical skills<a class="footnote-anchor" data-component-name="FootnoteAnchorToDOM" id="footnote-anchor-1" href="#footnote-1" target="_self">1</a>. The review surfaced nine studies comprising 588 participants. The headline pooled effect was not significant and wide, but the subgroup analysis is very interest interesting:</p><ul><li><p>Against active human instruction the pooled effect was 0.13 (95% CI &#8722;0.24 to 0.51, P = 0.48). </p></li><li><p>Against passive conditions or training without AI it was 0.94 (95% CI 0.30 to 1.59, P = 0.004). </p></li></ul><p>So it seems that the apparent advantage of AI-assisted training is greatest when the alternative is not being taught very much. Set against a competent human teacher, it disappears. </p><p>There is a caveat, though. The certainty of evidence was rated low<strong> </strong>under GRADE, downgraded for risk of bias and imprecision, and to their credit the authors, they call the passive-comparator result "exploratory" rather than presenting it as a settled finding. </p><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JzsN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" width="1456" height="73" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:73,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3722,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw"></picture><div></div></div></a></figure></div><p><strong>Effiong and Effiong </strong>surveyed 128 medical and health science students at the University of Birmingham<a class="footnote-anchor" data-component-name="FootnoteAnchorToDOM" id="footnote-anchor-2" href="#footnote-2" target="_self">2</a>. They found that <strong>96.3%</strong> of students were using genAI, but only <strong>40.0% </strong>reported receiving any formal training. This finding is not particularly illuminating, and confirms what we already know from much larger national survey, such as the <a href="https://www.hepi.ac.uk/reports/student-generative-ai-survey-2026/">HEPI Student Generative Artificial Intelligence Survey</a>.</p><p>There was another finding, which has also been reported previously, that caught my eye: students who had received training reported significantly lower trust in AI outputs (Mann-Whitney U = 321.50, p = .004, surviving Bonferroni correction). </p><p>This is super interesting to me. It suggests that training does not produce enthusiasts, it produces sceptics. <strong>I think we are beginning to build up a picture of factors that are protective against AI slop.</strong> In addition to additive training, there might also be personality traits that contribute to this. I previously wrote about this concept during the spring:</p><div class="digest-post-embed" data-attrs="{&quot;nodeId&quot;:&quot;093acbab-51f7-40c6-bebe-b810d94b0229&quot;,&quot;caption&quot;:&quot;Generative artificial intelligence is rapidly entering medical curricula, prompting widespread concern about learners uncritically accepting inaccurate outputs. However, a fascinating new study suggests that a student&#8217;s own personality might serve as a built-in safeguard against this phenomenon. This week, we explore the intersection of human psychology&#8230;&quot;,&quot;cta&quot;:null,&quot;showBylines&quot;:true,&quot;showDescription&quot;:true,&quot;showImage&quot;:true,&quot;size&quot;:&quot;sm&quot;,&quot;isEditorNode&quot;:true,&quot;title&quot;:&quot;The Personality Filter: Are Some Medical Students Naturally Resistant to AI Slop?&quot;,&quot;publishedBylines&quot;:[{&quot;id&quot;:41703450,&quot;name&quot;:&quot;Andrew O'Malley PhD&quot;,&quot;bio&quot;:&quot;I&#8217;m a Senior Lecturer at the University of St Andrews Medical School. I specialise in generative AI (genAI), medical education (MedEd), and digital assessment &#8212; with a particular focus on safety, bias, and implementation in real-world teaching.&quot;,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c7dbcf94-910c-4b22-b818-c7cf13cf619b_896x898.png&quot;,&quot;is_guest&quot;:false,&quot;bestseller_tier&quot;:null}],&quot;post_date&quot;:&quot;2026-03-02T06:49:57.574Z&quot;,&quot;cover_image&quot;:&quot;https://substackcdn.com/image/fetch/$s_!KQl2!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F681bbfaf-122c-494d-a6ed-bb3275a86fde_2816x1536.png&quot;,&quot;cover_image_alt&quot;:null,&quot;canonical_url&quot;:&quot;https://www.aomalley.com/p/the-personality-filter-are-some-medical&quot;,&quot;section_name&quot;:null,&quot;video_upload_id&quot;:null,&quot;id&quot;:189623846,&quot;type&quot;:&quot;newsletter&quot;,&quot;reaction_count&quot;:6,&quot;comment_count&quot;:0,&quot;publication_id&quot;:4656903,&quot;publication_name&quot;:&quot;AI &#215; MedEd&quot;,&quot;publication_logo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!XUtj!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fecbf160b-deb3-47ba-b379-5de94f7e34ff_400x400.png&quot;,&quot;belowTheFold&quot;:true,&quot;youtube_url&quot;:null,&quot;show_links&quot;:null,&quot;feed_url&quot;:null}"></div><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JzsN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" width="1456" height="73" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:73,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3722,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></a></figure></div><p><strong>Rosella et al.</strong> ask "what should we actually teach" in relation to GenAI<a class="footnote-anchor" data-component-name="FootnoteAnchorToDOM" id="footnote-anchor-3" href="#footnote-3" target="_self">3</a>. Writing in <em>npj Digital Medicine</em>, an International AI in Medicine Education Working Group drawn from 23 universities and healthcare centres sets out seven domains and 24 learning objectives, aimed at undergraduate medical education but adaptable to other contexts. The domains are:</p><ol><li><p>fundamentals</p></li><li><p>quality of evidence</p></li><li><p>responsible healthcare AI</p></li><li><p>deployment, post-deployment monitoring, evaluation and oversight</p></li><li><p>leadership and change management</p></li><li><p>anticipating future trends</p></li><li><p>case studies. </p></li></ol><p>The first three build appraisal skills, the next three extend into implementation, and the last integrates everything through case-based reasoning. </p><p>The report is refreshingly honest. They report real disagreement about how much technical depth clinicians need, settling on conceptual fluency because "the aim is not to train all clinicians to become AI developers". They also found responsible AI was "the domain where the widest variation in curricula existed", with some programmes running standalone ethics modules and others barely addressing it. </p><p>They close by asking the ACGME and national Royal Colleges to treat AI competency as required and assessable. As with many of these &#8216;frameworks&#8217; papers, its worth noting that this is expert consensus rather than a formal Delphi, and their recommendations have not been validated in any way.</p><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JzsN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" width="1456" height="73" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:73,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3722,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></a></figure></div><p>I&#8217;ve written before about my frustration at the absolute glut of data-lite frameworks in AI x MedEd literature and conferences.<strong> Ghavami Hoseinpour et al.</strong> have produced another one by synthesising 25 articles into a five-domain ethical framework<a class="footnote-anchor" data-component-name="FootnoteAnchorToDOM" id="footnote-anchor-4" href="#footnote-4" target="_self">4</a>:</p><ol><li><p>ethical foundations</p></li><li><p>educational integration and curriculum governance</p></li><li><p>clinical training and human oversight</p></li><li><p>assessment and academic integrity</p></li><li><p>data governance</p></li></ol><p>While the framework is sensible, I'm not sure it adds much. The useful part of this paper, and the reason I've included it here, is their critique of frameworks in general. They find that "implementation strategies remain largely abstract, with minimal empirical validation", that institutions risk "ethics washing" by endorsing principles without building accountability, and that the field keeps framing algorithmic bias as a technical flaw rather than "a reflection of broader institutional, historical, and sociocultural inequities embedded within medical education systems themselves". </p><p>They also note that student perspectives are nearly absent from this literature, which they attribute to learners being positioned as passive recipients of systems designed for them. </p><p>Ironically the authors also say that their own framework "remains a preliminary conceptual model that has not yet undergone formal validation", which is bold for a paper criticising unvalidated frameworks!