Abstract
Artificial intelligence (AI) is transforming medical school admissions, yet the interview remains a largely human-centered process. This work explores how AI is shaping interview preparation, design, and delivery-raising both opportunities and risks. Drawing from industrial-organizational psychology and corporate hiring practices, we outline emerging threats such as AI-enabled cheating and offer practical strategies to preserve fairness and authenticity. We provide three actionable recommendations that use AI to extend access and efficiency while maintaining human judgment and value in the interview process. Medical education leaders must act now to implement policy, training, and safeguards that align with ethical and legal standards.