Medical Educators & Clinicians - Preparing Students for AI Risks

One in five medical students is using AI to write clinical notes. Nine in ten medical schools have no policy on whether they should. That gap is not theoretical. It is happening right now, in every exam room where a future physician is quietly figuring out a tool nobody trained them to use. So we pulled up three chairs. A family physician at an FQHC and clinical faculty teaching medical students about AI and health equity. A program director and clinical informaticist training residents in Tampa. An incoming medical student and Alma First fellow about to walk into all of it. Same three questions. Three very different answers. No consensus required. A few things that stayed with me: → Only 3.7% of medical students feel competent to explain an AI tool's risks to a patient. 96% say they need more training. They are telling us. We are not listening fast enough. → A 2025 trial found physician diagnostic accuracy dropped from 84.9% to 73.3% when exposed to flawed AI suggestions, even after 20 hours of AI-literacy training. Training alone is not the moat. → Most ambient AI scribes were never built for the visits where primary care actually happens: the interpreter on video, the patient on twelve medications, the encounter where the stakes are highest and the margin is thinnest. The question is no longer should we teach AI in medical school. That ship sailed while we were writing the curriculum proposal. The question is: are we preparing physicians to hold the responsibility these tools carry, or are we leaving them to figure it out alone? This is the first Alma First Roundtable. A monthly series where physicians and future physicians sit with the same hard questions and answer from where they stand. If you are teaching, training, or practicing alongside AI right now, I want to hear from you: what is the one thing you wish your training had prepared you for? Read the full conversation with Dr. Karim Hanna and Lorena Gonzalez 👇 #AIinHealthcare #MedicalEducation #DigitalHealthEquity #PrimaryCare #FutureOfMedicine #HealthEquity #AIinMedicine #MedEd #ClinicalInformatics #AlmaFirst #ResponsibleAI #PhysicianLeadership Jhaimy Fernandez, MD | Lorena Gonzalez | Luis Belen | Alma First| Aarti (Nikki) M. | STFM (Official) Society of Teachers of Family Medicine | Stephanie Rojas-Rodriguez | Edgar Negrete Jimenez | Betty Villantay, MSc