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  • Four photographers rewrite the past — and imagine the future

    Four photographers rewrite the past — and imagine the future

    In this special photography package, four artists imagine fictional pasts and possible futures as a way of questioning the present. Asian-American men lounge along the Hudson River Valley, staking claim to the land their ancestors once worked. Hollywood monsters invade the ethnographic photographs taken by colonial settlers in Brazil, challenging the idea of the “alien”. In 20th-century Sweden, a group of sisters sews intricate wedding garments that will never be worn. And the old names of Palestinian villages — their names before the mass displacement of the 1948 Nakba — are restored in new maps. Alternative histories suggest alternative futures.

    Alongside these photo essays we present the work of four fiction writers: Sara Baume, Vinson Cunningham, Yomi Ṣode and Rebecca Watson. Each has written a short story or personal essay in response to a photograph, creating pairings of word and image that are by turns lyrical and spiky, meditative and deeply moving. A photographer’s frozen moment is reanimated by a writer, its characters given an unexpected afterlife on the page.

    — Griselda Murray Brown

    ‘A River Once Dreamed’

    Andrew Kung

    In the series A River Once Dreamed, I recompose the Hudson River School’s romanticised paintings by staging scenes in which the river valley is inhabited by Asian-American men. Each constructed scene challenges the predominant iconography of the American landscape, and recontextualises the relationship between nature and belonging, identity and masculinity, history and erasure.

    Informed by the concept of Manifest Destiny, which held that Americans were chosen by God to expand westwards and colonise the land, previous depictions of the landscape, such as those by the Hudson River School, implied who was able to participate in the natural world and how. Despite major contributions to the landscape, including constructing the Transcontinental Railroad, advancing the nation’s agricultural infrastructure and pledging allegiance in war, Asian migrants and their histories remain largely misrepresented and invisible.

    Through intimate scenes of friendship, the cast of characters is reimagined as cultural citizens of the Hudson River Valley, America’s first iconic landscape. Ultimately, they are contesting the history of land ownership and staking their claim to the American pastoral.

    ‘Brothers Wrestling in the Rain’ © Andrew Kung
    ‘No Trespassing’ © Andrew Kung
    ‘Untitled’ © Andrew Kung
    ‘Dreaming on the Hudson’ © Andrew Kung
    ‘Dreaming on the Hudson’ © Andrew Kung
    © Andrew Kung

    Andrew Kung’s exhibition, “A River Once Dreamed”, will be at Blue Sky Gallery, Portland, Oregon, from November 6-29


    ‘Ficções Coloniais’

    Denilson Baniwa
    © Denilson Baniwa
    © Denilson Baniwa

    I think of King Kong, taken from his land to be displayed as a trophy and a freak, just as the Tupinambá people were taken to Europe and exhibited in public squares. Godzilla, the Loch Ness Monster, the Kraken — they could all represent what happens when progress advances over forests, rivers and ecosystems. Western stories and cinema imagine alien attacks that destroy cities because that is exactly what the west has done over time, and now it fears a historical revenge. For many of the world’s indigenous peoples, the aliens were once the westerners.

    This work, from the series Ficções Coloniais (which translates as “Colonial Fictions”), is part of a broader practice that reflects on the invention of “Brazil” and the ways in which indigenous peoples have been represented, exoticised and silenced in visual culture. I draw from historical accounts, ethnographic archives, popular cinema and contemporary media to weave images that break away from conventional narratives. By placing indigenous perspectives into the visual language of mass culture, from Hollywood blockbusters to advertising, I seek to expose the colonial gaze embedded in these global icons.

    © Denilson Baniwa
    © Denilson Baniwa

    Here, I imagine indigenous art as a right of reply, and the right to tell an alternative history of Brazil. I repurpose the icons we have grown used to seeing framed on television screens, in cinemas and on cell phones, icons that are metaphors for the idea of “the other”.

    By using humour to bring together such diverse, seemingly jarring material, I hope to spark debate on appropriation, image rights and reproduction — where guaraná is originally Sateré Mawé and popcorn is Guarani.

    This is not only about reclaiming symbols, but about reframing the narratives that shape the way the world sees indigenous cultures past, present and future.

    Denilson Baniwa will be exhibiting as part of “Ancestral Futures” at Les Rencontres d’Arles until August 31 and as part of “Câmbio de Paradigma. Um giro no Brasil” at the Cervantes Institute of Rio de Janeiro until September 3


    ‘Reimagining Homeland’

    Samaa Emad
    © Samma Emad
    © Samma Emad

    Reimagining Homeland is an artistic project that uses collage to delve into the intricate tapestry of memory and culture in Palestine. It aims to (re)create and (re)imagine the vibrant life of the villages destroyed in the 1948 Nakba, the Arabic name meaning “catastrophe”, when more than half the Palestinian population were driven from their homes and lands. This project weaves together disparate elements with the aim of fostering dialogue and reconciliation.

    The Palestinian narrative is one fraught with struggles for justice, identity and survival amid a landscape marked by displacement and destruction. Reimagining Homeland seeks to engage with these complexities through collage, providing a visual and tactile journey through memory and imagination. Drawing upon archival photographs, oral histories and personal narratives, the work incorporates a diverse range of materials. These materials serve as the building blocks for compositions that capture the essence of Palestinian life and culture, while also reflecting on the impact of conflict and displacement.

    © Samma Emad
    © Samma Emad

    I have selected pictures from the Palestinian archive from the period before the Nakba, pictures of daily practices carried out by Palestinians in their villages. I have included maps of these villages and their old names, which were changed after the occupation. With techniques such as tearing, cutting, layering and stitching, the collages become a medium for exploration, dialogue and healing.


