Challenge: For the Leiden University Medical Center (LUMC), a regional care provider and national center for highly specialized medicine, integrating AI is foundational to the future of healthcare delivery. However, developing effective AI tools requires close involvement from clinicians, whose expertise is essential for training, testing, and refining algorithms. Yet the realities of clinical work — high workloads, time pressure, and zero tolerance for errors — leave little room to experiment with tools that are not yet fully reliable. How can organizations involve doctors and technicians in shaping AI without disrupting patient care?
Our investigation: Researchers had been collaborating with the LUMC Radiology department for nearly 6 years, studying their work, organizational structures, and how they organize around new Researchers had been collaborating with the LUMC Radiology department for nearly 6 years, studying their work, organizational structures, and how they organize around new technologies. They conducted multiple ethnographic studies (Kim et al. 2025) and observed how a diverse group of medical professionals participated in in-house development, co-creation, and adoption of commercially developed AI tools. (Grootjans et al. 2025). They have turned some of these insights into a teaching case that guides executives on how to lead such technological transformations (Rezazade Mehrizi et al. 2023).
One discovery: The researchers found that doctors and technicians are highly motivated to engage with AI — but only under conditions that allow them to experiment and learn without putting patient care at risk. At the same time, AI developers are eager to learn from real clinical use and refine their tools based on feedback. To bridge this gap, the research team and Radiology department created a "learning lab": a controlled environment where doctors and technicians could test AI tools in semi-real settings. Within this space, teams experimented with different AI models, but also with key design choices — such as sensitivity thresholds, explainability features, and interface design — as well as different workflow configurations. These experiments revealed how clinicians respond to incorrect AI suggestions, how their attention can become overly focused on certain outputs, and how interaction patterns shape outcomes. Over time, the lab became a shared learning environment where clinicians, developers, and managers could jointly explore what works — and what doesn’t — in practice. It generated insights that improved both the design of AI tools and how they are integrated into clinical workflows.
Key takeaway: When the challenges of adopting new technologies are turned into learning opportunities, different stakeholders can reflect on and critically evaluate their assumptions, practices, and mindsets. For experts in particular, this works best when grounded in real-life feedback on how they can perform their work better.
That same principle — learning by doing, with honest feedback built in — sits at the heart of the Managing AI programme, where participants develop their own AI case and receive tailored feedback and guidance on their AI roadmap project.