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May 10, 20261 citations

Augmenting apprenticeship: A discussion paper on integrating generative artificial intelligence into postgraduate general practice training.

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TJTanisha JowseyMTMichael TranLSLambert Schuwirth

Key Points

  • The article aims to identify effective uses of generative AI in postgraduate general practice training, emphasizing its value and risks.
  • Identified use cases and learning value of generative AI in training
  • Discussed risk management and necessary guardrails for implementation
  • Proposed a framework for safe and effective use of GenAI in postgraduate training
  • Generative AI enhances access to knowledge, especially in rural areas
  • Supports higher-order thinking and self-directed learning
  • Risks include bias, skill decay, and challenges to humanistic learning

Abstract

BACKGROUND: Generative artificial intelligence (GenAI) is rapidly transforming medical education. In general practice training, GenAI offers new opportunities to scaffold learning, support autonomy and enhance access to knowledge. OBJECTIVE: This article identifies use cases, learning value, risk management, necessary guardrails and a framework for the safe and effective implementation of GenAI in postgraduate general practice training. DISCUSSION: Postgraduate general practice learners differ from undergraduates in their self- directed, assessment-driven and apprenticeship- based learning. GenAI can simulate dialogic engagement, personalising feedback and supporting reflective practice. GenAI adds genuine learning value by promoting higher- order thinking, supporting self- directed learning and enhancing access, particularly in rural or remote contexts. However, risks include epistemic opacity, skill decay, bias and erosion of humanistic learning. GenAI should augment, not replace, human mentorship and relational learning. Thoughtful integration, guided by pedagogical and ethical frameworks, can support the development of competent, empathetic and future-ready general practitioners.

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Cite This Study

Jowsey et al. (2026) studied this question.

synapsesocial.com/papers/6a002162c8f74e3340f9c3b3https://doi.org/10.31128/ajgp-09-25-7824
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