    ‘Hail Mary, Bobbin Lace, Serpent’s Thread’

    Emilia Martin
    ‘The two of us’, 2024 © Emilia Martin
    The army of plenty’, 2024 © Emilia Martin

    Growing up partly on my grandparents’ farm in eastern Poland, I spent countless hours observing my grandmother, a rural textile worker, as she sewed, her fingers dancing with needle and thread in a rhythm that skirted between the ordinary and the mythical. “Will you put a thread on for me?” she would say, trusting my younger eyes as though they were an extension of her own.

     ‘Babooshka diptych’, 2025  © Emilia Martin
    © Emilia Martin

    Her work, like so much labour categorised as domestic and inherently feminine, was unrecognised, undervalued and dismissed and once she passed away, her textiles were discarded. The project Hail Mary, Bobbin Lace, Serpent’s Thread interweaves her story with that of the Andersson sisters, who, living in Sweden at the dawn of the 20th century, spent their lives creating textiles for their Knottekistje (wedding caskets). Yet four of the five sisters did not marry and their intricate textiles were never used, leaving a complex record of their lives while challenging the definition of textile making as a practical feminine craft with the sole purpose of domestic use.

    ‘Hands braiding cosmologies’, 2025  © Emilia Martin
    ‘Mending (fibers and histories)’, 2025  © Emilia Martin

    Emilia Martin will be exhibiting “I saw a tree bearing stones in the place of apples and pears” at the Pictura Gallery in Bloomington, Indiana, in November

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  • A Matter of Time album review — old-school vibes from an Icelandic Gen Z star

    A Matter of Time album review — old-school vibes from an Icelandic Gen Z star

    Unlock the Editor’s Digest for free

    The most-streamed Icelandic artist ever, with Björk trailing in her wake, is a Berklee-trained 26-year-old inspired by golden oldies and classic musicals. Laufey, pronounced Lay-vay, recounts Gen Z tales of romance amid a light swirl of bossa nova, cocktail jazz and orchestral pop. 

    Propelled by TikTok fame, she occupies a curious space between cutesy gimmickry and intriguingly driven stylism: the notion of being haunted often turns up in her songwriting. With each new record, the gimmicky aspect recedes. Her songs have gained more than 5bn streams, while a recent New York Times interview included pan-musical encomia from Olivia Rodrigo, Barbra Streisand and Gustavo Dudamel. 

    A Matter of Time is her third studio album in three years, an old-fashioned rate of return. Laufey Lín Bing Jónsdóttir (her full name) claims it will reveal her “angrier” and “sexier” sides. “I wanted the world to know I’m not always so polite,” she insists. We drop the needle on opening track “Clockwork”, smelling salts at hand — only to find the kind of close harmony vocals and plush arrangements that made Patti Page the US’s biggest-selling female singer in the 1950s. 

    “Swore I’d never do this again,” Laufey sings, all but winking as she tells a tale of going on a first date with a friend. There are no changes in approach here, nor in “Lover Girl”, a jaunty bossa nova bagatelle about being love-struck. But “Snow White” introduces a shift in tone. Accompanied by introspectively strummed guitar, like Billie Eilish in one of her ukulele moments, Laufey whisper-sings about not measuring up to ideals of beauty. As an orchestra swells into focus, her vocals become unusually dramatic and Broadway-like, including the use of vibrato, Streisand’s signature technique.

    An F-bomb is dropped in “Too Little, Too Late”, a Rodrigo-ish piano ballad sung from the point of view of a man who fails to follow the dictates of his heart. “Tough Luck” blends the thrumming pop-rock of Taylor Swift with twinkling choral harmonies and orchestral embellishments. The song takes aim at a cheating ex-partner, a downward twist on the breezy romantic scenarios of previous albums. (Aaron Dessner, who has worked with Swift, joins Laufey’s usual collaborator Spencer Stewart as the album’s co-producer.)

    A chintzy strain of Disneyfication prevents A Matter of Time from achieving real emotional traction, as does the singer’s somewhat inexpressive belting. But the album is enjoyable and unusual, a bridge between the “pop girls” of today and their equivalents from decades past.

    ★★★★☆

    ‘A Matter of Time’ is released by AWAL

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  • Today’s Hurdle hints and answers for August 23, 2025

    Today’s Hurdle hints and answers for August 23, 2025

    If you like playing daily word games like Wordle, then Hurdle is a great game to add to your routine.

    There are five rounds to the game. The first round sees you trying to guess the word, with correct, misplaced, and incorrect letters shown in each guess. If you guess the correct answer, it’ll take you to the next hurdle, providing the answer to the last hurdle as your first guess. This can give you several clues or none, depending on the words. For the final hurdle, every correct answer from previous hurdles is shown, with correct and misplaced letters clearly shown.

    An important note is that the number of times a letter is highlighted from previous guesses does necessarily indicate the number of times that letter appears in the final hurdle.

    If you find yourself stuck at any step of today’s Hurdle, don’t worry! We have you covered.

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    Hurdle Word 1 hint

    Tall and thin

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    Hurdle Word 1 answer

    LANKY

    Hurdle Word 2 hint

    Short.

    Mashable Top Stories

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    Hurdle Word 2 Answer

    BRIEF

    Hurdle Word 3 hint

    Excessive.

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    Hurdle Word 3 answer

    UNDUE

    Hurdle Word 4 hint

    A Russian prison.

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    Hurdle Word 4 answer

    GULAG

    Final Hurdle hint

    Muck.

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    Hurdle Word 5 answer

    SLUSH

    If you’re looking for more puzzles, Mashable’s got games now! Check out our games hub for Mahjong, Sudoku, free crossword, and more.

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  • Katie Norris: Go West, Old Maid review – unhinged comedy from the ‘cool governess’ to gen Z | Edinburgh festival 2025

    Katie Norris: Go West, Old Maid review – unhinged comedy from the ‘cool governess’ to gen Z | Edinburgh festival 2025

    Since childhood, Katie Norris has been called an “old soul” – which won’t surprise anyone who saw her solo debut Farm Fatale, a gothic melodrama in character as a Miss Havisham-like spinster, crazy for cats. Something of that remains in Go West, Old Maid, where we meet again the gen Z flatmates to whom Norris plays “cool governess”. But it’s worn more lightly here, put on for laughs to startle us, and slipped out of when – the thrust of the show, this – she wants to talk about her late dad, a plummy thespian dispensing useless advice to Katie across not so much a generation gap as a chasm.

