Who Teaches the Machine? AI and the Future of Precision Education

Who Teaches the Machine? AI and the Future of Precision Education

Medicine has embraced personalization. Every day, clinicians tailor treatments, medications, and interventions to the needs of individual patients. Yet medical education often remains rooted in standardized pathways, where learners progress through the same curriculum despite arriving with different experiences, strengths, and learning needs. In this episode of The Precision Educator, Dr. Larry Chu and Dr. Viji Kurup are joined by Dr. Rishi Kadakia of UCSF to explore how artificial intelligence may help bridge this gap and advance the vision of precision education. The conversation examines the limitations of one-size-fits-all training and the challenge of understanding what learners truly need in order to grow. Dr. Kadakia shares his work using AI-enabled educational tools to support learner preparation, identify knowledge gaps, and create more individualized learning experiences. Together, the guests explore how data generated through learner interactions may provide educators with new ways to understand learner development and tailor educational support. A central theme is AI literacy. As large language models become increasingly accessible to both faculty and trainees, how can educators ensure these tools are used thoughtfully and responsibly? The discussion explores the opportunities AI creates for learning, as well as the risks of overreliance, false confidence, and the gradual erosion of critical thinking and clinical reasoning skills. The episode also highlights the importance of maintaining a “human in the loop” approach. While AI can help organize information, identify patterns, and expand access to educational resources, it cannot replace the contextual judgment, mentorship, and human understanding that define effective teaching. From subtle shifts in patient behavior to the complexities of clinical decision-making, many of the most important educational and clinical signals remain deeply human. Ultimately, this conversation reframes AI not as a destination, but as a tool. The future of precision education will depend not only on technological innovation, but on educators who are willing to understand these tools, shape their use, and ensure they serve the goals of learning, professional development, and patient care. Key takeaways from this episode: * Why personalized learning remains one of the greatest challenges in medical education * How AI may help educators better understand learner needs and support individualized development * The growing importance of AI literacy for faculty, trainees, and educational leaders * Why maintaining a “human in the loop” is essential for safe and effective AI implementation * How educators can help shape the future of AI rather than simply react to it Especially useful for: Medical educators, residency and fellowship leaders, clinician-educators, faculty developers, medical students, residents, and anyone interested in the intersection of artificial intelligence, learning, assessment, and precision education. Related episodes: For an introduction to the foundational principles behind this series, start with Episode 1: What Is Precision Education? Rethinking How Physicians Learn [https://www.buzzsprout.com/admin/2540245/episodes/17942137-what-is-precision-education-rethinking-how-physicians-learn]. For a deeper exploration of coaching as a core mechanism of precision education, listen to Episode 2: Talk Less, Listen More: Coaching as Precision Education [https://www.buzzsprout.com/admin/2540245/episodes/18312392-talk-less-listen-more-coaching-as-precision-education]. For a systems-level perspective on how data can inform learning trajectories and assessment, explore Episode 3: When Data Becomes a Coach: Rethinking Assessment, Coaching, and Learning Trajectories [https://www.buzzsprout.com/admin/2540245/episodes/18631041-when-data-becomes-a-coach-rethinking-assessment-coaching-and-learning-trajectories]. For insights into how educational leaders balance data, trust, and learner development, listen to Episode 4: From Systems to Signals: Precision Education for Program Directors [https://www.buzzsprout.com/admin/2540245/episodes/18664838-from-systems-to-signals-precision-education-for-program-directors]. Additional Reading 1. Budzyń K, Romańczyk M, Kitala D et al. Endoscopist deskilling risk after exposure to artificial intelligence in colonoscopy: a multicentre, observational study The Lancet Gastroenterology & Hepatology, 2025; 10, 896-903. Link [https://www.thelancet.com/journals/langas/article/PIIS2468-1253(25)00133-5/abstract]. 2. Teach (Teaching Educators AI Competency Hands-On), Link [https://www.medicineworks.org/teach/]. Send us Fan Mail [https://www.buzzsprout.com/2540245/fan_mail/new]

