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AI literacy and certification in healthcare.

The use of AI in Dutch healthcare is growing rapidly, yet readiness lags behind. The AI Monitor Ziekenhuizen 2025 by M&I/Partners shows that 61% of hospitals are working on an AI strategy and that 51% cite AI awareness among employees as their greatest challenge. Structured AI literacy has therefore become a core operational concern.

What is at play

What is at play in healthcare.

In hospitals, general practices and mental health care, AI applications are being introduced broadly. UMC Utrecht uses IMAGR for radiological support; Radboudumc uses the Aiosyn system for quality control on approximately 250,000 digital slides per year; Erasmus MC works with spin-out Quantib on AI for MRI prostate research. AI documentation (ambient scribing) via Dragon Medical One is in use at Maasstad Ziekenhuis, MCL and Jeroen Bosch Ziekenhuis, among others. Yet the organisational foundation remains thin: only 20% of hospitals have their AI readiness substantially in order, and more than half do not know whether models are retested or recalibrated after deployment.

Why AI literacy matters particularly here

Special data and high-risk applications.

Healthcare handles special categories of personal data under Article 9 GDPR and decisions on which the Wet BIG, the Wgbo and the Wkkgz place direct responsibilities. AI systems that qualify as a medical device under MDR or IVDR automatically fall into the high-risk category of the AI Act (Annex I) when subject to third-party conformity assessment — in practice: diagnostic image analysis, clinical decision support from class IIa onwards and AI in IVD software. IGJ emphasised on 10 February 2025 that the impact of generative AI on patient care is partly unknown; the Toetsingskader Digitale Zorg (IGJ, May 2024) forms the supervisory framework.

State of playArticle 4 of the AI Act has been in force since 2 February 2025. Enforcement by national market supervisory authorities starts on 2 August 2026. A SAIG certificate is not legally required — it is one structured, testable way to demonstrably comply with Article 4.

The four SAIG levels for healthcare

Four levels, one scheme.

Awareness Badge

Certificate of participation for healthcare workers who come into incidental contact with AI, such as with digital triage or patient portals.

SAIG-Basis

Entry-level certificate for regular AI users, such as medical assistants or nurses working with AI documentation.

SAIG-Practitioner

For knowledge workers who use AI intensively and must assess outcomes: physicians, radiologists, pathologists, clinical physicists and informaticians.

SAIG-Advanced

For those responsible for policy, procurement and governance: AI Officers, CMIOs, quality officers, healthcare law attorneys and executives.

Which level fits which role?

Role and recommended level.

RoleAI contactRecommended level
Care assistant, hospitality staff, volunteerincidentalAwareness Badge
Medical assistant, nurse (general)AI documentation, triage supportBasis
Nurse specialist, GP, physicianindependent AI use with clinical impactPractitioner
Radiologist, pathologist, clinical physicistdaily AI diagnostics assessmentPractitioner
CMIO, clinical informatician, AI Officergovernance, procurement, conformityAdvanced
Quality officer, attorney, DPO, executivepolicy, supervision, MDR/AI Act assuranceAdvanced

For organisations and for professionals

One standard, two tracks.

For healthcare organisations, the scheme offers a uniform way to organise demonstrable AI literacy across job groups, independent of supplier or trainer — aligned with IGJ review and MDR documentation obligations. For individual professionals, a SAIG certificate provides independent, verifiable proof of tested competence that is portable across employers and that — unlike a training certificate — actually involves an assessment.

Frequently asked questions

Frequently asked questions about AI in healthcare.

Is a SAIG certificate legally required in healthcare?

No. Article 4 of the AI Act requires an adequate level of AI literacy, not a specific certificate. SAIG certification is one of the ways to demonstrably comply with that obligation.

Does a SAIG certificate replace an MDR conformity assessment?

No. MDR concerns the product; SAIG concerns the person working with AI. Both tracks are complementary.

Which level fits a nurse who only uses AI documentation?

As a rule, SAIG-Basis. When the nurse must independently assess and account for output, Practitioner is more appropriate.

Who trains, and who certifies?

Accredited training partners provide the training. SAIG sets the standard, assesses, decides on certification and maintains a verifiable register.

What happens on 2 August 2026?

From that date, national market supervisory authorities begin enforcement of Article 4. In healthcare, sectoral obligations run through IGJ, AP and — for AI as a medical device — through notified bodies under MDR.

How long is a SAIG certificate valid?

Basis, Practitioner and Advanced 24 months; the Awareness Badge 12 to 24 months.

Next step

Schedule an orientation call.

We discuss what Article 4 means specifically for your healthcare organisation and which SAIG route fits your roles and risk profile.

Schedule an orientation call →

SAIG-Practitioner for healthcare professionals

View Practitioner →

SAIG-Advanced for AI Officers in healthcare

View Advanced →

Sources: CBS AI-monitor 2024; M&I/Partners AI Monitor Ziekenhuizen 2025; IGJ-oproep generatieve AI (10 Feb 2025); IGJ Toetsingskader Digitale Zorg (May 2024); EUR-Lex Regulation (EU) 2024/1689.