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ChatGPT outscored human candidates in a virtual objective structured clinical examination in obstetrics and gynecology.
Li, Sarah W; Kemp, Matthew W; Logan, Susan J S; Dimri, Pooja Sharma; Singh, Navkaran; Mattar, Citra N Z; Dashraath, Pradip; Ramlal, Harshaana; Mahyuddin, Aniza P; Kanayan, Suren; Carter, Sean W D; Thain, Serene P T; Fee, Erin L; Illanes, Sebastian E; Choolani, Mahesh A.
Afiliação
  • Li SW; Department of Obstetrics and Gynaecology, National University Hospital, Singapore, Singapore.
  • Kemp MW; Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Centre for Perinatal and Neonatal Medicine, Tohoku University Hospital, Sendai, Japan; Department of Obstetrics and Gynaecology, University of Western Australia, Perth,
  • Logan SJS; Department of Obstetrics and Gynaecology, National University Hospital, Singapore, Singapore.
  • Dimri PS; Department of Obstetrics and Gynaecology, National University Hospital, Singapore, Singapore.
  • Singh N; Department of Obstetrics and Gynaecology, National University Hospital, Singapore, Singapore.
  • Mattar CNZ; Department of Obstetrics and Gynaecology, National University Hospital, Singapore, Singapore; Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
  • Dashraath P; Department of Obstetrics and Gynaecology, National University Hospital, Singapore, Singapore; Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
  • Ramlal H; Department of Obstetrics and Gynaecology, National University Hospital, Singapore, Singapore.
  • Mahyuddin AP; Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
  • Kanayan S; Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
  • Carter SWD; Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
  • Thain SPT; Department of Maternal-Fetal Medicine, Division of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore, Singapore.
  • Fee EL; Department of Obstetrics and Gynaecology, University of Western Australia, Perth, Australia.
  • Illanes SE; Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Department of Obstetrics and Gynecology, and Reproductive Biology Laboratory, Universidad de Los Andes, Santiago, Chile; Reproductive Biology Program, Center for Biomedi
  • Choolani MA; Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. Electronic address: obgmac@nus.edu.sg.
Am J Obstet Gynecol ; 229(2): 172.e1-172.e12, 2023 08.
Article em En | MEDLINE | ID: mdl-37088277
BACKGROUND: Natural language processing is a form of artificial intelligence that allows human users to interface with a machine without using complex codes. The ability of natural language processing systems, such as ChatGPT, to successfully engage with healthcare systems requiring fluid reasoning, specialist data interpretation, and empathetic communication in an unfamiliar and evolving environment is poorly studied. This study investigated whether the ChatGPT interface could engage with and complete a mock objective structured clinical examination simulating assessment for membership of the Royal College of Obstetricians and Gynaecologists. OBJECTIVE: This study aimed to determine whether ChatGPT, without additional training, would achieve a score at least equivalent to that achieved by human candidates who sat for virtual objective structured clinical examinations in Singapore. STUDY DESIGN: This study was conducted in 2 phases. In the first phase, a total of 7 structured discussion questions were selected from 2 historical cohorts (cohorts A and B) of objective structured clinical examination questions. ChatGPT was examined using these questions and responses recorded in a script. Of note, 2 human candidates (acting as anonymizers) were examined on the same questions using videoconferencing, and their responses were transcribed verbatim into written scripts. The 3 sets of response scripts were mixed, and each set was allocated to 1 of 3 human actors. In the second phase, actors were used to presenting these scripts to examiners in response to the same examination questions. These responses were blind scored by 14 qualified examiners. ChatGPT scores were unblinded and compared with historical human candidate performance scores. RESULTS: The average score given to ChatGPT by 14 examiners was 77.2%. The average historical human score (n=26 candidates) was 73.7 %. ChatGPT demonstrated sizable performance improvements over the average human candidate in several subject domains. The median time taken for ChatGPT to complete each station was 2.54 minutes, well before the 10 minutes allowed. CONCLUSION: ChatGPT generated factually accurate and contextually relevant structured discussion answers to complex and evolving clinical questions based on unfamiliar settings within a very short period. ChatGPT outperformed human candidates in several knowledge areas. Not all examiners were able to discern between human and ChatGPT responses. Our data highlight the emergent ability of natural language processing models to demonstrate fluid reasoning in unfamiliar environments and successfully compete with human candidates that have undergone extensive specialist training.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ginecologia / Obstetrícia Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Humans Idioma: En Revista: Am J Obstet Gynecol Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Singapura

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ginecologia / Obstetrícia Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Humans Idioma: En Revista: Am J Obstet Gynecol Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Singapura