    That gives Norris the only excuse she needs to open with a withering takedown of “old dads”, and an enjoyable fantasy of herself becoming a mum in her 80s. She has great fun with her predilection for man-crushing here, notably in a song, about being a godmother that imagines her exes turned into toads at the bottom of her garden. An even finer number conjures her father’s nostalgia for his theatrical golden age – and by that stage, the song is amusing and tender in equal measure, because we have heard he went to a brutal boarding school with Boris Johnson’s dad, and so he has our deepest sympathy.

    In between, some asides about Norris’s secretive mum (raising so many questions as to almost knock the dead-dad show off its axis), a routine about her personal trainer, and a show-and-tell about her new taxidermy habit. Cumulatively, Go West, Old Maid doesn’t make quite the impact of Farm Fatale: there’s something anticlimactic about its dramatic shape, and the act-out of her father’s supposed play script feels like a generic nugget of audience participation.

    But at her best, for most of this show, Norris isn’t generic in the slightest. She has developed such a distinctive and diverting persona: threatening (but just for fun), eccentric and proud of it in her “Victorian bellboy” outfit, apt at any moment to drop an unhinged aside or out-of-the-blue song – like the cracker here celebrating the missionary position. “Old soul”, she may be, but Norris’s act is in glorious full bloom.

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  • Paul Capsis: ‘It was always the women I looked up to in my family. The men were miserable’ | Life and style

    Paul Capsis: ‘It was always the women I looked up to in my family. The men were miserable’ | Life and style

    The Fitzroy weather turns from unseasonably muggy to reassuringly bitter as soon as we emerge from Mario’s on Brunswick Street, but cabaret legend Paul Capsis has come prepared and whips out an oversized umbrella. “I knew to expect anything,” he smiles, making it sound like a personal creed.

    Capsis is a born-and-bred Sydneysider, and yet he claims that “90% of people I speak to think I was born in Melbourne, that I grew up or that I’m based here.” Perhaps it’s the attitude – the spikiness and intensity of his onstage persona, or that slightly subterranean aura of the demimonde he carries with him in the real world – that makes him seem better suited to the moodier southern metropolis.

    Slightly built, with his long chestnut hair pulled back from his leonine face, Capsis is petite but striking as he swishes an ample scarf around his neck. While primarily a stage performer – he’s appeared in everything from Bertolt Brecht to Rocky Horror – Capsis first leapt to national attention in Ana Kokkinos’s Head On, the 1998 film adaptation of Christos Tsiolkas’s debut novel, Loaded. He played the protagonist’s best friend, Johnny, who moonlights as drag diva Toula in defiance of his strict religious Greek upbringing.

    Paul Capsis: ‘I thought I’d found my people, but I was a minority among my people. I wasn’t fully embraced.’ Photograph: Eugene Hyland/The Guardian

    “My father is Greek and my mother’s family are Maltese,” Capsis says. “I knew this world. I knew these men.” Patriarchal and socially conservative, it was a challenging and sometimes scary place for a young boy trying to navigate his gender and sexuality. “But it was always the women I looked up to in my family. The men were miserable.” When his parents split up, Capsis moved to Surry Hills in the inner city, where he was raised largely by his maternal grandmother, Angela.

    Capsis maintains that he was “so naive as a child. I knew nothing about sex”. This changed dramatically when he started performing around the Sydney drag circuit in the late 80s; the bitchiness and misogyny among gay men in the scene at the time, he says, also came as a shock. “I’d entered a world that was so bizarre to me. The drinks and the drugs. I thought I’d found my people, but I was a minority among my people. I wasn’t fully embraced.”

    As we pass the Provincial hotel on the corner of Brunswick and Johnson Streets, Capsis grabs my arm. “This is where I first met Ana [Kokkinos]! I’d just read the book and she’d asked to meet me, not to be in the film but to consult about the Greek aspects of the character.” He went to the meeting in character and soon Kokkinos and the casting director were asking him all sorts of questions. He didn’t realise it, but they were sizing him up for the role.

    In some key way, Capsis’s performance in Head On came to define a certain queer, second-generation migrant experience, tied inextricably to old-world European traditions while desperate to carve a space in an Australia that spurned their ethnicity. “I had a very conservative Catholic upbringing, sheltered in many ways.” Angela – whom Capsis adored and would immortalise in his acclaimed solo show, Angela’s Kitchen – was a stalwart presence, fiercely loyal.

    “When I was a child, I was adamant that I was a girl,” Capsis recalls, matter-of-factly. “I remember vividly the adults standing over me and insisting I was a boy and I’d be screaming ‘No! I’m a girl.’ It was pretty traumatic.” But whenever the men of the house tried to punish him for his perceived femininity, Angela would intervene. “My grandmother would sort of protect me from all that. She’d demand I be left alone.”

    Puberty was particularly monstrous for Capsis but also a catalyst for some kind of self awareness. “When I hit puberty, my body started to go to war with me. Around 15, I started to negotiate what this all was,” Capsis says, swiping a hand down his body. “I said to myself, you are like a woman, you’re a guy and you like men. You’re just gonna have to deal with it. I’m not going to have anything chopped off, I’m not going to have anything added. I’m gonna be me and hope for the best.”

    While Capsis acknowledges that a contemporary understanding of gender “would have given me words around my experience”, he is unconcerned about labels and doesn’t identify as trans. “I’m a feminine gay man.”

