Customer Stories

University of Houston: Artificial Intelligence (AI) in Clinical Skills Assessments

June 17, 2026

Jake Valentine, M.D., M.Ed.; Steven D Butler PhD, LP, CHSE, CHSOS
University of Houston – Center for Clinical Arts, Skills, and Experiential Learning (CASEL)
Zoltan Fodroczi, PhD
Elevate Healthcare: elevatehealth.net

Introduction

Simulation-based education is a cornerstone for preparing healthcare learners for safe, effective clinical practice. While Objective Structured Clinical Examinations (OSCEs) and standardized patient (SP) encounters are widely used to assess clinical reasoning and communication, maintaining high-quality assessment at scale is increasingly difficult due to the labor-intensive nature of manual checklist reviews.

This paper describes a collaborative pilot between the University of Houston Center for Clinical Arts, Skills, and Experiential Learning (CASEL) and Elevate Healthcare. The study evaluated the accuracy of AI-generated pre-filled checklists against two human expert observers and all against an adjudicated consensual reference output in Faculty Observation Narrative checklist (FON) evaluation to determine the feasibility of AI as a decision-support tool for quality assurance.

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