npj Digital Medicine (May 2025)

Situating governance and regulatory concerns for generative artificial intelligence and large language models in medical education

  • Michael Tran,
  • Chinthaka Balasooriya,
  • Jitendra Jonnagaddala,
  • Gilberto Ka-Kit Leung,
  • Neeraj Mahboobani,
  • Subha Ramani,
  • Joel Rhee,
  • Lambert Schuwirth,
  • Neysan Sedaghat Najafzadeh-Tabrizi,
  • Carolyn Semmler,
  • Zoie SY Wong

DOI
https://doi.org/10.1038/s41746-025-01721-z
Journal volume & issue
Vol. 8, no. 1
pp. 1 – 10

Abstract

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Abstract Generative artificial intelligence (GenAI) and large language models represent gains in educational efficiency and personalisation of learning. These are balanced against the considerations of the learning process, authentic assessment, and academic integrity. A pedagogical approach helps situate these concerns, and informs various types of governance and regulatory approaches. In this review we identify current and emerging issues regarding GenAI in medical education including pedagogical considerations, emerging roles, and trustworthiness. Potential measures to address specific regulatory concerns are explored.