</p><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JzsN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" width="1456" height="73" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:73,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3722,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></a></figure></div><p>Based on these papers I think the problem is reasonably clear. Cai et al. show that the best randomised evidence we have cannot distinguish AI instruction from a good teacher. Effiong and Effiong (and lots of other studies before them) show that near-universal adoption happened anyway, with the majority untrained. Rosella et al. and Ghavami Hoseinpour et al. argue that AI use should be governed as an ongoing commitment rather than a one-off.</p><p>If AI's demonstrated advantage is over poor teaching rather than good teaching, then every deployment decision is really a question about what it replaces. Swapping a supervised session for a chatbot is not supported by this evidence. Filling the hours between timetabled teaching, when most students currently get nothing at all, probably is. </p><div class="footnote" data-component-name="FootnoteToDOM"><a id="footnote-1" href="#footnote-anchor-1" class="footnote-number" contenteditable="false" target="_self">1</a><div class="footnote-content"><p>Cai M, Luo B, Xiang Q, Wang P. Artificial intelligence-assisted surgical skill acquisition: a systematic review and meta-analysis of randomized controlled trials. <em>BMC Medical Education</em>. 2026. <a href="https://doi.org/10.1186/s12909-026-10257-z">https://doi.org/10.1186/s12909-026-10257-z</a></p></div></div><div class="footnote" data-component-name="FootnoteToDOM"><a id="footnote-2" href="#footnote-anchor-2" class="footnote-number" contenteditable="false" target="_self">2</a><div class="footnote-content"><p>Effiong I, Effiong CJ. Generative AI, social normalisation, and the governance gap: a cross-disciplinary study of AI adoption and sustainability in UK medical education. <em>BMC Medical Education</em>. 2026. <a href="https://doi.org/10.1186/s12909-026-10330-7">https://doi.org/10.1186/s12909-026-10330-7</a></p></div></div><div class="footnote" data-component-name="FootnoteToDOM"><a id="footnote-3" href="#footnote-anchor-3" class="footnote-number" contenteditable="false" target="_self">3</a><div class="footnote-content"><p>Rosella LC, Aphinyanaphongs Y, Barry J, et al. A global framework for artificial intelligence education in medicine: international working group recommendations. <em>npj Digital Medicine</em>. 2026. <a href="https://doi.org/10.1038/s41746-026-03197-x">https://doi.org/10.1038/s41746-026-03197-x</a></p></div></div><div class="footnote" data-component-name="FootnoteToDOM"><a id="footnote-4" href="#footnote-anchor-4" class="footnote-number" contenteditable="false" target="_self">4</a><div class="footnote-content"><p>Ghavami Hoseinpour B, Karimian Z, Zarifsanaiey N, Hooshmandja M, Emadi N. Toward a context-specific ethical framework for artificial intelligence in medical education: a critical narrative review informed by a systematic literature search. <em>BMC Medical Education</em>. 2026. <a href="https://doi.org/10.1186/s12909-026-10240-8">https://doi.org/10.1186/s12909-026-10240-8</a></p></div></div>]]></content:encoded></item><item><title><![CDATA[Can AI play the patient?]]></title><description><![CDATA[Nearly half of all implemented AI in clinical skills teaching is now a virtual patient, but the evidence for what it does to learning is still thin.]]></description><link>https://newsletter.aomalley.com/p/can-ai-play-the-patient</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/can-ai-play-the-patient</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Mon, 14 Sep 2026 14:47:03 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/85b43700-36bc-41e0-8b0e-8eb57f6cf207_2752x1536.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<blockquote><h3>This Week in MedEd</h3><p>9 open funding calls, 40 upcoming events, 47 live jobs (22 new, 15 closing this week), including:</p><ul><li><p>&#128176; Medical Student Education Program (up to $1.625M from the US Health Resources and Services Administration, deadline 1 Sep 2026)</p></li><li><p>&#127891; AI in the Global Classroom: Between Innovation and Inequity (ASME MEGAbite, online, 9 Sep 2026)</p></li><li><p>&#128188; Faculty Open Rank (Tenure), Data Science and AI in Health Professions Education (University of Illinois Chicago)</p></li></ul><p>The full list, with deadlines, links and eligibility": <a href="https://www.aomalley.com/3860c8b9">Try everything free for 30 days.</a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.aomalley.com/subscribe?coupon=3860c8b9&amp;utm_content=208330611&quot;,&quot;text&quot;:&quot;Get 30 day free trial&quot;,&quot;action&quot;:null,&quot;class&quot;:&quot;button-wrapper&quot;}" data-component-name="ButtonCreateButton"><a class="button primary button-wrapper" href="https://www.aomalley.com/subscribe?coupon=3860c8b9&amp;utm_content=208330611"><span>Get 30 day free trial</span></a></p></blockquote><p>The simulated patient encounter is one of the most expensive things a medical school does. Actors have to be recruited, trained, and paid. They need car parking and cups of tea. OSCE circuits need rooms, examiners, and a whole day of everyone&#8217;s diary. Simulation centres need managers, technicians and other support staff. In the past, we had assumed that these activities would be the last to be automated, because simulation is relational, embodied, and stubbornly human.</p><p>However, that assumption is now out of date. Not only has AI become more capable and freely available, but the challenges associated with scaling traditional simulation are becoming insurmountable. I initially wrote about this capacity challenge, and the potential for AI to be part of the solution in <em>Simulation in Healthcare</em> last year<a class="footnote-anchor" data-component-name="FootnoteAnchorToDOM" id="footnote-anchor-1" href="#footnote-1" target="_self">1</a>.</p><p>I have selected four recent papers that map how AI is being used in simulation, and between them they cover the whole cycle: writing the case, playing the patient, marking the station, and running the debrief afterwards. You can read more about my own AI patient simulator, SimPatient, here: </p><div class="digest-post-embed" data-attrs="{&quot;nodeId&quot;:&quot;87d5e0ce-f9da-4613-b25f-b47893af7278&quot;,&quot;caption&quot;:&quot;Today marks an exciting milestone: we&#8217;re officially launching SimPatient.co.uk. At the same time, OpenAI for Education are featuring our work in their educator Academy &#8212; a recognition of how generative AI can meaningfully transform medical education.&quot;,&quot;cta&quot;:null,&quot;showBylines&quot;:true,&quot;showDescription&quot;:true,&quot;showImage&quot;:true,&quot;size&quot;:&quot;sm&quot;,&quot;isEditorNode&quot;:true,&quot;title&quot;:&quot;Introducing SimPatient: AI-Powered Virtual Patients for Healthcare Training&quot;,&quot;publishedBylines&quot;:[{&quot;id&quot;:41703450,&quot;name&quot;:&quot;Andrew O'Malley PhD&quot;,&quot;bio&quot;:&quot;I&#8217;m a Senior Lecturer at the University of St Andrews Medical School. I specialise in generative AI (genAI), medical education (MedEd), and digital assessment &#8212; with a particular focus on safety, bias, and implementation in real-world teaching.&quot;,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/c7dbcf94-910c-4b22-b818-c7cf13cf619b_896x898.png&quot;,&quot;is_guest&quot;:false,&quot;bestseller_tier&quot;:null}],&quot;post_date&quot;:&quot;2025-09-11T12:34:10.239Z&quot;,&quot;cover_image&quot;:&quot;https://substack-video.s3.amazonaws.com/video_upload/post/171153005/02f65234-aca9-456a-9331-ac57820ea659/transcoded-00001.png&quot;,&quot;cover_image_alt&quot;:null,&quot;canonical_url&quot;:&quot;https://www.aomalley.com/p/introducing-simpatient-ai-powered&quot;,&quot;section_name&quot;:null,&quot;video_upload_id&quot;:&quot;02f65234-aca9-456a-9331-ac57820ea659&quot;,&quot;id&quot;:171153005,&quot;type&quot;:&quot;podcast&quot;,&quot;reaction_count&quot;:12,&quot;comment_count&quot;:6,&quot;publication_id&quot;:4656903,&quot;publication_name&quot;:&quot;AI &#215; MedEd&quot;,&quot;publication_logo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!XUtj!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fecbf160b-deb3-47ba-b379-5de94f7e34ff_400x400.png&quot;,&quot;belowTheFold&quot;:false,&quot;youtube_url&quot;:null,&quot;show_links&quot;:null,&quot;feed_url&quot;:null}"></div><p><strong>Key points</strong></p><div class="callout-block" data-callout="true"><ul><li><p>Of 39 implemented AI innovations in undergraduate clinical skills curricula since 2022, 19 were LLM-powered virtual patients.</p></li><li><p>162 medical students at the Charit&#233; gained a mean of 0.94 points of self-rated communication competence (Cohen d=0.58) after one 22-minute conversation with a role-prompted GPT-4o patient.</p></li><li><p>The one case where the chatbot failed to produce a gain was motivational interviewing, which requires the simulated patient to be ambivalent and resistant rather than agreeable. This is a clear practical consequence of <em>acquiescence bias</em>, or <em>sycophancy</em>.</p></li><li><p>Across 22 OSCE studies, AI scoring agreed best with humans on visually observable tasks and worst on communication-dependent elements, with transcript-based agreement ranging from 26% to 83%.