Confident but Underprepared? Medical Students’ Perspectives Regarding Artificial Intelligence
A Cross-sectional Study from Sudan, 2024.
Keywords:
Artificial Intelligence (AI), Medical Education, Medical Student, Curriculum, SudanAbstract
Background:
Artificial intelligence (AI) is rapidly transforming healthcare by enhancing diagnostic accuracy, improving efficiency, and reducing costs. As AI becomes increasingly integrated into clinical practice, medical education must adapt to prepare future physicians for an AI‑enabled healthcare environment. Despite this, the integration of AI into undergraduate medical education remains limited in many low- and middle-income countries (LMICs), including Sudan. This gap raises concerns about the preparedness of medical graduates to engage with AI technologies in clinical practice. Understanding medical students’ perspectives, acceptance, and educational needs is critical to inform the development of relevant and effective curricula. This study aimed to assess medical students’ perceptions of AI, its impact on medical education, and evaluate their acceptance of AI integration and educational needs at the University of Khartoum, Sudan
Methods:
A descriptive cross-sectional study was conducted between June 26 and July 10, 2024, at the Faculty of Medicine, University of Khartoum. 350 medical students from first to fifth year were selected using systematic random sampling. Data were collected using a structured, self-administered online questionnaire to assess the study objectives. Data were analyzed using SPSS version 29. Descriptive statistics were reported as frequencies, mean, and standard deviation, while associations were examined using the Mann–Whitney U test and Monte Carlo Chi-square test. Statistical significance was set at p < 0.05.
Results:
The majority of students (81.4%) believed AI would play an important role in healthcare, and 73.7% reported that AI teaching would benefit their future careers. However, students showed limited understanding of AI principles and limitations (35.2% and 40.2%, respectively). Despite this, approximately half of the students expressed confidence in their future ability to use AI tools (50.5%), assess AI performance (50.8%), and apply AI in routine clinical practice (50.0%) by the end of their medical degree. Most participants perceived AI as beneficial to medical education, with 82.5% agreeing it would have a positive impact and 83.1% believing it would facilitate learning. 67.2% supported the implementation of AI into the medical curriculum. Female students demonstrated significantly higher acceptance of AI integration than males (p = 0.033), while no significant association was found between acceptance and academic level (p = 0.98). Students identified key educational needs, including AI applications (82.0%), public health analytics (79.7%), ethical considerations (79.1%), and AI in research (78.6%).
Conclusion:
This study highlights a mismatch between AI knowledge and confidence in its future use among medical students in Sudan. While students demonstrate strong interest in and support for AI integration into medical education, the observed knowledge–confidence gap raises concerns about preparedness for safe clinical application. These findings underscore the urgent need for structured AI curricula tailored to resource-limited settings to bridge this gap and equip future physicians with the necessary skills to utilize AI in healthcare effectively.