From Systems to Signals: Precision Education for Program Directors

Residency programs are built on structure—rotations, case minimums, milestones, accreditation requirements. Yet within that framework are individual learners progressing at different speeds, with different strengths and needs. For program directors, the challenge is constant: how do you balance systems and people, standardization and flexibility, accountability and growth? In this episode of The Precision Educator, Dr. Larry Chu and Dr. Viji Kurup are joined by Dr. Bryan Mahoney of Mount Sinai and Dr. Marianne Chen of Stanford to explore precision education through the program director lens. The conversation examines the daily realities of program leadership: production pressures, limited time, fragmented feedback systems, uneven faculty engagement, and the difficulty of identifying struggling learners early. Both guests reflect on the limits of one-size-fits-all training and the practical strategies they use—from leveraging trusted relationships to developing longitudinal data dashboards—to create more responsive, individualized support. A central theme is trust. As programs collect more learner data, how can feedback remain formative rather than punitive? How do leaders protect psychological safety while still acting on meaningful signals? The episode explores the ethical guardrails required to use educational data responsibly and the indispensable role of human mentorship in interpreting it. Ultimately, this discussion reframes precision education as leadership work—less about technology, and more about culture, relationships, and the thoughtful integration of data with human judgment to promote not only competence, but human flourishing. Key takeaways from this episode: * Why program directors operate at the intersection of systems and individual learner growth * How fragmented feedback, time constraints, and production pressures limit individualized education * The central role of trust, relationships, and psychological safety in using learner data * Practical ways to make precision education participatory, actionable, and feasible within real-world constraints Especially useful for: Program directors, associate program directors, clinician-educators, CCC members, GME leaders, and faculty mentors interested in integrating data-informed approaches into residency training while preserving trust, humanity, and professional growth. Related episodes: For an introduction to the foundational principles behind this series, start with [https://www.buzzsprout.com/admin/2540245/episodes/17942137-what-is-precision-education-rethinking-how-physicians-learn] Episode 1: What Is Precision Education? Rethinking How Physicians Learn. For a deeper exploration of coaching as a core mechanism of precision education, listen to [https://www.buzzsprout.com/admin/2540245/episodes/18312392-talk-less-listen-more-coaching-as-precision-education] Episode 2: Talk Less, Listen More: Coaching as Precision Education. For a systems-level perspective on how data can inform learning trajectories and assessment, explore [https://www.buzzsprout.com/admin/2540245/episodes/18631041-when-data-becomes-a-coach-rethinking-assessment-coaching-and-learning-trajectories]Episode 3: When Data Becomes a Coach: Rethinking Assessment, Coaching, and Learning Trajectories. Send us Fan Mail [https://www.buzzsprout.com/2540245/fan_mail/new]

When Data Becomes a Coach: Rethinking Assessment, Coaching, and Learning Trajectories

Data already shapes how we practice medicine. It helps us see variation, benchmark performance, and improve patient outcomes. Yet in medical education, data has often been used in far narrower ways, as static snapshots, checklists, or retrospective judgments. In this episode of The Precision Educator Podcast, Dr. Matthew Caldwell joins co-hosts Dr. Viji Kurup and Dr. Larry Chu in a conversation to explore what happens when clinical data is reimagined as a tool for learning rather than surveillance. Drawing on his work with the Multicenter Perioperative Outcomes Group (MPOG), Dr. Caldwell discusses how high-resolution perioperative data can help educators understand not only what residents do, but how their learning unfolds over time. Together, the discussion examines how experience data can illuminate learning trajectories, support entrustment decisions, and strengthen coaching conversations without undermining trust. The episode also addresses the ethical and cultural risks of educational data use, including learner fear, faculty judgment, and institutional misuse, and why governance and transparency must be built in from the start. A central theme of the conversation is data-informed coaching. Rather than delivering dashboards in isolation, the episode explores how data can anchor reflective, learner-centered conversations that promote agency, growth, and resilience across training. Key takeaways from this episode: * Why experience data matters more than isolated performance snapshots * How longitudinal patterns reveal learning trajectories and support entrustment * The role of data-informed coaching in precision education * Risks of misuse, surveillance, and bias, and how to build ethical guardrails * Practical ways educators can begin using data, even without advanced analytics infrastructure Especially useful for: Clinician-educators, program directors, CCC members, faculty coaches, and education leaders interested in using data to support learning, assessment, and coaching while preserving trust and educational integrity. Related episodes: For an introduction to the principles of precision education, start with Episode 1: What Is Precision Education? Rethinking How Physicians Learn. [https://www.buzzsprout.com/admin/2540245/episodes/17942137-what-is-precision-education-rethinking-how-physicians-learn] For a deeper look at coaching as a core educational mechanism, listen to Episode 2 on coaching and personalization in medical training. [https://www.buzzsprout.com/admin/2540245/episodes/18312392-talk-less-listen-more-coaching-as-precision-education] Send us Fan Mail [https://www.buzzsprout.com/2540245/fan_mail/new]

