Padrões de uso da inteligência artificial na formação médica: análise estratificada em um currículo baseado em Problem-Based Learning
DOI:
https://doi.org/10.5281/zenodo.20129719Palavras-chave:
Inteligência Artificial, Educação Médica, Aprendizagem Baseada em Problemas, Estudantes de Medicina, Tecnologia EducacionalResumo
Introdução: A inteligência artificial (IA) tem se consolidado como uma ferramenta emergente na educação médica, especialmente em currículos baseados em metodologias ativas como o Problem-Based Learning (PBL). Apesar de sua ampla disseminação, persistem lacunas quanto à forma como essas tecnologias são efetivamente utilizadas pelos estudantes e integradas ao processo formativo. Objetivo: Analisar os padrões de uso, percepções e implicações pedagógicas da utilização de ferramentas de inteligência artificial por estudantes de medicina em um currículo baseado em PBL. Métodos: Estudo observacional, transversal, de natureza analítica, conduzido com 257 estudantes de medicina de uma universidade pública brasileira. A amostra foi obtida por estratificação proporcional por semestre. Os dados foram coletados por questionário estruturado e analisados por estatística descritiva e inferencial, utilizando testes do qui-quadrado de Pearson, exato de Fisher e correlação de Spearman. Modelos de regressão logística binária foram empregados para identificar fatores associados à confiança nas ferramentas de IA e à percepção sobre sua inclusão curricular, adotando-se nível de significância de 5%. Resultados: A utilização de IA foi relatada por 98,4% dos participantes, com predominância do uso de modelos de linguagem de grande escala, como ChatGPT (88,1%) e Google Gemini (65,2%). O principal uso foi para elucidação de dúvidas (47,8%) e simplificação de conteúdos (21,7%), com baixa utilização para atividades de maior complexidade, como produção científica (≤2,0%). Observou-se associação significativa entre o semestre e o objetivo de uso (p=0,007), bem como entre gênero e nível de confiança (p<0,001). A maioria dos estudantes reconheceu limitações nas ferramentas (87,5%), embora apenas 8,2% tenham participado de treinamento formal. Adicionalmente, 82,9% manifestaram concordância quanto à inclusão de conteúdos sobre IA no currículo médico. Conclusão: A inteligência artificial apresenta elevada adesão na formação médica, sendo utilizada predominantemente como ferramenta de suporte cognitivo imediato. Contudo, sua aplicação ocorre de forma majoritariamente empírica e não estruturada, evidenciando lacunas na formação institucional. A integração curricular orientada, aliada ao desenvolvimento do pensamento crítico, é essencial para promover o uso seguro, ético e pedagogicamente qualificado dessas tecnologias.
Referências
ABD-ALRAZAQ, A. et al. Large language models in medical education: opportunities, challenges, and future directions. JMIR Medical Education, v. 9, p. e48291, 2023. DOI: https://doi.org/10.2196/48291.
ABDULNOUR, R. E. et al. Educational strategies for clinical supervision of artificial intelligence use. New England Journal of Medicine, v. 393, n. 8, p. 786–797, 2025. DOI: https://doi.org/10.1056/NEJMra2503232.
ABUSAMAK, M. et al. Knowledge, attitudes, practices and barriers of medical research among undergraduate medical students in Jordan: a cross-sectional survey. BMC Medical Education, v. 24, n. 1, p. 23, 2024. DOI: https://doi.org/10.1186/s12909-023-05002-9.
ALKHAALDI, S. M. I. et al. Medical student experiences and perceptions of ChatGPT and artificial intelligence: cross-sectional study. JMIR Medical Education, v. 9, p. e51302, 2023. DOI: https://doi.org/10.2196/51302.
BANERJEE, M. et al. The impact of artificial intelligence on clinical education: perceptions of postgraduate trainee doctors in London (UK) and recommendations for trainers. BMC Medical Education, v. 21, n. 1, p. 429, 2021. DOI: https://doi.org/10.1186/s12909-021-02870-x.
CHAN, S. C. C. et al. Medical students' and faculty members' perceptions and experiences of AI integration in health care practice and in medical curricula: a meta-ethnographic review. Medical Education, v. 60, n. 5, p. 492–504, 2026. DOI: https://doi.org/10.1111/medu.70071.
CHENG, Y.; ZHU, L. A review of ChatGPT in medical education: exploring advantages and limitations. International Journal of Surgery, v. 111, n. 7, p. 4586–4602, 2025. DOI: https://doi.org/10.1097/JS9.0000000000002505.
EYSENBACH, G. The role of ChatGPT, generative language models, and artificial intelligence in medical education: a conversation with ChatGPT and a call for papers. JMIR Medical Education, v. 9, p. e46885, 2023. DOI: https://doi.org/10.2196/46885.
HA, N. et al. Status and perceptions of ChatGPT utilization among medical students: a survey-based study. BMC Medical Education, v. 25, n. 1, p. 831, 2025.
HOWELL, M. D. et al. Three epochs of artificial intelligence in health care. JAMA, v. 331, n. 3, p. 242–244, 2024. DOI: https://doi.org/10.1001/jama.2023.25057.
HSIEH, M. Y. et al. Impact of prompt engineering on the performance of ChatGPT variants across different question types in medical student examinations: cross-sectional study. JMIR Medical Education, v. 11, p. e78320, 2025. DOI: https://doi.org/10.2196/78320.
JAGANATHAN, S. Problem-based learning: an overview. Journal of Pharmacy and Bioallied Sciences, v. 16, n. 2, p. 1435–1437, 2024. DOI: https://doi.org/10.4103/jpbs.jpbs_820_23.