</p></li><li><p>When LLMs stood in as simulated patients, 70% of faculty rated their performance good or excellent, but 85% flagged the absence of non-verbal communication and the inability to be examined.</p></li></ul></div><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JzsN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" width="1456" height="73" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:73,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3722,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:&quot;&quot;,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw" fetchpriority="high"></picture><div></div></div></a></figure></div><p><strong><span>Thind et al.</span></strong><span> undertook a scoping review, which screened 1,130 records down to 39</span><a class="footnote-anchor" data-component-name="FootnoteAnchorToDOM" id="footnote-anchor-2" href="#footnote-2" target="_self">2</a><span>. The review describes how AI was implemented in undergraduate clinical skills teaching between January 2022 and January 2026. They identified eight categories:</span></p><ul><li><p><strong><span>LLM-based virtual patient and clinical simulation systems account for 19 of the 39 papers</span></strong></p></li><li><p><span>AI-augmented OSCE and simulation assessment (6)</span></p></li><li><p><span>Embodied and robotic simulations (4)</span></p></li><li><p><span>Procedural skills training (3)</span></p></li><li><p><span>Documentation and multimodal analytics (2 each)</span></p></li><li><p><span>Educator-facing case authoring (2)</span></p></li><li><p><span>Clinical reasoning tutoring (1). </span></p></li></ul><p><span>The pace of development is increasing; 25 of the 39 were published in 2025 alone. Feasibility and acceptability were consistently reported while longitudinal retention and transfer to real patients were almost never measured, which we have been echoed in other recent editions of this newsletter.</span></p><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JzsN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" width="1456" height="73" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:73,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3722,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></a></figure></div><p><strong><span>M&#252;ller et al.</span></strong><span> built four GPT-4o patient personas mapped to core objectives in the German national curriculum</span><a class="footnote-anchor" data-component-name="FootnoteAnchorToDOM" id="footnote-anchor-3" href="#footnote-3" target="_self">3</a><span>: </span></p><ol><li><p><span>Shared decision-making</span></p></li><li><p><span>Motivational interviewing</span></p></li><li><p><span>Sexual history taking</span></p></li><li><p><span>Breaking bad news</span></p></li></ol><p><span>A total of 162 students each had a single conversation, which lasted a median 22 minutes and a mean of 13 prompt-response pairs, then received structured AI feedback across eight criteria. </span><strong><span>Self-rated communication competence rose from 5.89 to 6.83 on a 0 to 10 scale (mean difference 0.94, Cohen d=0.58)</span></strong><span>, with significant gains in three of the four cases and the largest gains among students who started lowest. </span></p><p><span>Interestingly, motivational interviewing produced no significant change. The authors suggest this is because the AI is not very good at portraying a patient who expresses ambivalence and resistance, which "a fundamentally supportive AI chatbot may struggle to represent adequately". I think this might be the best material example of sycophancy or acquiescence bias in medical education.</span></p><p><span>Students rated the AI feedback useful (7.92 out of 10), but </span><strong><span>feedback adequacy did not correlate with competence gain at all (r=0.08, p=.32)</span></strong><span>, and the model awarded 85% to 92 of the 162 students. More sycophancy?! It should be noted that there was no control group and the student outcomes are self-reported, so read this as evidence about confidence rather than competence. </span></p><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JzsN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" width="1456" height="73" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:73,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3722,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></a></figure></div><p><strong><span>Le&#243;n-Ariza et al.</span></strong><span> completed a scoping review to consider how AI can be used to mark OSCEs</span><a class="footnote-anchor" data-component-name="FootnoteAnchorToDOM" id="footnote-anchor-4" href="#footnote-4" target="_self">4</a><span>. They screened 421 records to 22 included studies and used the FACETS and SAMR frameworks. Automated video scoring produced higher and more uniform marks than human examiners (intramuscular injection 28.23 versus 25.25, knot tying 16.07 versus 10.44), with agreement strongest for visually observable tasks and weakest for communication-dependent elements. </span></p><p><span>ChatGPT-4.0 scored clinical records at a level statistically indistinguishable from residents while 3.5 did not. When generative models played the simulated patient, 35% of faculty rated the performance excellent and another 35% good, yet 85% identified limitations in non-verbal communication and the obvious inability to be physically examined. </span></p><p>Their conclusion is that  <strong>AI currently augments rather than transforms OSCE assessment</strong>. Their paper contains the now ubiquitous recommendations / frameworks for use, including local validation before adoption in a new curriculum or language, bias audit across learner subgroups at fixed intervals, a documented appeal pathway when AI-supported scores affect progression, and a flat recommendation against fully autonomous AI scoring in high-stakes decisions.</p><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JzsN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" width="1456" height="73" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:73,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3722,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></a></figure></div><p><strong><span>Khan et al.</span></strong><span> close the loop by examining how AI can be used to support simulation debriefs</span><a class="footnote-anchor" data-component-name="FootnoteAnchorToDOM" id="footnote-anchor-5" href="#footnote-5" target="_self">5</a><span>.. Reviewing a decade of work on AI in extended reality debriefing, they identify four functions: </span></p><ol><li><p><span>Converting XR telemetry into performance analytics</span></p></li><li><p><span>Using NLP to transcribe and code the discourse</span></p></li><li><p><span>Deploying conversational agents to scaffold reflective dialogue</span></p></li><li><p><span>Fusing action, speech, gaze and physiological signals into adaptive feedback. </span></p></li></ol><p><span>The evidence base is feasibility studies, pilots and prototypes, with almost no controlled comparisons and no psychometric validation of the AI-derived metrics. They land on a hybrid model in which AI prepares transparent artefacts (transcripts, event highlights, suggested advocacy-inquiry prompts, each with timestamps and quotations) while the human facilitator retains psychological safety and high-stakes interpretation. They also flag that NLP systems mis-transcribe non-native accents, which in most medical schools is not a marginal concern. </span></p><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JzsN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" width="1456" height="73" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:73,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3722,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></a></figure></div><p>So, based on these papers, it seems that AI may be useful in some parts of the simulated encounter. Particularly ones that are observable, repeatable, and countable: generating the case, holding a conversation to a brief, checking whether a step happened, flagging the ninety seconds worth returning to. </p><p>It seems AI is poor at the parts of simulation that are relational and situated: ambivalence, non-verbal cues, professionalism, and the collective sense-making that turns an event into learning. </p><p>So, presumably if we hand the observable parts to the machine and keep the relational parts for ourselves, we should be honest that we are keeping the half we have the least evidence about. So my suggestion: use these tools to multiply the number of low-stakes repetitions a student can get before they meet a real actor, and keep the actor, the examiner, and the debrief for the encounter that actually counts.</p><div class="footnote" data-component-name="FootnoteToDOM"><a id="footnote-1" href="#footnote-anchor-1" class="footnote-number" contenteditable="false" target="_self">1</a><div class="footnote-content"><p>O&#8217;Malley, A. (2025). Reflections on Confronting a Capacity Challenge With an AI-Powered Patient Simulator (SimPatient). Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 21(3), 209&#8211;210. https://doi.org/10.1097/SIH.0000000000000890</p></div></div><div class="footnote" data-component-name="FootnoteToDOM"><a id="footnote-2" href="#footnote-anchor-2" class="footnote-number" contenteditable="false" target="_self">2</a><div class="footnote-content"><p><span>Thind BS, Javidi D, Schwartz LM. Artificial intelligence in undergraduate medical education clinical skills curricula: a scoping review of implementations since 2022. </span><em><span>Frontiers in Digital Health</span></em><span>. 2026;8:1830254. </span><a href="https://doi.org/10.3389/fdgth.2026.1830254"><span>https://doi.org/10.3389/fdgth.2026.1830254</span></a></p></div></div><div class="footnote" data-component-name="FootnoteToDOM"><a id="footnote-3" href="#footnote-anchor-3" class="footnote-number" contenteditable="false" target="_self">3</a><div class="footnote-content"><p><span>M&#252;ller Y, Lemberg H, Gellert P, Zoellick JC. Training Empathetic Communication Skills in Medical Students With a Role-Prompted GPT-4o Chatbot: Quasi-Experimental Intervention Study. </span><em><span>JMIR Medical Education</span></em><span>. 2026;12:e88092. </span><a href="https://doi.org/10.2196/88092"><span>https://doi.org/10.2196/88092</span></a></p></div></div><div class="footnote" data-component-name="FootnoteToDOM"><a id="footnote-4" href="#footnote-anchor-4" class="footnote-number" contenteditable="false" target="_self">4</a><div class="footnote-content"><p><span>Le&#243;n-Ariza SA, Orobio-Pinz&#243;n MC, Ib&#225;&#241;ez-Guti&#233;rrez HM, Garc&#237;a-Serna J, Vivas-Giraldo DA. Mapping artificial intelligence integration in objective structured clinical examinations: A scoping review. </span><em><span>Medical Teacher</span></em><span>. 2026. </span><a href="https://doi.org/10.1080/0142159X.2026.2685794"><span>https://doi.org/10.1080/0142159X.2026.2685794</span></a></p></div></div><div class="footnote" data-component-name="FootnoteToDOM"><a id="footnote-5" href="#footnote-anchor-5" class="footnote-number" contenteditable="false" target="_self">5</a><div class="footnote-content"><p><span>Khan AS, Hasan S, Ismail FW. Integration of Artificial Intelligence Into Extended Reality Debriefing in Healthcare Simulation: A Narrative Review. </span><em><span>Advances in Medical Education and Practice</span></em><span>. 2026;17. </span><a href="https://doi.org/10.2147/AMEP.S578857"><span>https://doi.org/10.2147/AMEP.S578857</span></a></p></div></div>]]></content:encoded></item><item><title><![CDATA[What AI does to the doctor's mind]]></title><description><![CDATA[Four 2026 papers argue the danger is not that the model gets it wrong, but that it sounds right, and our assessments cannot tell the difference.]]></description><link>https://newsletter.aomalley.com/p/what-ai-does-to-the-doctors-mind</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/what-ai-does-to-the-doctors-mind</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Mon, 31 Aug 2026 10:29:07 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/4fe28f6a-c6cf-40c4-87e7-f25138bcbb2e_2752x1536.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<blockquote><h3>This Week in MedEd</h3><p>You may have noticed that there was no newsletter last week. I completely forgot to post anything because <a href="https://substack.com/@andrewomalley/note/c-325748360?utm_source=notes-share-action&amp;utm_medium=web">I was enjoying AMEE 2026 in Vienna</a>! However, I have continued tracking opportunities, including 9 open funding calls, 35 upcoming events, 34 live jobs (11 new, 9 closing this week), including:</p><ul><li><p>&#128176; Connecting Champions for Diversity, &#8230;</p></li></ul></blockquote>
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   ]]></content:encoded></item><item><title><![CDATA[Is Anyone Training the Trainers?]]></title><description><![CDATA[Four 2026 papers move past what students should learn about AI and ask whether the faculty teaching them are actually ready.]]></description><link>https://newsletter.aomalley.com/p/is-anyone-training-the-trainers</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/is-anyone-training-the-trainers</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Mon, 10 Aug 2026 21:02:14 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/1d3ed503-1e76-46fd-a99a-6fb12df0fea4_2752x1536.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<blockquote><h3>This Week in MedEd</h3><p>7 open funding calls, 24 upcoming events, 27 live jobs (15 new, 5 closing this week), including:</p><ul><li><p>&#128176; EdTech Accelerator (up to &#8364;2.7M for European EdTech startups and SMEs, deadline 1 Oct 2026)</p></li><li><p>&#127891; IAMSE 2026 Virtual Forum (online, global, 20-22 Oct 2026)</p></li><li><p>&#128188; Professor: AI &amp; Health (University of Johannesburg, closes 9 Aug)</p></li></ul><p>The full list, with&#8230;</p></blockquote>
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   ]]></content:encoded></item><item><title><![CDATA[How much MedEd AI research is actually happening?]]></title><description><![CDATA[Four new bibliometric studies map the literature itself, and the picture is bigger, faster and shakier than any single paper can show.]]></description><link>https://newsletter.aomalley.com/p/how-much-meded-ai-research-actually</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/how-much-meded-ai-research-actually</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Tue, 04 Aug 2026 09:18:07 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/d8328196-e1f5-4e1d-822f-832afc44ec9d_2752x1536.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<blockquote><h3>This Week in MedEd</h3><p>1 new event, 23 jobs (including 8 new and 2 closing this week), including:</p><ul><li><p>&#128176; Advanced Digital Skills for AI Uptake in Health &#8212; up to &#8364;3.9M, EU consortia, deadline 1 Oct 2026</p></li><li><p>&#127891; EBMA 2026: Annual European Conference on Assessment in Medical Education &#8212; Lancaster, UK, 1&#8211;3 Dec 2026</p></li><li><p>&#128188; Associate Dean of Digital Education &#8212; BIMM University, L&#8230;</p></li></ul></blockquote>
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   ]]></content:encoded></item><item><title><![CDATA[How I use AI in AI × MedEd]]></title><description><![CDATA[The answer may surprise you!]]></description><link>https://newsletter.aomalley.com/p/how-i-use-ai-in-ai-meded</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/how-i-use-ai-in-ai-meded</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Thu, 30 Jul 2026 09:06:11 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!vHIr!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd565fdd0-4ef1-42bd-bcd8-9682258adfd5_1760x2120.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Last week Substack took the controversial step of adding AI detection into its user interface. I can see why they did this. They are seeking to deter <a href="https://www.bbc.co.uk/news/articles/c9wx2dz2v44o">AI slop</a> from filling their platform and reward writers that produce high-quality original content. But things are never that simple&#8230;</p><div class="embedded-post-wrap" data-attrs="{&quot;id&quot;:207812763,&quot;url&quot;:&quot;https://post.substack.com/p/against-claudefishing&quot;,&quot;publication_id&quot;:737237,&quot;embedding_publication_id&quot;:4656903,&quot;publication_name&quot;:&quot;The Substack Post&quot;,&quot;publication_logo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!1xjm!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe1e216fe-08f1-48b3-9a5f-16910b271b1c_300x300.png&quot;,&quot;title&quot;:&quot;Against Claudefishing&quot;,&quot;truncated_body_text&quot;:&quot;It&#8217;s getting harder to tell what&#8217;s real on the internet.&quot;,&quot;date&quot;:&quot;2026-07-21T16:02:33.590Z&quot;,&quot;like_count&quot;:6461,&quot;comment_count&quot;:1476,&quot;bylines&quot;:[{&quot;id&quot;:2,&quot;name&quot;:&quot;Chris Best&quot;,&quot;handle&quot;:&quot;cb&quot;,&quot;previous_name&quot;:null,&quot;photo_url&quot;:&quot;https://substackcdn.com/image/fetch/f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F0ed41009-c1f9-4df4-9d3a-b2594c80c6d9_2237x2237.jpeg&quot;,&quot;bio&quot;:&quot;Co-founder &amp; CEO of Substack.