协和医学杂志2026，Vol.17Issue(5)：1198-1205,8.DOI:10.12290/xhyxzz.2026-1064
共识-平台-实训-案例:人工智能赋能医学教育的CPTC范式与协和实践
Consensus-Platform-Training-Case:The CPTC Framework and Peking Union Medical College Practice in AI-Empowered Medical Education
摘要
Abstract
Generative artificial intelligence(AI)is transforming the acquisition,organization,and application of medical knowledge.The urgent challenge in medical education has shifted from"whether to use AI"to"how to use it while safeguarding professional competence,redefining the role of educators,and estab-lishing trustworthy governance".Existing research indicates that while AI can expand opportunities for practice,simulation,and feedback,model performance and short-term learning outcomes cannot substitute for authentic,contextualized evaluation of faculty competence and medical students'clinical proficiency,nor can they replace long-term validation against patient safety and health outcomes.Drawing on international developments and the ongoing explorations of Peking Union Medical College(PUMC)in consensus-building,organizational structu-ring,faculty training,and case incubation,this paper articulates a standardized and practicable CPTC para-digm—Consensus,Platform,Training,and Case.Grounded in competence-preserving precision education,this paradigm adheres to the principles of"human-centeredness,teacher-student integration,individualized tailor-ing,and human-machine co-governance".It defines the platform as an organizational system that connects knowledge,curricula,faculty,students,and governance,while emphasizing the quality-related responsibilities of teachers and the evidentiary function of cases.The practical explorations at PUMC suggest that medical schools can progressively develop a superviseable,evaluable,and transferable educational capacity by:formu-lating guidelines for the pedagogical application and ethical governance of generative AI;delivering training pro-grams to enhance faculty AI literacy and instructional design skills;transforming real-world clinical and peda-gogical challenges into tiered cases;and establishing mechanisms for process review,learning assessment,and case reuse.The effectiveness of the CPTC paradigm warrants further validation through multi-center practice and long-term evaluation.Its value lies in its origin in the Chinese context—transforming technological advantages into educational capabilities—while offering a comparable and collaboratively developable practical framework for global medical education.关键词
医学教育/人工智能/教师发展/能力保护/人机协同Key words
medical education/artificial intelligence/faculty development/competency protection/human-AI collaboration分类
社会科学引用本文复制引用
弓孟春,潘慧,吉训明..共识-平台-实训-案例:人工智能赋能医学教育的CPTC范式与协和实践[J].协和医学杂志,2026,17(5):1198-1205,8.基金项目
中国医学科学院北京协和医学院医学教育研究项目(2024-医教-003) Medical Education Research Program of Chinese Academy of Medical Sciences&Peking Union Medical College(2024-ME-003) （2024-医教-003）