    Capsis began his career “playing dead women”, impersonating (although channelling might be the apposite word) the often tragically complex divas of the past, legends like Janis Joplin, Judy Garland and Billie Holiday. Eventually, theatre visionary Barrie Kosky would conjure an ideal platform for this strange act of possession, Boulevard Delirium. It was arguably the sharpest, most dazzling piece of cabaret the country’s ever seen. While it folded in some of the grotesquerie of drag, it seemed to spring from a deeper, more empathetic well.

    Capsis nods enthusiastically as we discuss this, the husky crack in his voice opening slightly. “The women I was obsessed with growing up were all strong women, if not in their character then in their voice. People like Judy Garland, Edith Piaf, Janis Joplin. These women had something so powerful, but it comes out of their life experience.”

    Capsis’s career has seen him play some of queer history’s most revered figures, including Oscar Wilde and Quentin Crisp, as well as icons such as Marlene Dietrich. He’s about to play multiple roles in Sydney Theatre Company’s upcoming production of The Shiralee, and it’s a safe bet that at least one of them will be a woman.

    “I come from strong stock,” Capsis says, a note of pride peaking through as we huddle under the cover of a shop awning, rain really coming down now. “My grandmother literally gave birth to my mother during an air raid. She was tough.” That familial connection has been one of the reasons Capsis has stayed in Sydney, even when a career in New York or Berlin beckoned. “I did choose to stay close to my grandmother and then when she died, my mother. It was a decision I made consciously and I don’t regret it.”

    Paul Capsis: ‘The women I was obsessed with growing up were all strong women, if not in their character then in their voice.’ Photograph: Eugene Hyland/The Guardian

    Capsis’s mother died less than a year ago and while he still grieves for her, he admits “It has freed me up. I can finally consider moving places, travelling for longer periods. I’ve never been to Paris. Perhaps I’ll go there next.” He could always move to Melbourne, where he seems part of the fabric of the city, or revisit Malta and the cradle of his forebears.

    “I’ve performed in Malta. It’s fascinating but so Catholic.” He is often mistaken for a trans woman there, and has been laughed at in the streets. It’s the sort of thing that might cower or diminish anyone else, but Capsis – who was bullied mercilessly at school – is hard to intimidate.

    He confronted them in his mother’s language: “I’m not crawling under a rock for you. I’m not going to hide for you.” As he recounts this, someone turns from across the street to stare. Capsis laughs uproariously, but then turns to me fiercely. “The women I loved, they didn’t put up with shit. They were fighting.”

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  • Multiple rain-bearing systems approaching Pakistan: NDMA – Pakistan

    Multiple rain-bearing systems approaching Pakistan: NDMA – Pakistan

    The Natural Disaster Management Authority (NDMA) has issued a severe weather alert, forecasting heavy rainfall and potential flooding across various regions of Pakistan from August 23 to 30.

    The NDMA’s National Emergency Operations Centre (NEOC) reports that three rain-bearing systems are expected to enter the country during this period, significantly increasing the risk of widespread downpours and flooding in vulnerable areas.

    From August 23 to 25, torrential rains and strong winds are anticipated in Islamabad, Kashmir, Khyber Pakhtunkhwa and Punjab, with urban flooding likely in low-lying areas and landslides expected in hilly terrains.

    Northeastern Punjab districts, including Rawalpindi, Attock, Jhelum, Mianwali, Khushab, Sargodha, Sialkot, Gujrat, Hafizabad and Mandi Bahauddin are forecast to experience heavy rainfall.

    Urban flooding is also a concern in Lahore, Faisalabad, Multan, Gujranwala, Narowal, Talagang and Chakwal.

    In southern Punjab, hill torrents may swell in Dera Ghazi Khan, Dera Ismail Khan and Rajanpur due to anticipated heavy water flow.

    Khyber Pakhtunkhwa is expected to face intense rainfall from August 23 to 27, raising the risk of flash floods in streams and landslides in mountainous regions.

    Areas such as Chitral, Dir, Swat, Shangla, Mansehra, Battagram, Abbottabad, Malakand, Peshawar, Charsadda, Nowshera, Mardan, Tank, Bannu, Lakki Marwat, and Dera Ismail Khan are particularly at risk.

    In Azad Kashmir, rainfall may lead to landslides and flooding in Muzaffarabad, Rawalkot, Bagh, Haveli, Kotli, Mirpur and Bhimber.

    Gilgit-Baltistan is also likely to experience heavy rains from August 23 to 27, resulting in flooding and landslides that could disrupt road connectivity.

    From August 27 to 30, coastal districts in Sindh, including Karachi, Thatta, Sujawal, Badin and Tharparkar, are expected to receive significant rainfall.

    Interior Sindh, encompassing Hyderabad, Jamshoro, Nawabshah, Dadu, Khairpur, Sukkur, Ghotki, Larkana, Jacobabad, Shikarpur, Khashmore and Shaheed Benazirabad, is also forecasted to see widespread rainfall.

    In Balochistan, heavy rains and strong winds are likely to hit Lasbela, Khuzdar, Awaran, Kalat, Gwadar, Turbat, Kech, Panjgur, with intermittent showers expected in Quetta and surrounding areas.

    Flooding is feared in several regions due to anticipated heavy water flow.

    As reservoirs approach full capacity, river flows are expected to rise significantly, with the Indus River potentially reaching 500,000 cusecs at Taunsa, Guddu, and Kalabagh.

    The NDMA is actively monitoring the situation and coordinating relief operations, urging the public to remain vigilant and adopt safety measures.

    Authorities have advised tourists to avoid travel to northern areas due to the heightened risk of heavy rainfall and landslides.

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  • Integrating artificial intelligence into medical education: a narrative systematic review of current applications, challenges, and future directions | BMC Medical Education

    Integrating artificial intelligence into medical education: a narrative systematic review of current applications, challenges, and future directions | BMC Medical Education

    The initial search yielded a total of 150 studies across four databases. After removing duplicates, 120 unique records were screened based on titles and abstracts. Of these, 30 full-text articles were assessed for eligibility. Following a full-text review, 14 studies were included in the final synthesis from PubMed, Scopus, Web of Science, and Google Scholar (Fig. 1). The remaining studies were excluded for reasons including lack of educational context, absence of AI-related content, or unavailability of full text. A summary of the study selection process is presented in the PRISMA flow diagram (Fig. 1).

