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Explores AI's impact on health professions education, suggesting significant improvements in equity and engagement.
INTRODUCTION The “Bodhan AI” initiative was launched in February 2026 by the Indian Institute of Technology (IIT) Madras in collaboration with Sarvam AI and the Ministry of Education, Government of India, as a nonprofit national initiative. It aims to establish a sovereign Artificial intelligence (AI)-powered education ecosystem to provide AI-assisted education from K-12 to tertiary education. Its primary objective is to create a “Bharat EduAI Stack,” a digital public infrastructure (DPI) for education analogous to the Unified Payments Interface (UPI) in finance.[1] Let us consider how the future potential of this initiative to improve equity, inclusivity and learning outcomes in health professions education (HPE) within the next decade. The major goals stated for Bodhan are: Sovereignty and inclusivity: Developing AI models trained on Indian datasets and languages to ensure data privacy and cultural relevance, reducing reliance on foreign proprietary models[1] Scalable personalization: Providing high-quality, personalized learning resources to every student across India, bridging the urban–rural divide[1] Teacher augmentation: Creating AI assistants to reduce administrative burdens (grading and lesson planning) for educators, allowing them to focus on mentorship[1] Multilingual accessibility: Breaking language barriers by offering real-time translation and content generation in regional Indian languages.[1] FEASIBILITY OF INDIVIDUALIZED 1-TO-1 TUTORING IN HEALTH PROFESSIONS EDUCATION Bodhan AI is technically capable of providing individualized 1-to-1 tutoring in HPE, primarily through its “application layer” which supports domain-specific AI tutors.[1] Adaptive pacing: Unlike traditional lectures, Bodhan AI can adjust the pace of instruction based on a medical student’s immediate grasp of complex concepts (e.g., pharmacokinetics or anatomy). Every learner can navigate through the lessons at a pace that is comfortable for them, i.e. rapid progression through the known portions and slow and methodical progression through the tough portions[2] Socratic dialog: Advanced large language models underlying Bodhan can be prompted to engage students in clinical reasoning dialogs – asking “why?” and “what if?” – rather than simply dispensing facts as was done by programmed learning in the past. This mimics the Socratic method used in clinical teaching, which is essential in HPE[3] Remediation: AI can identify specific knowledge gaps (e.g., a student consistently missing cardiology concepts) and generate targeted remedial modules, functioning as an on-demand personal tutor.[2] EFFECTIVE USE OF BODHAN AI TO SOLVE BLOOM’S 2-SIGMA PROBLEM Benjamin Bloom’s “2-Sigma Problem” highlighted that students, who received 1-to-1 tutoring with focus on increased active learning time, engaging higher mental processes to learn for mastery, the use of formative assessment with corrective feedback, optimal pacing and time management, performed two standard deviations (2 sigma) better than those in conventional classrooms; this effectively raised an average student to the top two percentile.[4] Till recently, it was not a feasible option to provide such 1-to-1 tutoring for all the students, especially in the professional courses. Educators can utilize Bodhan AI to achieve this by: Democratizing access: Bodhan AI scales the “tutor effect” by providing a digital tutor for every student at near-zero marginal cost, replicating the 1-to-1 dynamic. Moreover, unlike human tutors, the AI tutor will be available on demand, 24/7[1] Mastery learning: Educators can use Bodhan to implement mastery learning protocols, where the AI ensures every student has mastered the foundational concepts before unlocking case-based clinical learning modules, a logistic impossibility in large medical classes[2] Feedback loops: The system provides immediate, nonjudgmental feedback, a critical component of the 2-sigma effect, allowing students to correct errors in real-time during case-based learning.[4] COMPARISON OF BODHAN AI WITH “PROGRAMMED LEARNING,” A FAILED EXPERIMENT The “programmed learning” movement of the 1960s (driven by B. F. Skinner’s behaviourism) failed due to its rigid, linear nature (“drill and kill”), which led to learner boredom, memory-based rote learning, and lack of deeper concept attainment. Although Bodhan AI appears similar in principle, there are major differences in practice. The likelihood of success is significantly higher with Bodhan AI model due to three key differences between the programmed learning model and Generative AI in tutor mode: Generative versus preprogrammed: Unlike the static branches of programmed learning, Bodhan AI generates contextual explanations, analogies, and questions tailored to the student’s current state, maintaining active engagement[3] Constructivist interactions in natural language: Students can converse with Bodhan AI in natural language, asking clarifying questions (“Can you explain that again in simple terms?”), fostering a constructivist learning environment rather than a behaviorist one[2] Data-driven adaptation: On performance, “machine learning” by the AI system could improve its own teaching strategies based on students’ responses and performance data, making the AI tutor smarter and more effective over time.