Effectiveness of ChatGPT for Clinical Scenario Generation: A Qualitative Study.

IF 2 Q1 EMERGENCY MEDICINE
Archives of Academic Emergency Medicine Pub Date : 2025-05-24 eCollection Date: 2025-01-01 DOI:10.22037/aaemj.v13i1.2690
Faezeh Ghaffari, Mostafa Langarizadeh, Ehsan Nabovati, Mahdieh Sabery
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引用次数: 0

Abstract

Introduction: A growing area is the use of ChatGPT in simulation-based learning, a widely recognized methodology in medical education. This study aimed to evaluate ChatGPT's ability to generate realistic simulation scenarios to assist faculty as a significant challenge in medical education.

Method: This study employs a qualitative research design and thematic analysis to interpret expert opinions. The study was conducted in two phases. Scenario generation via ChatGPT and expert review for validation. We used ChatGPT (GPT-4) to create clinical scenarios on cardiovascular topics, including cardiogenic shock, postoperative cardiac tamponade after heart surgery, and heart failure. A panel of five experts, four nurses with expertise in emergency medicine and critical care and an anesthesia specialist, evaluated the scenarios. The experts' feedback, strengths and weaknesses, and proposed revisions from the expert discussions were analyzed via thematic analysis. Key themes and proposed revisions were identified, recorded, and compiled by the research team.

Results: The clinical scenarios were produced by ChatGPT in less than 5 seconds per case. The thematic analysis identified six recurring themes in the experts' discussions: clinical accuracy, the clarity of learning objectives, the logical flow of patient cases, realism and feasibility, alignment with nursing competencies, and level of difficulty. All the experts agreed that the scenarios were realistic and followed clinical guidelines. However, they also identified several errors and areas that needed improvement. The experts identified and documented specific errors, incorrect recommendations, missing information, and inconsistencies with standard nursing practices.

Conclusion: It seems that, ChatGPT can be a valuable tool for developing clinical scenarios, but expert review and refinement are necessary to ensure the accuracy and alignment of the generated scenarios with clinical and educational standards.

ChatGPT对临床情景生成的有效性:一项定性研究。
简介:ChatGPT在基于模拟的学习中的使用是一个日益增长的领域,这是医学教育中广泛认可的方法。本研究旨在评估ChatGPT生成真实模拟场景的能力,以协助教师作为医学教育的重大挑战。方法:本研究采用质性研究设计和专题分析来解读专家意见。这项研究分两个阶段进行。通过ChatGPT生成场景,并进行专家评审以进行验证。我们使用ChatGPT (GPT-4)来创建心血管主题的临床场景,包括心源性休克、心脏手术后心脏填塞和心力衰竭。一个由五名专家、四名具有急诊医学和重症监护专业知识的护士和一名麻醉专家组成的小组对这些情况进行了评估。通过专题分析,对专家讨论的反馈意见、优缺点和修改建议进行分析。研究小组确定、记录和汇编了关键主题和建议的修订。结果:ChatGPT在每个病例5秒内生成临床场景。专题分析确定了专家讨论中反复出现的六个主题:临床准确性、学习目标的清晰度、患者病例的逻辑流程、现实性和可行性、与护理能力的一致性以及难度水平。所有的专家都认为这些场景是现实的,并遵循了临床指导方针。然而,他们也发现了一些错误和需要改进的地方。专家们发现并记录了具体的错误、不正确的建议、缺失的信息以及与标准护理实践的不一致。结论:ChatGPT可以作为一个有价值的工具来开发临床场景,但专家审查和改进是必要的,以确保生成的场景的准确性和符合临床和教育标准。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Archives of Academic Emergency Medicine
Archives of Academic Emergency Medicine Medicine-Emergency Medicine
CiteScore
8.90
自引率
7.40%
发文量
0
审稿时长
6 weeks
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