Artificial Intelligence in Medical Education Assessments: Navigating the Challenges to Academic Integrity

Artificial intelligence (AI) chatbots are threatening academic integrity in medical education. Potential misuse of AI chatbots to cheat has led to internet restrictions by academic institutions. We propose five strategies to mitigate this issue: (1) in-person proctored exams, (2) online proctored exams, (3) clear expectations and consequences, (4) institutional culture of integrity, and (5) addressing exam pressure. Given the limitations of these strategies, it may be necessary to consider regulations, collaboration of medical educators with AI developers, and a broader reimagining of medical education.