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Table 1 Summary of guidance

From: Embedded ethics: a proposal for integrating ethics into the development of medical AI

Domain

Guidance

Aims

1. Embedded ethics should anticipate, identify, and address ethical issues that arise during the process of developing medical AI

 

2. Embedded ethics should work collaboratively with the development team to consider and address these issues via an iterative and ongoing process

Integration

3. Embedded ethics should involve regular exchanges, formally or informally, between ethicists and technical members of the team

Practice

4. Theoretical frameworks employed by embedded ethics should be made clear and explicit

 

5. Theoretical frameworks and resulting positions should be explained and justified in terms of specific project goals

 

6. The decision-making structure within the team should be clearly established at the beginning of the process

 

7. Embedded ethics should consider ways that transparency of analyses in the development of the medical AI could be achieved within the restrictions of confidentiality and intellectual property

Expertise and training

8. Embedded ethics calls for expertise in ethical analysis and proficiency in applied settings, as well as a basic understanding of the AI technology in question and its clinical field of deployment

 

9. Opportunities should be created, both before and during a project, for participants to acquire the relevant knowledge and skills to do embedded ethics