[1] CAN BODHAN AI REPLICATE THE SUCCESS OF THE UNIFIED PAYMENTS INTERFACE INITIATIVE? The success of the UPI provides a proven blueprint for the Bodhan AI initiative. By treating education as a DPI rather than a siloed product, India aims to extend its success in the digital economy to the education sector including higher education and HPE [Table 1].Table 1: Comparison of success drivers: Unified payments interface versus Bodhan artificial intelligenceFour main reasons for the successful implementation of UPI are: Open and interoperable architecture that permitted different banks and third-party payment apps to communicate seamlessly Zero-cost for end-users User-centric simplification that replaced complex bank details with a simple virtual payment address or QR code, making it accessible even to those with limited digital literacy[5,6] Effective public–private synergy by which the government provided the infrastructure, while the private sector innovated on the “last-mile” user experience.[5,7] TWEAKING BODHAN AI FOR EFFECTIVE USE IN HEALTH PROFESSIONS EDUCATION Since Bodhan AI is developed by technologists at IIT Madras, it requires specific discipline-specific pedagogical “tweaks” to be effective for HPE: Clinical reasoning integration: The model must be fine-tuned not only on medical textbooks (factual knowledge) but also on “clinical case vignettes” that prioritize differential diagnosis and decision-making pathways[8] Multimodal learning: HPE requires an instructional approach that offers learning through multiple sensory channels, such as visual, auditory, reading/writing, and kinesthetic (hands-on) methods, to improve engagement, comprehension, and memory retention[1] Empathy training: “Soft skills” are crucial in HPE. Modules must be designed where the AI plays the role of a patient, allowing students to practice history-taking and empathetic communication, with the AI providing feedback on tone, phrasing, and even on facial expressions.[3] For this to happen, AI models, such as Bodhan AI, should have the capabilities of “affective computing.”[9] SAFEGUARDING AGAINST BIAS, HALLUCINATION, AND GUESSWORK To ensure error-free learning in HPE during 1-to-1 tutoring by Bodhan AI, the following precautions are necessary: Retrieval-augmented generation (RAG): Bodhan AI must be restricted from “creative writing” when discussing medical facts. It should strictly use RAG architecture to fetch answers only from reliable sources, such as the current edition of prescribed medical textbooks, official practice guidelines, and peer-reviewed journals. Bodhan AI, even in a tutor mode, should cite its sources so that the educators could do the human-in-the-loop verification[8] “I don’t know” protocols: The model must be programmed to admit ignorance rather than do guesswork to fill up any knowledge gaps in its responses, specifically in clinical management queries[10] Bias audits: Medical data often contains demographic biases. The sovereign nature of Bodhan allows for the deliberate curation of Indian-specific health data (e.g., local disease prevalence) to prevent western-centric biases in diagnosis suggestions[1] Human-in-the-loop verification: A layer of medical faculty oversight is required to randomly audit 1-to-1 tutoring transcripts for accuracy and lack of bias and to ensure that it aligns with the current standard of care.[8] THE LIMITATIONS OF ARTIFICIAL INTELLIGENCE-BASED HEALTH PROFESSIONS EDUCATION While AI-assisted medical education offers transformative benefits such as personalized learning, case simulations, and learning for mastery, it possesses critical “blind spots,” areas where technology lacks the nuance, empathy, and physical capability of human educators. Conventional learning methods are essential to address these limitations, primarily in learning physical examination skills, fostering humanistic care, higher-order “contextual critical thinking,” and creative problem-solving.[11-13] RESPONSIBLE USE OF ARTIFICIAL INTELLIGENCE IN HEALTH PROFESSIONS EDUCATION The position statement[14] on the “responsible use of AI in and for medical education,” from the Association of American Medical Colleges (AAMC) is quite relevant to Bodhan AI initiative, still in its nascent stage of development. The adoption of these seven steps would help to ensure safe and responsible use of AI in HPE: Maintain human-centred focus Ensure ethical and transparent use Provide equal access to AI Foster education, training, and continuing professional development Develop curricula through interdisciplinary collaboration Protect data privacy Monitor and evaluate the effectiveness of implementation, outcomes, and impact.[14] SUMMING UP India stands on the threshold of launching a homegrown AI solution to revolutionize the way students learn from the kindergarten to the tertiary level education. If the successful operational strategies of India’s UPI initiative in ushering in the digital economy with inclusivity and equity of access can be adopted by the Bodhan AI initiative, we could see a remarkable transformation of educational landscape in India in the next decade. Moreover, the true success of AI-assisted enhancement in student learning outcomes depends on responsible use of AI with effective guardrails to avoid automation biases, which could misinform and misguide the learners, and of “cognitive offloading,” where students passively consume AI content rather than actively engaging in deep learning and critical thinking.[10]
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K. R. Sethuraman (2026) studied this question.
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