&quot;,&quot;profile_set_up_at&quot;:&quot;2021-04-16T02:22:39.548Z&quot;,&quot;reader_installed_at&quot;:&quot;2021-11-29T20:42:16.752Z&quot;,&quot;publicationUsers&quot;:[{&quot;id&quot;:204377,&quot;user_id&quot;:2,&quot;publication_id&quot;:13,&quot;role&quot;:&quot;admin&quot;,&quot;public&quot;:true,&quot;is_primary&quot;:true,&quot;publication&quot;:{&quot;id&quot;:13,&quot;name&quot;:&quot;Chris Best&quot;,&quot;subdomain&quot;:&quot;cb&quot;,&quot;custom_domain&quot;:null,&quot;custom_domain_optional&quot;:false,&quot;hero_text&quot;:&quot;Co-founder and CEO of Substack&quot;,&quot;logo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/8c2cadcc-e0ba-4210-a98c-b65ffecf85a5_1280x1280.png&quot;,&quot;author_id&quot;:2,&quot;primary_user_id&quot;:2,&quot;theme_var_background_pop&quot;:&quot;#3979E0&quot;,&quot;created_at&quot;:&quot;2018-03-05T05:16:39.828Z&quot;,&quot;email_from_name&quot;:&quot;Chris Best&quot;,&quot;copyright&quot;:&quot;Chris Best&quot;,&quot;founding_plan_name&quot;:&quot;Founding Member&quot;,&quot;community_enabled&quot;:true,&quot;invite_only&quot;:false,&quot;payments_state&quot;:&quot;enabled&quot;,&quot;language&quot;:null,&quot;explicit&quot;:false,&quot;homepage_type&quot;:&quot;profile&quot;,&quot;is_personal_mode&quot;:false,&quot;logo_url_wide&quot;:null}}],&quot;is_guest&quot;:false,&quot;bestseller_tier&quot;:null,&quot;status&quot;:{&quot;bestsellerTier&quot;:null,&quot;subscriberTier&quot;:10,&quot;leaderboard&quot;:null,&quot;vip&quot;:false,&quot;badge&quot;:{&quot;type&quot;:&quot;subscriber&quot;,&quot;tier&quot;:10,&quot;accent_colors&quot;:null},&quot;subscriber&quot;:null}}],&quot;utm_campaign&quot;:null,&quot;belowTheFold&quot;:false,&quot;type&quot;:&quot;newsletter&quot;,&quot;language&quot;:&quot;en&quot;,&quot;source&quot;:null}" data-component-name="EmbeddedPostToDOM"><a class="embedded-post" native="true" href="https://post.substack.com/p/against-claudefishing?utm_source=substack&amp;utm_campaign=post_embed&amp;utm_medium=web&amp;embedding_publication_id=4656903"><div class="embedded-post-header"><img class="embedded-post-publication-logo" src="https://substackcdn.com/image/fetch/$s_!1xjm!,w_56,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fe1e216fe-08f1-48b3-9a5f-16910b271b1c_300x300.png"><span class="embedded-post-publication-name">The Substack Post</span></div><div class="embedded-post-title-wrapper"><div class="embedded-post-title">Against Claudefishing</div></div><div class="embedded-post-body">It&#8217;s getting harder to tell what&#8217;s real on the internet&#8230;</div><div class="embedded-post-cta-wrapper"><span class="embedded-post-cta">Read more</span></div><div class="embedded-post-meta">2 months ago &#183; 6461 likes &#183; 1476 comments &#183; Chris Best</div></a></div><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JzsN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" width="728" height="36.5" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:73,&quot;width&quot;:1456,&quot;resizeWidth&quot;:728,&quot;bytes&quot;:3722,&quot;alt&quot;:&quot;&quot;,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" title="" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw" fetchpriority="high"></picture><div></div></div></a></figure></div><h3>False Positives</h3><p>We have all seen instances of false positive results, when&#8230;</p>
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   ]]></content:encoded></item><item><title><![CDATA[Does AI actually teach better?]]></title><description><![CDATA[Four new meta-analyses of randomised trials reach different verdicts on whether AI-based teaching beats the traditional kind.]]></description><link>https://newsletter.aomalley.com/p/does-ai-actually-teach-better</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/does-ai-actually-teach-better</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Mon, 27 Jul 2026 07:56:45 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/f378c1d7-ba85-4e11-98d2-a8087bbd7088_2752x1536.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<blockquote><h3>This Week in MedEd</h3><p>3 new funding calls, 2 new events, 21 jobs (including 6 new and 3 close this week)</p><p>&#11088; Closes Today: University of Buckingham is hiring a Senior Lecturer, MLA Lead (Clinical), to lead its Medical Licensing Assessment programme.</p><p>The full database, with deadlines, links and eligibility, free for 30 days:</p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.aomalley.com/subscribe?coupon=3860c8b9&amp;utm_content=208330611&quot;,&quot;text&quot;:&quot;Get 30 day free trial&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.aomalley.com/subscribe?coupon=3860c8b9&amp;utm_content=208330611"><span>Get 30 day free trial</span></a></p></blockquote>
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   ]]></content:encoded></item><item><title><![CDATA[Can AI write the exam?]]></title><description><![CDATA[Four 2026 papers show AI-generated questions now match human ones on paper, but validity, fairness and the human sign-off are where the real work still sits.]]></description><link>https://newsletter.aomalley.com/p/can-ai-write-the-exam</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/can-ai-write-the-exam</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Mon, 20 Jul 2026 06:43:20 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!tFoZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F54502327-0ad1-4fa7-9d2d-8fa565672684_1376x768.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!tFoZ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F54502327-0ad1-4fa7-9d2d-8fa565672684_1376x768.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!tFoZ!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F54502327-0ad1-4fa7-9d2d-8fa565672684_1376x768.png 424w, https://substackcdn.com/image/fetch/$s_!tFoZ!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F54502327-0ad1-4fa7-9d2d-8fa565672684_1376x768.png 848w, https://substackcdn.com/image/fetch/$s_!tFoZ!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F54502327-0ad1-4fa7-9d2d-8fa565672684_1376x768.png 1272w, https://substackcdn.com/image/fetch/$s_!tFoZ!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F54502327-0ad1-4fa7-9d2d-8fa565672684_1376x768.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!tFoZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F54502327-0ad1-4fa7-9d2d-8fa565672684_1376x768.png" width="1376" height="768" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/54502327-0ad1-4fa7-9d2d-8fa565672684_1376x768.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:768,&quot;width&quot;:1376,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:1214489,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.aomalley.com/i/207470339?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F54502327-0ad1-4fa7-9d2d-8fa565672684_1376x768.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!tFoZ!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F54502327-0ad1-4fa7-9d2d-8fa565672684_1376x768.png 424w, https://substackcdn.com/image/fetch/$s_!tFoZ!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F54502327-0ad1-4fa7-9d2d-8fa565672684_1376x768.png 848w, https://substackcdn.com/image/fetch/$s_!tFoZ!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F54502327-0ad1-4fa7-9d2d-8fa565672684_1376x768.png 1272w, https://substackcdn.com/image/fetch/$s_!tFoZ!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F54502327-0ad1-4fa7-9d2d-8fa565672684_1376x768.png 1456w" sizes="100vw" fetchpriority="high"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><p>Most of the debate about AI in medical education has been about learning: how students revise, how we teach, whether a chatbot helps or hinders. Assessment has had less attention, which is odd, because assessment is where the stakes are highest. A wrong answer in a revision session is a teaching moment. A flawed item in a licensing exam is a fairness pr&#8230;</p>
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   ]]></content:encoded></item><item><title><![CDATA[One year of AI × MedEd]]></title><description><![CDATA[A year ago this week I started this newsletter. Here are some of my reflections and what comes next.]]></description><link>https://newsletter.aomalley.com/p/one-year-of-ai-meded</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/one-year-of-ai-meded</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Thu, 16 Jul 2026 12:44:11 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!wHAj!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F70b4ba9b-43c8-4b10-95f9-3a8a595a5ed6_2752x1536.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>A year ago I published the first issue of this newsletter. I wasn&#8217;t sure anyone would read it: the premise, writing about what other people have written about AI in Medical Education(!), felt very niche. But it turns out that this was actually the point, and one year on, there is a growing community of thousands of educators who regularly turn up to see&#8230;</p>
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   ]]></content:encoded></item><item><title><![CDATA[Nobody is automatically ready for AI]]></title><description><![CDATA[Three new studies show that readiness for clinical AI is shaped by personality, digital access and career fears far more than by simply growing up with the technology.]]></description><link>https://newsletter.aomalley.com/p/nobody-is-automatically-ready-for</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/nobody-is-automatically-ready-for</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Mon, 13 Jul 2026 06:18:11 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/73d59cc3-f372-4fd7-bf1d-edf56d017d1c_2752x1536.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>We tend to assume that readiness for AI will take care of itself. The current cohort of medical students has never known a world without smartphones, so surely they will absorb clinical AI the way they absorbed everything else, by osmosis and generational fluency. It is a comforting story, and this week&#8217;s papers suggest it is largely wrong. This isn&#8217;t s&#8230;</p>