    Fig. 1

    PRISMA flow diagram of study selection

    Study characteristics

    The narrative review includes 14 studies covering diverse geographic locations including the United States, India, Australia, Germany, Saudi Arabia, and multi-national collaborations. The selected studies employed a mix of methodologies: scoping reviews, narrative reviews, cross-sectional surveys, educational interventions, integrative reviews, and qualitative case studies. The target population across studies ranged from undergraduate medical students and postgraduate trainees to faculty members and in-service professionals.

    Artificial Intelligence (AI) was applied across various educational contexts, including admissions, diagnostics, teaching and assessment, clinical decision-making, and curriculum development. Several studies focused on stakeholder perceptions, ethical implications, and the need for standardized curricular frameworks. Notably, interventions such as the Four-Week Modular AI Elective [13] and the Four-Dimensional AI Literacy Framework [12] were evaluated for their impact on learner outcomes.

    Table 1 provides a comprehensive summary of each study, outlining country/region, study type, education level targeted, AI application domain, frameworks or interventions used, major outcomes, barriers to implementation, and ethical concerns addressed.

    Risk of bias assessment

    A comprehensive risk of bias assessment was conducted using appropriate tools tailored to each study design. For systematic and scoping reviews (e.g., Gordon et al. [2], Khalifa & Albadawy [8], Crotty et al. [11]), the AMSTAR 2 tool was applied, revealing a moderate risk of bias, primarily due to the lack of formal appraisal of included studies and incomplete reporting on funding sources. Observational studies such as that by Parsaiyan & Mansouri [9] were assessed using the Newcastle-Ottawa Scale (NOS) and showed a low risk of bias, with clear selection methods and outcome assessment. For cross-sectional survey designs (e.g., Narayanan et al. [10], Ma et al. [12], Wood et al. [14], Salih [20]), the AXIS tool was used. These showed low to moderate risk depending on sampling clarity, non-response bias, and data reporting. Qualitative and mixed-methods studies such as those by Krive et al. [13] and Weidener & Fischer [15] were appraised using a combination of the CASP checklist and NOS, showing overall low to moderate risk, particularly for their methodological rigor and triangulation. One study [19], which employed a quasi-experimental design, was evaluated using ROBINS-I and was found to have a moderate risk of bias, primarily due to concerns about confounding and deviations from intended interventions. Lastly, narrative reviews like Mondal & Mondal [17] were categorized as high risk due to their lack of systematic methodology and critical appraisal Table 2.

    Table 2 Risk of bias assessment of included studies

    Characteristics of included studies

    A total of 14 studies were included in this systematic review, published between 2019 and 2024. These comprised a range of study designs: 5 systematic or scoping reviews, 4 cross-sectional survey studies, 2 mixed-methods or qualitative studies, 1 quasi-experimental study, 1 narrative review, and 1 conceptual framework development paper. The majority of the studies were conducted in high-income countries, particularly the United States, United Kingdom, and Canada, while others included contributions from Asia and Europe, highlighting a growing global interest in the integration of artificial intelligence (AI) in medical education.

    The key themes addressed across these studies included: the use of AI for enhancing clinical reasoning and decision-making skills, curriculum integration of AI tools, attitudes and readiness of faculty and students, AI-based educational interventions and simulations, and ethical and regulatory considerations in AI-driven learning. Sample sizes in survey-based studies ranged from fewer than 100 to over 1,000 participants, representing diverse medical student populations and teaching faculty.

    All included studies explored the potential of AI to transform undergraduate and postgraduate medical education through improved personalization, automation of feedback, and development of clinical competencies. However, variability in methodology, focus, and outcome reporting was observed, reinforcing the importance of structured synthesis and cautious interpretation.

    1. A.

      Applications of AI in Medical Education

    AI serves multiple educational functions. Gordon et al. identified its use in admissions, diagnostics, assessments, clinical simulations, and predictive analytics [2]. Khalifa and Albadawy reported improvements in diagnostic imaging accuracy and workflow efficiency [8]. Narrative reviews by Parsaiyan et al. [9] and Narayanan et al. [10] highlighted AI’s impact on virtual simulations, personalized learning, and competency-based education.

    1. B.

      Curricular innovations and interventions

    Several studies introduced innovative curricular designs. Crotty et al. advocated for a modular curriculum incorporating machine learning, ethics, and governance [11], while Ma et al. proposed a Four-Dimensional Framework to cultivate AI literacy [12]. Krive et al. [13] reported significant learning gains through a four-week elective, emphasizing the value of early, practical exposure.

    Studies evaluating AI-focused educational interventions primarily reported improvements in knowledge acquisition, diagnostic reasoning, and ethical awareness. For instance, Krive et al. [13] documented substantial gains in students’ ability to apply AI in clinical settings, with average quiz and assignment scores of 97% and 89%, respectively. Ma et al. highlighted enhanced conceptual understanding through their framework, though outcomes were primarily self-reported [12]. However, few studies included objective or longitudinal assessments of educational impact. None evaluated whether improvements were sustained over time or translated into clinical behavior or patient care. This reveals a critical gap and underscores the need for robust, multi-phase evaluation of AI education interventions.

    1. C.

      Stakeholder perceptions

    Both students and faculty showed interest and concern about AI integration. Wood et al. [14] and Weidener and Fischer [15] noted a scarcity of formal training opportunities, despite growing awareness of AI’s importance. Ethical dilemmas, fears of job displacement, and insufficient preparation emerged as key concerns.

    1. D.

      Ethical and regulatory challenges

    Critical ethical issues were raised by Mennella et al. [16] and Mondal and Mondal [17], focusing on data privacy, transparency, and patient autonomy. Multiple studies called for international regulatory standards and the embedding of AI ethics within core curricula.

