In this episode of CLIMEcast, CLIME Associate Director Kate Mulligan speaks with Dr. Nitin Seam, Professor of Medicine at the University of Maryland School of Medicine and a nationally recognized leader in pulmonary critical care and medical education research, on the opportunities and risks of artificial intelligence in medical education.

Drawing on his research and clinical experience, Dr. Seam explores how AI can personalize learning and address knowledge decay, a persistent challenge in medical training, where foundational knowledge gained early in medical school often diminishes significantly by the time trainees reach fellowship. He discusses his work using AI to generate high-quality assessments in complex clinical topics, and the potential for lifelong learning portfolios that adapt to individual learners over time.

The episode also turns a careful eye toward risk. Dr. Seam unpacks the concepts of de-skilling, never-skilling, and mis-skilling ways AI use can quietly erode or prevent the development of core clinical competencies and raises questions about overreliance, screen time, deep thinking, and the importance of keeping humans in the loop. Together, he and Kate reflect on what it means to be a medical educator in an AI-shaped future, and why studying how we use these tools is just as essential as using them.