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   ]]></content:encoded></item><item><title><![CDATA[Will AI build clinical reasoning, or bypass it?]]></title><description><![CDATA[Five new papers, including a Nature Medicine warning about 'never-skilling', suggest that AI's effect on how doctors learn to think depends on supervision and design far more than on the model itself.]]></description><link>https://newsletter.aomalley.com/p/will-ai-build-clinical-reasoning</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/will-ai-build-clinical-reasoning</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Mon, 06 Jul 2026 07:46:03 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/bcf2ced8-1e76-4121-b35a-6207800e0454_2752x1536.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Ask a large language model a clinical question and it will hand you an answer that is fluent, confident, and <em>often</em> correct. That is exactly what worries me. Medical education has never really been about producing the right answer on demand. It is about building the reasoning that lets a doctor reach the right answer when the tool is wrong, unavailable, &#8230;</p>
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      </p>
   ]]></content:encoded></item><item><title><![CDATA[Students are ready. The curriculum isn't.]]></title><description><![CDATA[New 2026 evidence shows four in five medical students want to learn about AI, yet most schools still offer little or no formal teaching and far fewer students feel able to use it in practice.]]></description><link>https://newsletter.aomalley.com/p/students-are-ready-the-curriculum</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/students-are-ready-the-curriculum</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Mon, 29 Jun 2026 07:34:31 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/af238243-18bc-4a38-a5ff-e4583b0eae01_2752x1536.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<blockquote><p><strong>A note before we begin: </strong>I wanted to flag the <a href="https://www.nbme.org/contributions/assessment/stemmler-grants/">2026 Edward J. Stemmler M.D. Medical Education Research Grant Program</a>, which supports the research and development of innovative assessment approaches with the potential to advance assessment in medical education. The grant ceiling is $150K. If you want to apply for this grant you have to <strong>submit your Letter o&#8230;</strong></p></blockquote>
      <p>
          <a href="https://newsletter.aomalley.com/p/students-are-ready-the-curriculum">
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   ]]></content:encoded></item><item><title><![CDATA[Stop bolting AI on. Start redesigning.]]></title><description><![CDATA[Four new papers argue the real task is not adding AI tools to the curriculum but rebuilding medical education around them, while keeping human judgement at the centre.]]></description><link>https://newsletter.aomalley.com/p/stop-bolting-ai-on-start-redesigning</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/stop-bolting-ai-on-start-redesigning</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Mon, 22 Jun 2026 07:11:08 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/57579493-392e-4b68-ba17-39aa97e262b6_2752x1536.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<blockquote><p>Summer is well and truly here in Scotland, and I am looking forward to conference season. I will be attending AMEE in Vienna &#127462;&#127481; this year to present some exciting work on <a href="http://simpatient.co.uk">SimPatient</a>. Please reply to this email if you&#8217;re going &#8212; it would be great to meet up.</p><p>I am also currently <a href="https://andrewomalley.substack.com/p/aixmeded-events">tracking 20 international Medical Education conferences</a> and over <a href="https://andrewomalley.substack.com/p/grants-and-funding">&#163;250K worth&#8230;</a></p></blockquote>
      <p>
          <a href="https://newsletter.aomalley.com/p/stop-bolting-ai-on-start-redesigning">
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   ]]></content:encoded></item><item><title><![CDATA[The readiness gap that follows you through a career]]></title><description><![CDATA[Five new studies, from first-year students to senior faculty, find that enthusiasm for AI consistently runs ahead of the competence to use it well.]]></description><link>https://newsletter.aomalley.com/p/the-readiness-gap-that-follows-you</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/the-readiness-gap-that-follows-you</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Mon, 15 Jun 2026 07:37:39 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/3f5c4cb5-3f78-4e19-b577-6c3ebf9c1c46_2752x1536.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>If the early years of generative AI in medical education were about access (could our students even get their hands on these tools?) and then about permission (should we &#8216;let&#8217; them?), 2026 is shaping up to be the year of the readiness reckoning. The question has shifted from whether our learners and colleagues will use AI to whether any of us are genuin&#8230;</p>
      <p>
          <a href="https://newsletter.aomalley.com/p/the-readiness-gap-that-follows-you">
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   ]]></content:encoded></item><item><title><![CDATA[What we know about what trainees know]]></title><description><![CDATA[Five 2026 studies on AI literacy, adoption, placement use, and the cost of dependence.]]></description><link>https://newsletter.aomalley.com/p/what-we-know-about-what-trainees</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/what-we-know-about-what-trainees</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Mon, 08 Jun 2026 09:26:26 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/cb43b668-06eb-4729-a42e-255de30f2c93_2752x1536.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<blockquote><p>Hello everyone!</p><p>Many of you will remember that academics used to have something called &#8216;summer&#8217;, which was a break between academic years when we could planning, think and write about things that we didn&#8217;t have time to do during periods of busy teaching. Most of us don&#8217;t have much of a summer any more. In my University, assessments run later into June, a&#8230;</p></blockquote>
      <p>
          <a href="https://newsletter.aomalley.com/p/what-we-know-about-what-trainees">
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   ]]></content:encoded></item><item><title><![CDATA[From if to how: three blueprints for an AI-ready medical education]]></title><description><![CDATA[Three new papers move our field from arguing about AI in medical education to building the structures that hold it.]]></description><link>https://newsletter.aomalley.com/p/the-scaffolding-is-finally-going</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/the-scaffolding-is-finally-going</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Mon, 01 Jun 2026 21:05:00 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/85363b3e-555f-4b7a-9d46-2607eb329292_2752x1536.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<blockquote><p>Hello everyone. </p><p>Before we get started on this week&#8217;s roundup, a couple of updates:</p><p>I wanted to take a moment to <strong>welcome</strong> a flurry of new subscribers to this newsletter, which is now routinely read by 7500 people per month from 70 different countries. If you have colleagues who would be interested in this newsletter please share it with them:</p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://newsletter.aomalley.com/?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share AI &#215; MedEd&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://newsletter.aomalley.com/?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share AI &#215; MedEd</span></a></p><p>You may be int&#8230;</p></blockquote>
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          <a href="https://newsletter.aomalley.com/p/the-scaffolding-is-finally-going">
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   ]]></content:encoded></item><item><title><![CDATA[AI in the Assessor's Chair]]></title><description><![CDATA[Four new studies show generative AI can write exam questions, mark answers and appraise medical education research, but matching expert judgement still falls short of trustworthy judgement.]]></description><link>https://newsletter.aomalley.com/p/ai-in-the-assessors-chair</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/ai-in-the-assessors-chair</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Mon, 25 May 2026 08:51:40 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/edb4f6a0-de27-4a94-ad65-9aa90e7b457b_1376x768.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>For the last three years, most of our conversation about AI in medical education has treated the technology as something students use, or something we teach them about. The unspoken assumption underneath our policies, and underneath a fair amount of our worry, has been that the human stays in the assessor&#8217;s chair. We set the questions, we mark the answe&#8230;</p>
