Summary
AI may undermine reasoning—or strengthen it. In a longitudinal study of 372 Chinese medical students using an AI-assisted diagnosis tool during supervised rotations, greater use correlated with higher AI literacy and critical thinking. AI literacy partially mediated this link. Although this study lacked a non-AI comparator group, the results identify some potential drivers of how learners best build critical thinking with AI.
Xin Y, Yan D, Shuren L, et al. AI literacy mediates AI assisted diagnosis participation and critical thinking among medical students under supervision. NPJ Digital Med. 2026;9(1):344.