References
1. Wang F, Preininger A. AI in Health: State of the Art, Challenges, and Future Directions. Yearb Med Inform. 2019;28(01):016-026. doi:10.1055/s-0039-1677908
2. Alowais SA, Alghamdi SS, Alsuhebany N, et al. Revolutionizing healthcare: the role of artificial intelligence in clinical practice. BMC Med Educ. 2023;23(1):689. doi:10.1186/s12909-023-04698-z
3. Sapci AH, Sapci HA. Artificial Intelligence Education and Tools for Medical and Health Informatics Students: Systematic Review. JMIR Med Educ. 2020;6(1):e19285. doi:10.2196/19285
4. Hicke Y, Geathers J, Rajashekar N, et al. MedSimAI: Simulation and Formative Feedback Generation to Enhance Deliberate Practice in Medical Education. Published online February 28, 2025. http://arxiv.org/abs/2503.05793
5. Chheang V, Sharmin S, Márquez-Hernández R, et al. Towards Anatomy Education with Generative AI-based Virtual Assistants in Immersive Virtual Reality Environments. In: 2024 IEEE International Conference on Artificial Intelligence and EXtended and Virtual Reality (AIxVR). IEEE; 2024:21-30. doi:10.1109/AIxVR59861.2024.00011
6. Civaner MM, Uncu Y, Bulut F, Chalil EG, Tatli A. Artificial intelligence in medical education: a cross-sectional needs assessment. BMC Med Educ. 2022;22(1):772. doi:10.1186/s12909-022-03852-3
7. Brennan N, Langdon N, Gale T, Humphries N, Knapton A, Bryce M. Exploring recent patterns of migration of doctors to the United Kingdom: a mixed-methods study. BMC Health Serv Res. 2023;23(1):1204. doi:10.1186/s12913-023-10199-y
8. Sun L, Yin C, Xu Q, Zhao W. Artificial intelligence for healthcare and medical education: a systematic review. Am J Transl Res. 2023;15(7):4820-4828. http://www.ncbi.nlm.nih.gov/pubmed/37560249
9. Liu DS, Sawyer J, Luna A, et al. Perceptions of US Medical Students on Artificial Intelligence in Medicine: Mixed Methods Survey Study. JMIR Med Educ. 2022;8(4):e38325. doi:10.2196/38325
10. Pucchio A, Rathagirishnan R, Caton N, et al. The need for artificial intelligence curriculum in medical education: A Canadian cross-sectional study of future oncology trainees. Journal of Clinical Oncology. 2022;40(16_suppl):e13583-e13583. doi:10.1200/JCO.2022.40.16_suppl.e13583
11. Jaber Amin MH, Mohamed Elhassan Elmahi MA, Abdelmonim GA, et al. Knowledge, attitude, and practice of artificial intelligence among medical students in Sudan: a cross-sectional study. Annals of Medicine & Surgery. 2024;86(7):3917-3923. doi:10.1097/MS9.0000000000002070
12. Abdellatif H, Al Mushaiqri M, Albalushi H, Al-Zaabi AA, Roychoudhury S, Das S. Teaching, Learning and Assessing Anatomy with Artificial Intelligence: The Road to a Better Future. Int J Environ Res Public Health. 2022;19(21):14209. doi:10.3390/ijerph192114209
13. Sharma S, Mudgal S, Thakur K, Gaur R. How to calculate sample size for observational and experiential nursing research studies? Natl J Physiol Pharm Pharmacol. 2019;(0):1. doi:10.5455/njppp.2020.10.0930717102019
14. Buabbas AJ, Miskin B, Alnaqi AA, et al. Investigating Students’ Perceptions towards Artificial Intelligence in Medical Education. Healthcare. 2023;11(9):1298. doi:10.3390/healthcare11091298
15. Us Saba N, Faheem M. Types of Artificial Intelligence and Future of Artificial Intelligence in Medical Sciences. In: 2023. doi:10.5772/intechopen.112056
16. Liu P ran, Lu L, Zhang J yao, Huo T tong, Liu S xiang, Ye Z wei. Application of Artificial Intelligence in Medicine: An Overview. Curr Med Sci. 2021;41(6):1105-1115. doi:10.1007/s11596-021-2474-3
17. Sit C, Srinivasan R, Amlani A, et al. Attitudes and perceptions of UK medical students towards artificial intelligence and radiology: a multicentre survey. Insights Imaging. 2020;11(1):14. doi:10.1186/s13244-019-0830-7
18. Sana Fatima, Maidah Mehtab, Munteha Syed, et al. Assessing Awareness, Perception and Application of Artificial Intelligence Among Healthcare Professionals and Medical Students in Pakistan: A Cross-Sectional Online Study. Journal of Health, Wellness and Community Research. Published online May 20, 2025:e234. doi:10.61919/qsdzx442