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   ]]></content:encoded></item><item><title><![CDATA[⚙️ The Best Productivity Tools for Educators and Researchers (2026 Edition)]]></title><description><![CDATA[A curated guide to the most capable productivity tools for academics and educators.]]></description><link>https://newsletter.aomalley.com/p/the-best-productivity-tools-for-educators</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/the-best-productivity-tools-for-educators</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Thu, 21 May 2026 11:09:34 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/13ad25fa-4dbb-4ca5-aa13-9f0c6145652c_2752x1536.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>At this point in the year I start thinking about all the things I haven&#8217;t done over the last year. Teaching is winding down, the marking pile will eventually recede, and the long-deferred projects will, hopefully, get some attention at last. It is the natural moment for a quiet half hour at the desk, with a coffee and a notebook, to take stock of the tools that will be doing the work alongside us. </p><p>Last year I wrote about <a href="https://andrewomalley.substack.com/p/the-best-ai-tools-for-educators-and">the AI tools that have become indispensable to research and teaching</a>, and a number of readers wrote back asking the obvious follow-up question. What about everything else? The schedule, the inbox, the notes, the references, the slowly accumulating backlog of papers that need reading. The plumbing of academic work, in other words, rather than the AI work itself.</p><div class="digest-post-embed" data-attrs="{&quot;nodeId&quot;:&quot;80cccd78-5bce-40e5-8269-f63305d49eac&quot;,&quot;caption&quot;:&quot;AI tools are now part of the daily rhythm of academic work. We use them to find papers, draft feedback, simulate patient encounters, and generate visuals. Yet most people still rely on the same handful of tools they tried when ChatGPT first arrived. The landscape has moved on. New entrants are smarter, more secure, and often designed with education or research in mind.&quot;,&quot;cta&quot;:&quot;Read full story&quot;,&quot;showBylines&quot;:true,&quot;showDescription&quot;:true,&quot;showImage&quot;:true,&quot;size&quot;:&quot;sm&quot;,&quot;isEditorNode&quot;:true,&quot;title&quot;:&quot;&#129504; The Best AI Tools for Educators and Researchers (2025 Edition)&quot;,&quot;publishedBylines&quot;:[{&quot;id&quot;:41703450,&quot;name&quot;:&quot;Andrew O'Malley PhD&quot;,&quot;bio&quot;:&quot;I&#8217;m a Senior Lecturer at the University of St Andrews Medical School. I specialise in generative AI (genAI), medical education (MedEd), and digital assessment &#8212; with a particular focus on safety, bias, and implementation in real-world teaching.&quot;,&quot;photo_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/2ebd3760-703c-4654-b2be-6f770bdf5cd2_1291x1290.jpeg&quot;,&quot;is_guest&quot;:false,&quot;bestseller_tier&quot;:null}],&quot;post_date&quot;:&quot;2025-10-22T08:34:16.992Z&quot;,&quot;cover_image&quot;:&quot;https://substackcdn.com/image/fetch/$s_!qegE!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7130fca5-8cd5-4472-a60b-b12a8f68f9df_384x316.png&quot;,&quot;cover_image_alt&quot;:null,&quot;canonical_url&quot;:&quot;https://andrewomalley.substack.com/p/the-best-ai-tools-for-educators-and&quot;,&quot;section_name&quot;:null,&quot;video_upload_id&quot;:null,&quot;id&quot;:175057561,&quot;type&quot;:&quot;newsletter&quot;,&quot;reaction_count&quot;:5,&quot;comment_count&quot;:0,&quot;publication_id&quot;:4656903,&quot;publication_name&quot;:&quot;AI &#215; MedEd&quot;,&quot;publication_logo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!XUtj!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fecbf160b-deb3-47ba-b379-5de94f7e34ff_400x400.png&quot;,&quot;belowTheFold&quot;:false,&quot;youtube_url&quot;:null,&quot;show_links&quot;:null,&quot;feed_url&quot;:null}"></div><p>It is worth pausing on why this matters. The American Time Use Survey shows that people who work spend an average of 8.1 hours a day doing so, and those who pursue formal education add 5.4 hours on top. Most of us recognise these figures all too well. The point of this productivity toolkit, then, is not that it makes you more virtuous or harder-working. It is that the right tools let you finish the same work in less time, and the hours you reclaim are the ones that belong to your family, your friends, and the parts of yourself that have nothing to do with academia.</p><div id="datawrapper-iframe" class="datawrapper-wrap outer" data-attrs="{&quot;url&quot;:&quot;https://datawrapper.dwcdn.net/p2juw/4/&quot;,&quot;thumbnail_url&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/dbddc9d8-9adf-406d-afd1-5daa8fbcfab6_1220x746.png&quot;,&quot;thumbnail_url_full&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/3c6ef583-553d-404d-851c-35f38bebc73b_1220x870.png&quot;,&quot;height&quot;:444,&quot;title&quot;:&quot;How we actually use our time&quot;,&quot;description&quot;:&quot;Average hours per day spent on each activity, among people who do the activity at all.&quot;,&quot;belowTheFold&quot;:false}" data-component-name="DatawrapperToDOM"><iframe id="iframe-datawrapper" class="datawrapper-iframe" src="https://datawrapper.dwcdn.net/p2juw/4/" width="730" height="444" frameborder="0" scrolling="no"></iframe><script type="text/javascript">!function(){"use strict";window.addEventListener("message",(function(e){if(void 0!==e.data["datawrapper-height"]){var t=document.querySelectorAll("iframe");for(var a in e.data["datawrapper-height"])for(var r=0;r<t.length;r++){if(t[r].contentWindow===e.source)t[r].style.height=e.data["datawrapper-height"][a]+"px"}}}))}();</script></div><p>A note on framing before we jump in to the list. Most academics no longer have the luxury of choosing their core infrastructure: institutional contracts have pulled almost everyone into the Microsoft 365 ecosystem, with Outlook, Teams, OneDrive, and the rest. That is not a complaint. Microsoft's offer has improved substantially in recent years and the data governance story for institutional users is, on balance, the right one. Where I name a Microsoft tool as the institutional default below, that is recognition of the constraint most readers actually face. Where I name something else as the stand-out, it is because there is a genuine case for paying for, or switching to, the better tool.</p><p><strong>Contents</strong></p><ul><li><p><a href="https://andrewomalley.substack.com/i/176587244/task-and-project-management">&#128203; Task and Project Management</a></p></li><li><p><a href="https://andrewomalley.substack.com/i/176587244/notes-and-knowledge-management">&#129504; Notes and Knowledge Management</a></p></li><li><p><a href="https://andrewomalley.substack.com/i/176587244/reference-management">&#128218; Reference Management</a></p></li><li><p><a href="https://andrewomalley.substack.com/i/176587244/reading-and-manual-note-taking">&#128214; Reading and Manual Note-Taking</a></p></li><li><p><a href="https://andrewomalley.substack.com/i/176587244/writing-presenting-and-data">&#9997;&#65039; Writing, Presenting, and Data</a></p></li><li><p><a href="https://andrewomalley.substack.com/i/176587244/calendar-and-scheduling">&#128197; Calendar and Scheduling</a></p></li><li><p><a href="https://andrewomalley.substack.com/i/176587244/focus-and-deep-work">&#127919; Focus and Deep Work</a></p></li><li><p><a href="https://andrewomalley.substack.com/i/176587244/meeting-capture-and-transcription">&#127897;&#65039; Meeting Capture and Transcription</a></p></li><li><p><a href="https://andrewomalley.substack.com/i/176587244/ai-assistants-for-recurring-tasks">&#129302; AI Assistants for Recurring Tasks</a></p></li><li><p><a href="https://andrewomalley.substack.com/i/176587244/travel-for-conferences">&#9992;&#65039; Travel for Conferences</a></p></li></ul><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JzsN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" width="1456" height="73" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:73,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3722,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw" fetchpriority="high"></picture><div></div></div></a></figure></div><h2>&#128203; Task and Project Management</h2><p><em>Where your week actually lives. Most academics now run three or more lists in parallel across institutional and personal tools.</em></p><div class="callout-block" data-callout="true"><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!ozbg!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f9bd824-ad74-41c2-a42b-12db4cc18092_1920x1440.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!ozbg!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f9bd824-ad74-41c2-a42b-12db4cc18092_1920x1440.png 424w, https://substackcdn.com/image/fetch/$s_!ozbg!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f9bd824-ad74-41c2-a42b-12db4cc18092_1920x1440.png 848w, https://substackcdn.com/image/fetch/$s_!ozbg!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f9bd824-ad74-41c2-a42b-12db4cc18092_1920x1440.png 1272w, https://substackcdn.com/image/fetch/$s_!ozbg!