    While several reviewed studies acknowledged the importance of ethical training in AI, the discussion of ethics often remained surface-level. A more critical lens reveals deeper tensions that must be addressed in AI-integrated medical education. One such tension lies between technological innovation and equity AI tools, if not designed and deployed with care, risk widening disparities by favoring data-rich, high-resource settings while neglecting underrepresented populations. Moreover, AI’s potential to entrench existing biases—due to skewed training datasets or uncritical deployment of algorithms—poses a threat to fair and inclusive healthcare delivery.

    Another pressing concern is algorithmic opacity. As future physicians are expected to work alongside AI systems in high-stakes clinical decisions, the inability to fully understand or challenge these systems’ inner workings raises accountability dilemmas and undermines trust. Educational interventions must therefore go beyond theoretical awareness and cultivate critical engagement with the socio-technical dimensions of AI, emphasizing ethical reasoning, bias recognition, and equity-oriented decision-making.

    1. E.

      Barriers to implementation

    Implementation hurdles included limited empirical evidence [18], infrastructural constraints [19], context-specific applicability challenges [20], and an over-reliance on conceptual frameworks [10]. The lack of unified teaching models and outcome-based assessments remains a significant obstacle.

    These findings informed the creation of a conceptual framework for integrating artificial intelligence into medical education, depicted in Fig. 1. A cross-theme synthesis revealed that while AI integration strategies were broadly similar across countries, their implementation success varied significantly by geographic and economic context. High-income countries (e.g., USA, Australia, Germany) demonstrated more comprehensive curricular pilots, infrastructure support, and faculty readiness, whereas studies from LMICs (e.g., India, Saudi Arabia) emphasized conceptual interest but lacked institutional capacity and access to AI technologies. Contextual barriers such as resource limitations, cultural sensitivity, and institutional inertia appeared more pronounced in LMIC settings, influencing the feasibility and depth of AI adoption in medical education.

    Based on the five synthesized themes, we developed a Comprehensive Framework for the Strategic Integration of AI in Medical Education (Fig. 2). This model incorporates components such as foundational AI literacy, ethical preparedness, faculty development, curriculum redesign, and contextual adaptability. It builds on and extends existing models such as the FACETS framework, the Technology Acceptance Model (TAM), and the Diffusion of Innovation theory. Unlike FACETS, which primarily categorizes existing studies, our framework is action-oriented and aligned with Kern’s curriculum development process, making it suitable for practical implementation. Compared to TAM and Diffusion of Innovation, which focus on user behavior and adoption dynamics, our model integrates educational design elements with implementation feasibility across diverse economic and institutional settings.

    Fig. 2
    figure 2

    A comprehensive framework for the strategic integration of artificial intelligence in medical education

    Table 3 shows a comparative synthesis of included studies evaluating AI integration in medical and health professions education using Kern’s six-step curriculum development framework. The analysis reveals that most studies effectively identify the need for AI literacy (Step 1) and conduct some form of needs assessment (Step 2), often through surveys, literature reviews, or scoping exercises. However, only a subset of studies explicitly define measurable educational goals and objectives (Step 3), and even fewer describe detailed instructional strategies (Step 4) or implement their proposed curricula (Step 5). Evaluation and feedback mechanisms (Step 6) were rarely reported, and when included, they were typically limited to short-term student feedback or pre-post knowledge assessments. Longitudinal evaluations and outcome-based assessments remain largely absent. The findings underscore a critical implementation gap and emphasize the need for structured, theory-informed, and empirically evaluated AI education models tailored to medical and allied health curricula.

    Table 3 Mapping AI integration in medical education: A comparative analysis using kern’s Six-Step curriculum framework

    This conceptual model is informed by thematic synthesis and integrates principles from existing frameworks (FACETS, TAM, Diffusion of Innovation) while aligning with Kern’s six-step approach for curriculum design.

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  • ‘Warm and fuzzy’: would you cuddle a Highland cow? | South Australia holidays

    ‘Warm and fuzzy’: would you cuddle a Highland cow? | South Australia holidays

    She can barely see me – young Honey’s golden fringe falls well past her eyes. But the 11-month-old Highland calf trusts me, allowing me to nestle in close to brush her long, shaggy coat up along her neck. She tilts her head towards the sky, her wet pale pink nose catching the sun – she loves it. And for a moment, nothing else matters.

    I’m at Wildhand Farm, a 10 hectare property in Willunga Hill, South Australia. Little more than 12 months ago, budding farmers Alice Cearns, 29, and Reece Merritt, 37, were “going broke”. Their income from growing and selling native Australian flora and proteas was not enough to support their growing family. They began hosting flower-arranging workshops for the public but, in a twist of fate, their two Highland cows stole the show.

    More than 2,000 people have booked into the Highland cattle experiences since 2024. Photograph: Carrie Jones/The Guardian

    “The excitement was crazy,” says Cearns. “People wanted to spend more time with the cows than the flowers. “We realised: we have to get more cows.”

    The pair, who live on the farm with their two children, both under three, have seen more than 2,000 people through their property since launching private and small group Highland cattle experiences in October 2024. Dates now book out months in advance.

    Scottish Highland cattle are recognised for their shaggy coats and long, curved horns. Photograph: Carrie Jones/The Guardian
    Farmers Alice Cearns and Reece Merritt, with their six-week-old baby, Cody. Photograph: Carrie Jones/The Guardian

    “That first woman from the flower workshop who asked to see the cows, she just started crying when she got up close with them,” Cearns says.

    “We’ve had an 82nd birthday here, and she could barely walk, but she was just so over the moon to be out there.

    “We realised it’s a very therapeutic process to be out there with them, brushing them, bonding with them. We had a woman who worked for the NDIS say how much it would help those with disabilities improve their mental health.”