JOSEPH, T. S. et al. The roles of artificial intelligence in teaching anatomy: a systematic review. Clinical Anatomy, v. 38, n. 5, p. 552–567, 2025. DOI: https://doi.org/10.1002/ca.24272.
KUMAR, N. L. et al. Artificial intelligence in the internal medicine clerkship: results of a national survey. Journal of General Internal Medicine, 2026. DOI: https://doi.org/10.1007/s11606-026-10354-1.
LEE, P. et al. Benefits, limits, and risks of GPT-4 as an AI chatbot for medicine. New England Journal of Medicine, v. 388, n. 13, p. 1233–1239, 2023. DOI: https://doi.org/10.1056/NEJMsr2214184.
LIU, D. S. et al. Perceptions of US medical students on artificial intelligence in medicine: mixed methods survey study. JMIR Medical Education, v. 8, n. 4, p. e38325, 2022. DOI: https://doi.org/10.2196/38325.
LOBO, L. C. Inteligência artificial, o futuro da medicina e a educação médica. Revista Brasileira de Educação Médica, Brasília, v. 48, n. 1, e010, 2018. DOI: https://doi.org/10.1590/1981-52712015v48n1RB20230230.
LUO, J. et al. Medical undergraduate students' readiness and anxiety toward artificial intelligence: a systematic review and meta-analysis. BMC Medical Education, v. 26, n. 1, p. 44, 2025. DOI: https://doi.org/10.1186/s12909-025-08388-w.
MAAß, L. et al. Artificial intelligence and ChatGPT in medical education: a cross-sectional questionnaire on students' competence. Journal of CME, v. 14, n. 1, p. 2437293, 2024. DOI: https://doi.org/10.1080/28338073.2024.2437293.
NAAMATI-SCHNEIDER, L. Enhancing AI competence in health management: students’ experiences with ChatGPT as a learning tool. BMC Medical Education, v. 24, n. 1, 2024. DOI: https://doi.org/10.1186/s12909-024-05595-9.
PATEL, N. et al. OpenEvidence: enhancing medical student clinical rotations with AI but with limitations. Cureus, v. 17, n. 1, p. e76867, 2025. DOI: https://doi.org/10.7759/cureus.76867.
RAGALLER, S. V. et al. Study habits in medical education: examining how German medical students study using a cross-sectional mixed-methods survey. Medical Science Educator, v. 35, n. 3, p. 1441–1449, 2025. DOI: https://doi.org/10.1007/s40670-025-02324-9.
RATAJCZAK, P. et al. Perceptions of AI-based tools among Polish medical university students. BMC Medical Education, v. 25, n. 1, p. 1765, 2025. DOI: https://doi.org/10.1186/s12909-025-08326-w.
SAKELARIS, P. G. et al. Evaluating the use of artificial intelligence as a study tool for preclinical medical school exams. Journal of Medical Education and Curricular Development, v. 12, p. 23821205251320150, 2025. DOI: https://doi.org/10.1177/23821205251320150.
SANTOS, J. C. J. et al. Expansão de vagas e qualidade dos cursos de medicina no Brasil: “em que pé estamos?”. Revista Brasileira de Educação Médica, v. 45, n. 2, 2021. DOI: https://doi.org/10.1590/1981-5271v45.2-20200523.
SAUDER, M. et al. Exploring generative artificial intelligence-assisted medical education: assessing case-based learning for medical students. Cureus, v. 16, n. 1, p. e51961, 2024. DOI: https://doi.org/10.7759/cureus.51961.
SHI, X. et al. Utilization of AI among medical students and development of AI education platforms in medical institutions: cross-sectional study. Journal of Medical Internet Research, v. 27, p. e81652, 2025. DOI: https://doi.org/10.2196/81652.
TAYLOR, A. W. R. et al. AI in the classroom: observing preclinical students' use of ChatGPT during case-based learning at a UK medical school. Clinical Teaching, v. 23, n. 2, p. e70360, 2026. DOI: https://doi.org/10.1111/tct.70360.
TRAN, C. et al. Perceptions and use of generative artificial intelligence in medical students: a multicenter survey. Journal of Medical Education and Curricular Development, v. 12, p. 23821205251391969, 2025. DOI: https://doi.org/10.1177/2382120525139196.
UNAL, C.; ŞAHIN, S. Health sciences students' attitudes toward artificial intelligence: predictors of ethical awareness, clinical decision-making, and public health perceptions: a cross-sectional study. BMC Medical Education, v. 26, n. 1, p. 358, 2026. DOI: https://doi.org/10.1186/s12909-026-08707-9.
WANG, Z. et al. Feasibility study of using GPT for history-taking training in medical education: a randomized clinical trial. BMC Medical Education, v. 25, n. 1, p. 1030, 2025. DOI: https://doi.org/10.1186/s12909-025-07614-9.
WEI, H. et al. AI-powered problem- and case-based learning in medical and dental education: a systematic review and meta-analysis. International Dental Journal, v. 75, n. 4, p. 100858, 2025. DOI: https://doi.org/10.1016/j.identj.2025.100858.
WEIDENER, L.; FISCHER, M. Artificial intelligence in medicine: cross-sectional study among medical students on application, education, and ethical aspects. JMIR Medical Education, v. 10, p. e51247, 2024. DOI: https://doi.org/10.2196/51247.
WU, Y. et al. Embracing ChatGPT for medical education: exploring its impact on doctors and medical students. JMIR Medical Education, v. 10, p. e52483, 2024.
ZHANG, J. S. et al. Exploring the usage of ChatGPT among medical students in the United States. Journal of Medical Education and Curricular Development, v. 11, p. 23821205241264695, 2024. DOI: https://doi.org/10.1177/23821205241264695.



































