{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T05:04:30Z","timestamp":1790226270406,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["asmepublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Clinical Teacher"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Generative artificial intelligence (AI) is readily available to medical students, yet educators may not know how students use these tools or what guidance students perceive as missing. We examined student\u2010reported AI use, confidence, concerns and institutional support to inform practical guidance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted an online survey of medical students recruited primarily through US allopathic medical school peer networks from 15 July to 1 September 2025. We used non\u2010probability sampling; because dissemination relied on voluntary forwarding, we could not calculate a response rate. Outcomes included AI use, frequency, usefulness, confidence, concerns and institutional support. We used descriptive statistics and Wilson 95% confidence intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 552 students from at least 37 institutions who answered at least one item, 517 answered the AI\u2010use and frequency items. Across item\u2010specific denominators, 87.0% used text\u2010based generative AI, 74.7% used AI tools at least weekly, and 67.8% rated AI tools moderately or extremely useful. Only 50.3% were moderately or extremely confident evaluating AI\u2010generated content, and 12.2% reported use of an institution\u2010sponsored generative AI tool. Overall, 64.2% wanted more training or clearer guidance, and 78.7% reported academic integrity and\/or ethical concerns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this multi\u2010institutional US convenience sample, students reported frequent AI tool use, although guidance needs were common. These findings are not national prevalence estimates. These learner perspectives suggest educators should not assume AI is absent from informal learning and may need to clarify expectations, privacy boundaries, disclosure norms and AI\u2010output appraisal strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/tct.70531","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T04:54:42Z","timestamp":1790225682000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Generative Artificial Intelligence Use Among Medical Students: Learner Perspectives for Clinical Educators"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3391-8173","authenticated-orcid":false,"given":"Bryan","family":"Bartnick","sequence":"first","affiliation":[{"name":"Albany Medical College  Albany New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2904-4827","authenticated-orcid":false,"given":"Sana","family":"Shah","sequence":"additional","affiliation":[{"name":"School of Medicine University of California, Irvine  Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6526-0765","authenticated-orcid":false,"given":"Stuart","family":"Sommers","sequence":"additional","affiliation":[{"name":"Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0971-3774","authenticated-orcid":false,"given":"Raylee","family":"Warren","sequence":"additional","affiliation":[{"name":"School of Medicine University of Texas at Tyler  Tyler Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6966-6084","authenticated-orcid":false,"given":"Pavan","family":"Khosla","sequence":"additional","affiliation":[{"name":"Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1166-4652","authenticated-orcid":false,"given":"Alex","family":"Mays","sequence":"additional","affiliation":[{"name":"East Tennessee State University (ETSU) Quillen College of Medicine  Johnson City Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3602-9232","authenticated-orcid":false,"given":"Alexa","family":"DeRegnaucourt","sequence":"additional","affiliation":[{"name":"University of Cincinnati College of Medicine  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Wewer","sequence":"additional","affiliation":[{"name":"Western Michigan University (WMU) Homer Stryker M.D. School of Medicine  Kalamazoo Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Pienkowski","sequence":"additional","affiliation":[{"name":"School of Medicine Greenville University of South Carolina  Greenville South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyo Bin","family":"You","sequence":"additional","affiliation":[{"name":"Mayo Clinic Alix School of Medicine  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6063-6230","authenticated-orcid":false,"given":"Allianna","family":"Mitchell","sequence":"additional","affiliation":[{"name":"School of Medicine University of Kansas  Wichita Kansas 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