    ‘We realised it’s a very therapeutic process,’ says Cearns. Photograph: Carrie Jones/The Guardian

    Cow cuddling isn’t new: in recent years, farmers in Australia, the UK and the US have been inviting people to hug their herds as a supersized form of animal therapy. But these aren’t ordinary cows. Scottish Highland cattle – recognised for their shaggy coats and long, curved horns – aren’t farmed for meat in Australia, living to an average age of 23. There are a handful of other farmers and business owners who run Highland cow encounters in Australia, including The Farm at nearby Clarendon.

    The animal-loving pair were drawn to Highlands for grazing because the breed isn’t used for milk or meat – though the cows’ endearing faces helped, too. “I wanted a cow breed that you didn’t have to kill,” Cearns says.

    skip past newsletter promotion

    The farm now has nine Highlands: Mabel, Millie, Matilda, Ruby, Mia, Max, Menzi and Banks. Photograph: Carrie Jones/The Guardian
    ‘They’re so cute,’ says first-time cow cuddler Georgia Standing, 22. Photograph: Carrie Jones/The Guardian

    Merritt’s feelings on this also run deep. Raised on his family’s sheep farm in Mount Compass, he says he “never liked the killing”. Highlands, the pair say, are more like giant pets. Their charismatic herd now numbers nine, each “with their own personalities”: Mabel, Millie, Matilda, Ruby, Mia, Max, Menzi and Banks, aged between seven months and four-and-a-half years.

    At the start of the tour, the females come galumphing out – some faster than others (easy does it for the old girls). Merritt throws out a fresh batch of hay, giving them a chance to settle before we approach. Their presence feels big, not only in size but in an intangible, humbling energy that surrounds us as we slowly build confidence in patting, brushing and even cuddling the warm-bodied beauties.

    Two Highlands bound across a field. Photograph: Carrie Jones/The Guardian
    ‘It’s satisfying getting their knots out, too,’ says Standing. Composite: Carrie Jones/The Guardian

    Smiles and laughter ripple through the group – and the cows bask in the attention. First-time participant Georgia Standing, 22, says pampering the cows made her feel “warm and fuzzy”. “They’re so cute,” she says. “It’s satisfying getting their knots out, too.”

    Brushing their coats feels grounding, wholesome. The surrounding gums, the fresh air and free-roaming chickens add to the tranquillity, as do the many rows of blooming flowers.

    The cows are a time waster, Merritt jokes. “In the evening, I’ll come out here and the cows are just laying, and I’ll lay with them,” he says. “You can’t hear any cars. It’s just peaceful.”

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  • ‘Warm and fuzzy’: would you cuddle a Highland cow? | South Australia holidays

    ‘Warm and fuzzy’: would you cuddle a Highland cow? | South Australia holidays

    She can barely see me – young Honey’s golden fringe falls well past her eyes. But the 11-month-old Highland calf trusts me, allowing me to nestle in close to brush her long, shaggy coat up along her neck. She tilts her head towards the sky, her wet pale pink nose catching the sun – she loves it. And for a moment, nothing else matters.

    I’m at Wildhand Farm, a 10 hectare property in Willunga Hill, South Australia. Little more than 12 months ago, budding farmers Alice Cearns, 29, and Reece Merritt, 37, were “going broke”. Their income from growing and selling native Australian flora and proteas was not enough to support their growing family. They began hosting flower-arranging workshops for the public but, in a twist of fate, their two Highland cows stole the show.

    More than 2,000 people have booked into the Highland cattle experiences since 2024. Photograph: Carrie Jones/The Guardian

    “The excitement was crazy,” says Cearns. “People wanted to spend more time with the cows than the flowers. “We realised: we have to get more cows.”

    The pair, who live on the farm with their two children, both under three, have seen more than 2,000 people through their property since launching private and small group Highland cattle experiences in October 2024. Dates now book out months in advance.

    Scottish Highland cattle are recognised for their shaggy coats and long, curved horns. Photograph: Carrie Jones/The Guardian
    Farmers Alice Cearns and Reece Merritt, with their six-week-old baby, Cody. Photograph: Carrie Jones/The Guardian

    “That first woman from the flower workshop who asked to see the cows, she just started crying when she got up close with them,” Cearns says.

    “We’ve had an 82nd birthday here, and she could barely walk, but she was just so over the moon to be out there.

    “We realised it’s a very therapeutic process to be out there with them, brushing them, bonding with them. We had a woman who worked for the NDIS say how much it would help those with disabilities improve their mental health.”

    ‘We realised it’s a very therapeutic process,’ says Cearns. Photograph: Carrie Jones/The Guardian

    Cow cuddling isn’t new: in recent years, farmers in Australia, the UK and the US have been inviting people to hug their herds as a supersized form of animal therapy. But these aren’t ordinary cows. Scottish Highland cattle – recognised for their shaggy coats and long, curved horns – aren’t farmed for meat in Australia, living to an average age of 23. There are a handful of other farmers and business owners who run Highland cow encounters in Australia, including The Farm at nearby Clarendon.

    The animal-loving pair were drawn to Highlands for grazing because the breed isn’t used for milk or meat – though the cows’ endearing faces helped, too. “I wanted a cow breed that you didn’t have to kill,” Cearns says.

    skip past newsletter promotion

    The farm now has nine Highlands: Mabel, Millie, Matilda, Ruby, Mia, Max, Menzi and Banks. Photograph: Carrie Jones/The Guardian
    ‘They’re so cute,’ says first-time cow cuddler Georgia Standing, 22. Photograph: Carrie Jones/The Guardian

    Merritt’s feelings on this also run deep. Raised on his family’s sheep farm in Mount Compass, he says he “never liked the killing”. Highlands, the pair say, are more like giant pets. Their charismatic herd now numbers nine, each “with their own personalities”: Mabel, Millie, Matilda, Ruby, Mia, Max, Menzi and Banks, aged between seven months and four-and-a-half years.

