Clinicians Adopt Three-Tier AI Competency Framework

A 2026 viewpoint in the Journal of Medical Internet Research proposes a three-tier competency framework to guide clinicians’ adoption of large language models. It defines Tier 1 (foundational skills), Tier 2 (evaluative expertise), and Tier 3 (leadership and governance), and recommends integrating competencies into continuing medical education and role-specific job descriptions. The framework aims to standardize deployment, support safer clinical practice, and potentially improve patient outcomes.