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AI, Open Source, and the Future of Biostatistics

Jake Gallagher
October 17, 2025

Reflections on innovation and change in statistical programming

Artificial intelligence (AI), the ascendance of open-source tools, and the ongoing evolution of data standards are fundamentally reshaping the landscape of statistical programming and biostatistics. These innovations are not just incremental improvements; they represent a paradigm shift that demands both excitement and consideration.

AI in clinical workflows

The integration of AI into clinical workflows has begun to deliver tangible benefits. Advanced generative AI (genAI) tools, for example, can assist with complex tasks like sample size estimation and data analysis. The adoption of AI brings considerable other advantages, including automation, rapid data processing, and new efficiencies.

It can also introduce risks, especially where accuracy and compliance are non-negotiable. AI should be seen as an augmentation of human expertise, never a replacement. The value of human judgment and experience in clinical research cannot be overstated. Reproducibility, accountability, and validation remain critical.

While AI can increase efficiency and automate repetitive chores, its outputs must always be rigorously checked by human experts to ensure scientific and regulatory standards are met.

Open-source tools

Open-source languages like Python and R are rapidly gaining traction in the industry, and for good reason. Their flexibility, vibrant user communities, and cost-effectiveness are making them the tools of choice for many tasks, including statistical programming, data visualization, and automation. Combining these with well-established platforms can yield remarkable results, such as reducing tasks that once consumed 40 hours to just a few, liberating time for more creative and strategic work.

That said, traditional platforms such as SAS continue to be essential, given their robustness, regulatory acceptance, and longstanding presence in clinical research. What’s exciting is seeing these platforms evolve, integrating Python and R to retain their strengths while embracing new possibilities.

The imperative of data standards

Data standards remain a cornerstone of reliable, interpretable, and regulatory-ready clinical research. Aligning with established guidelines is essential for ensuring data integrity, especially as new data collection methods and analytical frameworks emerge. Navigating the balance between flexibility and standardization—particularly in the development of complex datasets—requires both technical skill and creative problem-solving.

Imagination fuels innovation

Perhaps the most inspiring aspect of this transformation is the spirit of creativity and resourcefulness among data professionals. There may be a single goal, but countless inventive paths to reach it. The only true limitation is imagination. Embracing this mindset encourages the development of novel solutions and tools that push the boundaries of what is possible in our field.

To remain relevant and effective, statistical programmers must continuously adapt, learning new skills, collaborating across platforms, and integrating AI thoughtfully and ethically. The convergence of AI, open-source tools, and robust data standards signals a new and exhilarating era for statistical programming. While challenges remain, opportunities for innovation, efficiency, and positive patient outcomes are greater than ever. By remaining open to change and committed to excellence, those in our profession are poised to lead the industry into its next chapter.

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