Concerns Over AI Implementation in Healthcare

The introduction of artificial intelligence (AI) in the NHS may lead to gender-based divisions within the workforce, according to Professor Nora Colton, founding director of the UCL Global Business School for Health.

Challenges Faced by Returning Clinicians

A female clinician returning from maternity leave encountered significant difficulties with the electronic health record (EHR) system on her first day back. After a year away, she faced:

• Three software updates she had not experienced.
• New processes that were unfamiliar.

She was expected to adapt without adequate support, highlighting a broader issue regarding the rollout of new digital tools in the NHS.

Research Findings

In-depth interviews with 27 clinical fellows across two London hospitals revealed that:

• The integration of technology affects female and male clinicians differently.
• This disparity could exacerbate existing workforce inequalities, especially during a time of labor shortages in the health service.

Extra Vigilance Required for Female Clinicians

Women in the workforce often experience an additional layer of vigilance when using new technology. They tend to:

• Check for potential biases in AI-generated diagnoses.
• Cross-reference drug dosage recommendations.
• Reassure patients while managing their attention on screens.

This relational work, often performed instinctively, adds to their already heavy workloads.

Trust Issues with AI

Female clinicians frequently question the reliability of algorithms, while male clinicians express concerns about being replaced by technology. Male clinicians often:

• Worry that rigid digital systems limit their professional judgment.
• Create shortcuts to avoid cumbersome processes.
• Feel pressured by constant notifications from EHR apps and communication platforms.

Impact of Career Interruptions

Career interruptions, such as maternity leave or part-time work, significantly affect women’s ability to keep up with technological changes. A year away from clinical duties can result in:

• Missing critical updates to interfaces and safety protocols.
• Feeling digitally outdated upon returning to work.

Inconsistent Support for Returning Staff

Support for clinicians returning after extended absences varies widely among NHS trusts. Some offer:

• Shadowing weeks and refresher courses.
• Paid catch-up days.

Others provide minimal assistance, such as links to online tutorials, leading to increased stress and slower work for returning staff.

Recommendations for Improvement

The NHS must establish comprehensive support systems for those returning after prolonged absences, including:

• Structured refresher training over several weeks.
• Digital tools that allow for questioning and provide clear explanations of their reasoning.

As the NHS navigates this critical phase of AI integration, it has the opportunity to address existing inequalities and create a more equitable workforce.