Talk Less, Listen More: Coaching as Precision Education

Coaching is often discussed as a faculty skill or a professional development add-on. Far less often is it examined as a foundational mechanism for personalization, resilience, and growth within structured medical training programs. In this episode of The Precision Educator Podcast, Dr. Aileen Adriano joins the conversation to explore coaching as a core pillar of precision education. Together, the discussion focuses on how coaching enables individualized learning pathways while maintaining standards, accountability, and programmatic coherence. The episode examines what effective coaching looks like in real clinical environments, how faculty roles shift in a precision education model, and why coaching culture matters as much as coaching technique. Key takeaways from this episode: * How coaching functions as a personalization engine in medical education * The relationship between coaching, learner agency, and resilience * Practical considerations for building coaching capacity among faculty * Implications for assessment, feedback, and educational culture Especially useful for: Clinician-educators, faculty development leaders, program directors, and educators responsible for coaching programs or learner support. Related episode: For a foundational overview of precision education and why coaching plays such a central role, start with Episode 1: What Is Precision Education? Rethinking How Physicians Learn. Send us Fan Mail [https://www.buzzsprout.com/2540245/fan_mail/new]

What is Precision Education? Rethinking How Physicians Learn

Medical education continues to rely on standardized curricula and assessments, even though learners progress at different rates and bring different needs, strengths, and contexts to training. As expectations grow around equity, accountability, and outcomes, many educators are questioning whether one-size-fits-all approaches still serve learners or patients. In this episode of The Precision Educator Podcast, Dr. Larry Chu and Dr. Viji Kurup introduce precision education as the educational parallel to precision medicine. Drawing on their work with Stanford Medicine and the Society for Education in Anesthesia, they explore what precision education actually means, why it matters now, and how it differs from earlier reform efforts in medical education. The conversation moves from concept to practice, examining how personalization can be operationalized through coaching, assessment, and data-informed decision-making in real training programs. Key takeaways from this episode: * A clear definition of precision education in medical training * Why standardized approaches struggle to meet modern educational demands * How precision education connects learning outcomes to patient care * What distinguishes precision education from prior competency-based models Especially useful for: Program directors, associate program directors, faculty developers, clinical competency committee members, and education researchers seeking a shared language and framework for personalized learning. Related episode: If you are interested in how personalization happens in day-to-day training, listen next to Episode 2: Coaching as Precision Education, which explores coaching as a core mechanism for individualized growth. _________________________________________________________________________________ * Triola, Marc M. MD1; Burk-Rafel, Jesse MD, MRes2. Precision Medical Education [https://journals.lww.com/10.1097/ACM.0000000000005227]. Academic Medicine 98(7):p 775-781, July 2023. | DOI: 10.1097/ACM.0000000000005227 * Garibaldi, Brian T. MD, MEHP; Hollon, McKenzie M. MD; Woodworth, Glenn E. MD; Winkel, Abigail Ford MD, MHPE; Desai, Sanjay V. MD. Navigating the Landscape of Precision Education: Insights From On-the-Ground Initiatives. [https://journals.lww.com/10.1097/ACM.0000000000005606] Academic Medicine 99(4S):p S71-S76, April 2024. | DOI: 10.1097/ACM.0000000000005606 Send us Fan Mail [https://www.buzzsprout.com/2540245/fan_mail/new]