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Javier Crespo

Publications and source records attributed to Javier Crespo.

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Artificial Intelligence in Spanish Gastroenterology: high expectations, limited integration. A national survey

Background: Artificial intelligence (AI) has emerged as a disruptive innovation in medicine, yet its adoption within gastroenterology remains limited and poorly characterized. We aimed to examine knowledge, practical applications, perceived barriers, and expectations regarding AI among gastroenterology specialists in Spain. Methods: We conducted a cross-sectional observational study using a structured online survey distributed by the Spanish Society of Digestive Pathology (SEPD) in 2025. The questionnaire collected sociodemographic data, patterns of AI use, perceptions, and educational needs. Descriptive statistics and multivariable models were applied. Results: Among 283 respondents (mean age 44.6 +/- 9.7 years), 87.5% acknowledged AI as a transformative tool, but only 60.2% (95% CI: 54.3-66.1%) reported using it, mostly outside institutional frameworks. Notably, 80.2% of users initiated AI use within the past year. Independent predictors of frequent use included previous training (OR=2.44), employment in university hospitals (OR=2.14), and younger age (OR=1.36 per 5-year decrease). Main barriers were lack of training (61%), absence of institutional strategies (46%), and ethical concerns (50%). While 93.8% agreed that AI training programmes are necessary, only 18.4% had received formal training. Conclusions: A substantial gap exists between the favorable perception of AI and its actual integration into clinical practice within Spanish gastroenterology. The rapid adoption outside institutional frameworks underscores the urgent need for accredited training programmes and governance standards led by scientific societies.

cs.CY

The Integration of Artificial Intelligence in Undergraduate Medical Education in Spain: Descriptive Analysis and International Perspectives

AI is transforming medical practice and redefining the competencies that future healthcare professionals need to master. Despite international recommendations, the integration of AI into Medicine curricula in Spain had not been systematically evaluated until now. A cross-sectional study (July-September 2025) including Spanish universities offering the official degree in Medicine, according to the 'Register of Universities, Centers and Degrees (Registro de Universidades, Centros y T\'itulos RUCT)'. Curricula and publicly available institutional documentation were reviewed to identify courses and competencies related to AI in the 2025-2026 academic year. The analysis was performed using descriptive statistics. Of the 52 universities analyzed, ten (19.2%) offer specific AI courses, whereas 36 (69.2%) include no related content. Most of the identified courses are elective, with a credit load ranging from three to six ECTS, representing on average 1.17% of the total 360 credits of the degree. The University of Ja\'en is the only institution offering a compulsory course with AI content. The territorial analysis reveals marked disparities: Andalusia leads with 55.5% of its universities incorporating AI training, while several communities lack any initiative in this area. The integration of AI into the medical degree in Spain is incipient, fragmented, and uneven, with a low weight in ECTS. The limited training load and predominance of elective courses restrict the preparation of future physicians to practice in a healthcare environment increasingly mediated by AI. The findings support the establishment of minimum standards and national monitoring of indicators.

cs.CY