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medRxiv

Decision Support in Publicly Available Patient Information Policies at U.S. Osteopathic Medical Schools: A Vignette-Based Document Analysis

Using a sample of 20 U.S. osteopathic medical schools and eight educational vignettes yielding 160 school-vignette pairs, each assessed in three AI-assisted retrieval-and-evaluation runs and classified as Explicitly Supported, Inferable, Ambiguous, or Not Addressed, the study found that at least one eligible source was retrieved for 159 of 160 pairs (99.4%) yet only 21 pairs (13.1%) were grouped as sufficiently supported, most often for generative AI-assisted reflective writing (7/20 schools, 35%) and in no case for personal cloud notes or official clinical logs.