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f9bd824-ad74-41c2-a42b-12db4cc18092_1920x1440.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!ozbg!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f9bd824-ad74-41c2-a42b-12db4cc18092_1920x1440.png" width="664" height="498" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9f9bd824-ad74-41c2-a42b-12db4cc18092_1920x1440.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:1092,&quot;width&quot;:1456,&quot;resizeWidth&quot;:664,&quot;bytes&quot;:173966,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:&quot;https://andrewomalley.substack.com/i/176587244?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f9bd824-ad74-41c2-a42b-12db4cc18092_1920x1440.png&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!ozbg!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f9bd824-ad74-41c2-a42b-12db4cc18092_1920x1440.png 424w, https://substackcdn.com/image/fetch/$s_!ozbg!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f9bd824-ad74-41c2-a42b-12db4cc18092_1920x1440.png 848w, https://substackcdn.com/image/fetch/$s_!ozbg!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f9bd824-ad74-41c2-a42b-12db4cc18092_1920x1440.png 1272w, https://substackcdn.com/image/fetch/$s_!ozbg!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9f9bd824-ad74-41c2-a42b-12db4cc18092_1920x1440.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h4><strong><a href="https://culturedcode.com/things/">Things 3</a></strong></h4><p><strong>Best task manager for Apple users who don&#8217;t collaborate.</strong></p><p>A focused, Apple-only task manager that turns a chaotic week into a calm review. Strong Today and Upcoming lists, lightweight projects, and a level of polish that makes capture genuinely frictionless. </p><p>This app uses the Getting Things Done (GTD) method and it has genuinely changed my life. No more panicking about forgotten tasks. No anxiety about future tasks, which always resurface when it&#8217;s time to work on them. No more missed deadlines.</p></div><p>If you need to stay in the Microsoft 365 ecosystem then I would recommend your institutional default, which is most likely <strong><a href="https://to-do.office.com/tasks/">Microsoft To Do</a>.</strong> It&#8217;s not all bad, though! The visual design, on iOS at least, is clean and refreshing, and it is tied directly to Outlook flagged emails and Teams tasks, so it earns its place by being already wired in.</p><p>If Things 3 is too Apple and Microsoft To Do is too simple, I would suggest looking at <strong><a href="https://www.todoist.com/">Todoist</a>. </strong>Cross-platform, with natural-language entry and powerful filters. The right pick for researchers working off Windows or Android, or collaborating across institutions</p><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JzsN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" width="1456" height="73" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:73,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3722,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></a></figure></div><h2>&#129504; Notes and Knowledge Management</h2><p><em>The second brain. The space where lecture prep, reading notes, half-formed ideas, and meeting minutes accumulate.</em></p><div class="callout-block" data-callout="true"><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="https://substackcdn.com/image/fetch/$s_!pOhT!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb40a1285-39b7-465f-8946-a2bb93bf98c8_3840x2160.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!pOhT!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb40a1285-39b7-465f-8946-a2bb93bf98c8_3840x2160.jpeg 424w, https://substackcdn.com/image/fetch/$s_!pOhT!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb40a1285-39b7-465f-8946-a2bb93bf98c8_3840x2160.jpeg 848w, https://substackcdn.com/image/fetch/$s_!pOhT!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb40a1285-39b7-465f-8946-a2bb93bf98c8_3840x2160.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!pOhT!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb40a1285-39b7-465f-8946-a2bb93bf98c8_3840x2160.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!pOhT!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb40a1285-39b7-465f-8946-a2bb93bf98c8_3840x2160.jpeg" width="1456" height="819" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/b40a1285-39b7-465f-8946-a2bb93bf98c8_3840x2160.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:819,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:null,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:null,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!pOhT!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb40a1285-39b7-465f-8946-a2bb93bf98c8_3840x2160.jpeg 424w, https://substackcdn.com/image/fetch/$s_!pOhT!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb40a1285-39b7-465f-8946-a2bb93bf98c8_3840x2160.jpeg 848w, https://substackcdn.com/image/fetch/$s_!pOhT!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb40a1285-39b7-465f-8946-a2bb93bf98c8_3840x2160.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!pOhT!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb40a1285-39b7-465f-8946-a2bb93bf98c8_3840x2160.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image buttonBase-GK1x3M"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg" class="icon-noB79L"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image buttonBase-GK1x3M"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2 icon-noB79L"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><h4><strong><a href="https://www.notion.com/">Notion</a></strong></h4><p><strong>Best second brain for anyone who gets lost their notes.</strong></p><p>What sets Notion apart for academics is not the document editor but the database layer. A linked database of reading items, grant applications, supervision tasks, or course materials behaves like a small research information system, with views, filters, and relationships across them. Once you start using it this way it is difficult to go back.</p></div><p>If you live on Apple devices, <strong>Apple Notes</strong> has quietly become the most reliable everyday tool. Quick capture, document scanning, handwriting recognition, smart folders, and instant sync across iPhone, iPad, and Mac. Free, fast, and good enough for most users.</p><p>If simplicity is your thing, <strong>Apple Stickies</strong> or<strong> Microsoft Sticky Notes </strong>is probably what you&#8217;re looking for<strong>.</strong> When the goal is &#8220;get this thought out of my head before the next meeting&#8221;, a sticky note pinned to the desktop is still the most honest tool. Microsoft&#8217;s version is slightly superior: it syncs across your devices via OneDrive.</p><p>Microsoft also make OneNote, but it is one of their weaker and clunkier Office products.</p><div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!JzsN!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png" width="1456" height="73" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:73,&quot;width&quot;:1456,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:3722,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/png&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!JzsN!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 424w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 848w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1272w, https://substackcdn.com/image/fetch/$s_!JzsN!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9643a291-f888-4042-b9e0-1d2a9f5360fd_1600x80.png 1456w" sizes="100vw" loading="lazy"></picture><div></div></div></a></figure></div><h2>&#128218; Reference Management</h2><p><em>Citations, PDFs, and the slow accumulation of &#8220;I&#8217;ll read this later&#8221;. Choice here usually lasts a career.</em></p>
      <p>
          <a href="https://newsletter.aomalley.com/p/the-best-productivity-tools-for-educators">
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   ]]></content:encoded></item><item><title><![CDATA[When the Patient Is a Prompt - Part II]]></title><description><![CDATA[Four new trials ask whether AI can replace the role-player in the room]]></description><link>https://newsletter.aomalley.com/p/when-the-patient-is-a-prompt-part</link><guid isPermaLink="false">https://newsletter.aomalley.com/p/when-the-patient-is-a-prompt-part</guid><dc:creator><![CDATA[Andrew O'Malley PhD]]></dc:creator><pubDate>Mon, 18 May 2026 07:08:54 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!0AT3!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fafdd0faa-34d9-43d8-b4d8-5743aa58dc1b_2528x1696.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Are AI-simulated patients any good? It is a familiar shape of question that I think about a lot. Every educational technology arrives draped in promise, and the early discomfort of those who teach with it comes from doing so before anyone has the evidence. Lecture capture, clickers, online quizzes; we have all done this. The novelty grants permission to&#8230;</p>
      <p>
          <a href="https://newsletter.aomalley.com/p/when-the-patient-is-a-prompt-part">
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