Purpose
This study identifies critical artificial intelligence (AI)-related competencies needed by osteopathic medical graduates over the next 25 years and explores their integration into graduate medical education (GME). Preparing physicians with these skills is vital for addressing healthcare needs in underserved areas, where provider shortages currently affect over 80 million Americans annually.

Methods
Data from the Accreditation Council for Graduate Medical Education (ACGME), Health Resources and Services Administration (HRSA), and American Medical Informatics Association (AMIA) were reviewed to evaluate gaps in AI and telehealth training. Current GME programs were assessed, and key competencies for a future-ready workforce were identified.

Results
Analysis revealed significant gaps in AI and telehealth training. The integration of AI competencies into GME is minimal. ACGME data indicates that none of its 12,740 accredited programs currently require AI-specific training. In contrast, AMIA has established 26 core competencies for master’s level applied health informatics, with 15% directly addressing AI applications in healthcare, such as AI-assisted clinical decision-making and ethical AI use. Despite these guidelines, <5% of surveyed programs report any integration of AI concepts, creating a significant educational gap. Telehealth training is similarly scarce, with < 5% of GME programs incorporating formal telehealth education despite 78.4% utilizing ambulatory settings. HRSA emphasizes telehealth as a critical strategy for addressing healthcare provider shortages. During the COVID-19 pandemic, 96% of HRSA-funded health centers adopted telehealth to expand care access in underserved regions. Additionally, since 2020, HRSA has invested nearly $55 million in initiatives to enhance virtual healthcare access through telehealth and remote patient monitoring.

Conclusion
GME programs lack standardized AI and telehealth training, which is critical for addressing healthcare shortages and preparing future physicians. Integrating AMIA-recommended competencies—such as AI-assisted decision-making, ethical AI use, and telehealth proficiency—into GME curricula will better equip physicians to meet the demands of underserved areas.