19. Hillis JM, Visser JJ, Cliff ERS, et al. The lucent yet opaque challenge of regulating artificial intelligence in radiology. NPJ Digit Med. Nature Research. 2024;7(1). doi:10.1038/s41746-024-01071-2
20. Allam AH, Eltewacy NK, Alabdallat YJ, et al. Knowledge, attitude, and perception of Arab medical students towards artificial intelligence in medicine and radiology: A multi-national cross-sectional study. Eur Radiol. 2023;34(7):1-14. doi:10.1007/s00330-023-10509-2
21. Chen M, Wang Y, Wang Q, et al. Impact of human and artificial intelligence collaboration on workload reduction in medical image interpretation. NPJ Digit Med. 2024;7(1). doi:10.1038/s41746-024-01328-w
22. Konozy EHE. Commentary: Navigating Sudan’s education system through turmoil and conflict. Int J Educ Dev. 2024;109:103088. doi:10.1016/j.ijedudev.2024.103088
23. Naranjo Alcaide JC. A University College Working in the Midst of the War in Sudan Through Digital Education. Social Education Research. Published online April 1, 2025:180-198. doi:10.37256/ser.6220256254
24. Habib MM, Hoodbhoy Z, Siddiqui MAR. Knowledge, attitudes, and perceptions of healthcare students and professionals on the use of artificial intelligence in healthcare in Pakistan. PLOS Digital Health. 2024;3(5):e0000443. doi:10.1371/journal.pdig.0000443
25. Sapci AH, Sapci HA. Artificial Intelligence Education and Tools for Medical and Health Informatics Students: Systematic Review. JMIR Med Educ. 2020;6(1):e19285. doi:10.2196/19285
26. Shuaib A, Arian H, Shuaib A. The Increasing Role of Artificial Intelligence in Health Care: Will Robots Replace Doctors in the Future? Int J Gen Med. 2020;Volume 13:891-896. doi:10.2147/IJGM.S268093
27. Weidener L, Fischer M. Artificial Intelligence Teaching as Part of Medical Education: Qualitative Analysis of Expert Interviews. JMIR Med Educ. 2023;9:e46428. doi:10.2196/46428
28. Festl-Wietek ;, Fuhl ;, Zabel ;, et al. Assessing Artificial Intelligence Awareness and Identifying Essential Competencies: Insights from Key Stakeholders in Integrating AI into Medical Education. https://ssrn.com/abstract=4713042
29. Duan S, Liu C, Rong T, Zhao Y, Liu B. Integrating AI in medical education: a comprehensive study of medical students’ attitudes, concerns, and behavioral intentions. BMC Med Educ. 2025;25(1). doi:10.1186/s12909-025-07177-9
30. Li Q, Qin Y. AI in medical education: medical student perception, curriculum recommendations and design suggestions. BMC Med Educ. 2023;23(1):852. doi:10.1186/s12909-023-04700-8
31. Le K, Chang F. Intersection of AI and Healthcare. Journal of the Osteopathic Family Physicians of California. Published online January 24, 2024. doi:10.58858/010204
32. Pucchio A, Eisenhauer EA, Moraes FY. Medical students need artificial intelligence and machine learning training. Nat Biotechnol. 2021;39(3):388-389. doi:10.1038/s41587-021-00846-2
Downloads
Published
How to Cite
License
Copyright (c) 2026 Alaa Isameldin Shaikh Mohamed, Reham Abusabah Elsheikh, Ola Mohamed Abdallah Ali, Weam Mohamed Meargni Ahmed

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site; with the understanding that the above condition can be waived with permission from the Author and that where the Work or any of its elements is in the public domain under applicable law, that status is in no way affected by the license.
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from the Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Enforcement of copyright
The IJMS takes the protection of copyright very seriously.
If the IJMS discovers that you have used its copyright materials in contravention of the license above, the IJMS may bring legal proceedings against you seeking reparation and an injunction to stop you using those materials. You could also be ordered to pay legal costs.
If you become aware of any use of the IJMS' copyright materials that contravenes or may contravene the license above, please report this by email to contact@ijms.org
Infringing material
If you become aware of any material on the website that you believe infringes your or any other person's copyright, please report this by email to contact@ijms.org