    At the start of the tour, the females come galumphing out – some faster than others (easy does it for the old girls). Merritt throws out a fresh batch of hay, giving them a chance to settle before we approach. Their presence feels big, not only in size but in an intangible, humbling energy that surrounds us as we slowly build confidence in patting, brushing and even cuddling the warm-bodied beauties.

    Two Highlands bound across a field. Photograph: Carrie Jones/The Guardian
    ‘It’s satisfying getting their knots out, too,’ says Standing. Composite: Carrie Jones/The Guardian

    Smiles and laughter ripple through the group – and the cows bask in the attention. First-time participant Georgia Standing, 22, says pampering the cows made her feel “warm and fuzzy”. “They’re so cute,” she says. “It’s satisfying getting their knots out, too.”

    Brushing their coats feels grounding, wholesome. The surrounding gums, the fresh air and free-roaming chickens add to the tranquillity, as do the many rows of blooming flowers.

    The cows are a time waster, Merritt jokes. “In the evening, I’ll come out here and the cows are just laying, and I’ll lay with them,” he says. “You can’t hear any cars. It’s just peaceful.”

    Continue Reading

  • Meta CEO Mark Zuckerberg is making big change to its AI operations for which he has hired execs at $100 million-plus packages; read memo

    Meta CEO Mark Zuckerberg is making big change to its AI operations for which he has hired execs at $100 million-plus packages; read memo

    In a new and dramatic move, Meta CEO Mark Zuckerberg is making the most aggressive move in his AI arm race. Zuckerberg is now reorganising the company’s artificial intelligence operations by restricting the Meta Superintelligence Labs (MSL) into four distinct teams. As reported by Business Insider the company outlined the move in an internal memo from the newly appointed chief of AI Alexandr Wang. The restructuring is taking place after the aggressive hiring process in which Meta poached dozens of top AI researchers from its rivals companies. The internal email, sent by Alexandr Wang, the 28-year-old head of Meta Superintelligence Labs (MSL), outlines a dramatic restructuring aimed at accelerating Meta’s pursuit of “personal superintelligence”—AI that can outperform humans across intellectual domains.

    Four pillars of Meta’s new AI strategy

    In the internal memo shared with employees, Wang talks about the four specialised teams:

    • TBD Lab: This is a small elite unit that will majorly focus on training and scaling large models, including a mysterious “omni” model.
    • FAIR: It is a research arm of Meta and now it will take care of feeding innovations directly into model training.
    • Products & Applied Research: This team will be led by ex-GitHub CEO Nat Friedman. The team will work on integrating AI into Meta’s consumer offerings.
    • MSL Infra: This team will be headed by engineering veteran Aparna Ramani and it will work on building the infrastructure needed to support cutting-edge AI development.

    Most of these leaders now report directly to Wang, signaling a centralization of power within MSL.

    FAIR and TBD: Meta’s innovation engine

    FAIR, led by Rob Fergus and chief scientist Yann LeCun will now play an important role in the development of MSL’s model. Whereas, TBD Lab will look for new directions, including the enigmatic “omni” model—believed to be a multimodal system capable of understanding text, audio, video, and more.The research wing at MSL will be headed by Shengjia Zhao, co-creator of ChatGPT, who notably does not report directly to Wang.

    Read Alexandr Wang’s full memo here

    Superintelligence is coming, and in order to take it seriously, we need to organize around the key areas that will be critical to reach it — research, product and infra. We are building a world-class organization around these areas, and have brought in some incredible leaders to drive the work forward.

    As we previously announced, Shengjia Zhao will direct our research efforts as Chief Scientist for MSL, Nat Friedman will lead our product effort and Rob Fergus will continue to lead FAIR. Today, I’m pleased to announce that Aparna Ramani will be moving over to MSL to lead the infrastructure necessary to support our ambitious research and product bets.

    As part of this, we are dissolving the AGI Foundations organization and moving the talent from that team into the right areas. Teams whose work naturally aligns with and serves our products will move to Nat’s team. Some of the researchers will move to FAIR to double down on our long term research while teams working on infra will transition into Aparna’s org. Anyone who is changing teams will get an update from their manager or HRBP today, if you haven’t already.

    We’re making three key changes to our organizational design that will help us to accelerate our efforts.

    1. Centralizing core, fundamental research efforts in TBD Lab and FAIR.
    2. Bolstering our product efforts with applied research that will work on product-focused models.
    3. Establishing a unified, core infrastructure team to support our research bets.

    The work will map to four teams:

    TBD Lab will be a small team focused on training and scaling large models to achieve superintelligence across pre-training, reasoning, and post-training, and explore new directions such as an omni model.

    FAIR will be an innovation engine for MSL and we will aim to integrate and scale many of the research ideas and projects from FAIR into the larger model runs conducted by TBD Lab. Rob will continue to lead FAIR and Yann will continue to serve as Chief Scientist for FAIR, with both reporting to me.

    Products & Applied Research will bring our product-focused research efforts closer to product development. This will include teams previously working on Assistant, Voice, Media, Trust, Embodiment and Developer pillars in AI Tech. Nat will continue to lead this work reporting to me.

    MSL Infra team will unify elements of Infra and MSL’s infrastructure teams into one. This team will focus on accelerating AI research and production by building advanced infrastructure, optimized GPU clusters, comprehensive environments, data infrastructure, and developer tools to support state-of-the-art research, products and AI development across Meta. Aparna will lead this team reporting to me.

    Ahmad and Amir will continue reporting to me focusing on strategic MSL initiatives they will share more about later.

    I recognize that org changes can be disruptive, but I truly believe that taking the time to get this structure right now will allow us to reach superintelligence with more velocity over the long term. We’re still working through updated rhythms and our collaboration model across teams, including when we’ll come together as a full MSL org.

    Thank you all for your flexibility as we adapt to this new structure. Every team in MSL plays a critical role and I’m excited to get to work with all of you.


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