{"id":"https://openalex.org/W7225338588","doi":"https://doi.org/10.1111/tct.70558","title":"Competing Obligations: Artificial Intelligence, Environmental Ethics and Moral Distress in Medical Education","display_name":"Competing Obligations: Artificial Intelligence, Environmental Ethics and Moral Distress in Medical Education","publication_year":2026,"publication_date":"2026-11-05","ids":{"openalex":"https://openalex.org/W7225338588","doi":"https://doi.org/10.1111/tct.70558","pmid":"https://pubmed.ncbi.nlm.nih.gov/42985834"},"language":"en","primary_location":{"id":"doi:10.1111/tct.70558","doi":"https://doi.org/10.1111/tct.70558","is_oa":false,"landing_page_url":"https://doi.org/10.1111/tct.70558","pdf_url":null,"source":{"id":"https://openalex.org/S2280673","display_name":"The Clinical Teacher","issn_l":"1743-4971","issn":["1743-4971","1743-498X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Clinical Teacher","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5001559375","display_name":"Holly S. Meyer","orcid":"https://orcid.org/0000-0001-8833-8003","observed_orcids":["https://orcid.org/0000-0001-8833-8003"]},"institutions":[{"id":"https://openalex.org/I148314036","display_name":"Uniformed Services University of the Health Sciences","ror":"https://ror.org/04r3kq386","country_code":"US","type":"education","lineage":["https://openalex.org/I148314036"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Holly\u00a0S. Meyer","raw_affiliation_strings":["Department of Health Professions Education Uniformed Services University of the Health Sciences  Bethesda Maryland USA"],"raw_orcid":"https://orcid.org/0000-0001-8833-8003","affiliations":[{"raw_affiliation_string":"Department of Health Professions Education Uniformed Services University of the Health Sciences  Bethesda Maryland USA","institution_ids":["https://openalex.org/I148314036"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5078975060","display_name":"LaKesha N. Anderson","orcid":"https://orcid.org/0000-0002-8889-0436","observed_orcids":["https://orcid.org/0000-0002-8889-0436"]},"institutions":[{"id":"https://openalex.org/I148314036","display_name":"Uniformed Services University of the Health Sciences","ror":"https://ror.org/04r3kq386","country_code":"US","type":"education","lineage":["https://openalex.org/I148314036"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"LaKesha\u00a0N. Anderson","raw_affiliation_strings":["Department of Health Professions Education Uniformed Services University of the Health Sciences  Bethesda Maryland USA"],"raw_orcid":"https://orcid.org/0000-0002-8889-0436","affiliations":[{"raw_affiliation_string":"Department of Health Professions Education Uniformed Services University of the Health Sciences  Bethesda Maryland USA","institution_ids":["https://openalex.org/I148314036"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5001559375"],"corresponding_institution_ids":["https://openalex.org/I148314036"],"apc_list":{"value":3620,"currency":"USD","value_usd":3620},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"23","issue":"6","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.8306000232696533,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.8306000232696533,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11537","display_name":"Ethics in medical practice","score":0.09950000047683716,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13147","display_name":"Ethics and bioethics in healthcare","score":0.021800000220537186,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"artificial intelligence","score":0.8899999856948853},{"id":"https://openalex.org/keywords/environmental-ethics","display_name":"environmental ethics","score":0.9919999837875366},{"id":"https://openalex.org/keywords/moral-distress","display_name":"moral distress","score":0.9940000176429749},{"id":"https://openalex.org/keywords/medical-education","display_name":"medical education","score":0.9929999709129333}],"concepts":[{"id":"https://openalex.org/C198082294","wikidata":"https://www.wikidata.org/wiki/Q3399648","display_name":"Position (finance)","level":2,"score":0.508400022983551},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5026999711990356},{"id":"https://openalex.org/C126086293","wikidata":"https://www.wikidata.org/wiki/Q237151","display_name":"Medical ethics","level":2,"score":0.48019999265670776},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.44699999690055847},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.4438999891281128},{"id":"https://openalex.org/C2776970089","wikidata":"https://www.wikidata.org/wiki/Q27913684","display_name":"Ethics committee","level":2,"score":0.34709998965263367},{"id":"https://openalex.org/C78780964","wikidata":"https://www.wikidata.org/wiki/Q7233193","display_name":"Position paper","level":2,"score":0.3463999927043915},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3440000116825104},{"id":"https://openalex.org/C55587333","wikidata":"https://www.wikidata.org/wiki/Q1133029","display_name":"Engineering ethics","level":1,"score":0.33550000190734863},{"id":"https://openalex.org/C153997805","wikidata":"https://www.wikidata.org/wiki/Q42240","display_name":"Research ethics","level":2,"score":0.310699999332428},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2847999930381775},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.2831000089645386},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.2782000005245209},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.27399998903274536},{"id":"https://openalex.org/C2779965156","wikidata":"https://www.wikidata.org/wiki/Q5227350","display_name":"Data sharing","level":3,"score":0.27090001106262207},{"id":"https://openalex.org/C188084074","wikidata":"https://www.wikidata.org/wiki/Q194294","display_name":"Bioethics","level":2,"score":0.26930001378059387},{"id":"https://openalex.org/C3020031316","wikidata":"https://www.wikidata.org/wiki/Q6817452","display_name":"Psychological distress","level":3,"score":0.26930001378059387}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1111/tct.70558","doi":"https://doi.org/10.1111/tct.70558","is_oa":false,"landing_page_url":"https://doi.org/10.1111/tct.70558","pdf_url":null,"source":{"id":"https://openalex.org/S2280673","display_name":"The Clinical Teacher","issn_l":"1743-4971","issn":["1743-4971","1743-498X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Clinical Teacher","raw_type":"journal-article"},{"id":"pmid:42985834","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42985834","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The clinical teacher","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/4","display_name":"Quality education","score":0.5}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":15,"referenced_works":["https://openalex.org/W2935780589","https://openalex.org/W2937037822","https://openalex.org/W3148602175","https://openalex.org/W4383346782","https://openalex.org/W4387494819","https://openalex.org/W4403899685","https://openalex.org/W4403983018","https://openalex.org/W4406063062","https://openalex.org/W4406597797","https://openalex.org/W4407695342","https://openalex.org/W4411368489","https://openalex.org/W4411636419","https://openalex.org/W4412414402","https://openalex.org/W4416294591","https://openalex.org/W7162142312"],"related_works":["https://openalex.org/W4409524049","https://openalex.org/W7162299574","https://openalex.org/W4387602412","https://openalex.org/W4413199832","https://openalex.org/W2030288327","https://openalex.org/W4412584741","https://openalex.org/W3146215606","https://openalex.org/W7143280680","https://openalex.org/W7167507818","https://openalex.org/W7128079637"],"abstract_inverted_index":{"The":[0,34],"opinions":[1],"and":[2,11],"assertions":[3],"expressed":[4],"herein":[5],"are":[6],"those":[7],"of":[8,20,25,32,39],"the":[9,15,21,26,30],"author(s)":[10],"do":[12],"not":[13,44],"reflect":[14],"official":[16],"policy":[17],"or":[18,29,54],"position":[19],"Uniformed":[22],"Services":[23],"University":[24],"Health":[27],"Sciences":[28],"Department":[31],"War.":[33],"authors":[35],"declare":[36],"no":[37,50],"conflicts":[38],"interest.":[40],"Data":[41],"sharing":[42],"is":[43],"applicable":[45],"to":[46],"this":[47,57],"article":[48],"as":[49],"data":[51],"were":[52],"created":[53],"analysed":[55],"for":[56],"manuscript.":[58]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-11-06T00:00:00"}