Non-technical skills, including communication, professionalism, situational awareness, and teamwork, are central to safe and effective clinical practice. However, students’ training, development and assessment in these domains remain challenging, often relying on subjective, episodic observation that limits consistency and scalability.
This PhD project aims to design and evaluate an artificial intelligence AI-driven framework to enhance the assessment and training of human factors in clinical education. Grounded in Situated Learning Theory and Self-Regulated Learning (SRL), the project reconceptualises learner performance not as isolated skills, but as participation in socially and contextually embedded clinical interactions.
Using recordings of authentic and simulated clinical encounters, the research will apply machine learning (ML) and natural language processing (NLP) to analyse how learners engage in clinical practice. The system will identify behavioural markers such as turn-taking, responsiveness to patient concerns, role positioning, and teamwork dynamics. In doing so, it will determine where learners sit along a continuum from peripheral participation (novice) to full participation (competent practitioner).
Building on this situated perspective, the project will develop AI-generated feedback designed to support self-regulated learning. By making behavioural patterns visible, the system will enable learners to monitor, evaluate, and adapt their performance. Feedback will be aligned with the SRL cycle (supporting planning - forethought, performance monitoring, and reflective evaluation) thereby promoting deeper metacognitive awareness and sustained improvement.
A mixed-methods approach will be used to validate AI outputs quantitatively and explore learner and educator experiences qualitatively. The research will also examine how AI-informed feedback can enable adaptive, personalised learning pathways and inform targeted simulation-based interventions.
Ethical considerations, including data privacy, bias, transparency, and responsible AI deployment, will be integral to the study design.
This project offers a novel contribution by integrating context-sensitive analysis of clinical participation (Situated Learning) with AI-supported metacognitive development (Self-Regulated Learning). The outcomes will inform the design of intelligent educational systems with implications for clinical training, simulation, and patient safety.
Find out more