Artificial Intelligence-Assisted Narratives: Analysis of Surgical Residency Personal Statements.

Oswaldo Subillaga, Aixa Pérez Coulter, David Tashjian, Neal Seymour, Daniel Hubbs
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Abstract

Objective: Personal statements (PSs) express applicants' personal characteristics and motivations informing pursuit of a surgical career. Generative artificial intelligence (AI) is a revolutionary technology. There are currently no data to suggest how and to what extent AI is used in surgical residency applications. We examined the prevalence of AI use and applicant pool characteristics in PSs submitted to a surgical residency.

Design: PSs from US MD and DO applicants to an academic general surgery program were collected for both the 2022-23 and 2023-24 NRMP Match cycles. PSs were analyzed using 2 AI-detection tools: GPTZero and Copyleaks. Data were analyzed using T-test and Fisher's Exact Test.

Setting: UMass Chan Medical School-Baystate general surgery residency program in Springfield, Massachusetts.

Participants: There were 1332 applications during 2022-23 NRMP Match cycle and 1221 for 2023-24. After excluding international medical graduates and incomplete applications, 1490 PSs were analyzed.

Results: 1490 PS were included (758 [50.9%] for 2022-23; 732 [49.1%] for 2023-24). Demographic characteristics did not differ between the 2 cycles. GPTZero identified AI use in 77 (10.2%) PSs in 2022-23 and 268 (36.6%) in 2023-24 (p < 0.001). Copyleaks identified AI use in 20 (2.6%) PSs in 2022-23 and 165 (22.5%) in 2023-24 (p < 0.001). Concordance in AI detection with both tools was observed in 13 (1.7% of total PSs) for 2022-23 and 155 (21.2%) for 2023-24 (p < 0.001). Subgroup analysis of concordance in 2023-24 showed increased non-English native language characteristics (38.7% vs 19.6%; p < 0.001), a lower average personal statement word count (597.3 vs 645.9; p < 0.001) and shorter average sentence (10.0 vs 10.4 words; p < 0.001) in the AI group.

Conclusions: Although AI-detection tools are imperfect, demonstration of increased AI use in personal statement preparation is compelling. Implications of AI use in residency applications are unknown, and programs must develop policies anticipating ongoing and potentially increased use of AI in the upcoming application cycles.

人工智能辅助叙事:外科住院医师个人陈述分析。
目的:个人陈述(ps)表达申请人的个人特征和动机,为追求外科职业提供信息。生成式人工智能(AI)是一项革命性的技术。目前还没有数据表明人工智能如何以及在多大程度上用于外科住院医师申请。我们检查了提交给外科住院医师的PSs中人工智能使用的流行程度和申请人群体特征。设计:收集2022-23年和2023-24年NRMP匹配周期的美国MD和DO申请人的ps。使用两种人工智能检测工具:GPTZero和Copyleaks对ps进行分析。数据分析采用t检验和Fisher精确检验。背景:马萨诸塞州斯普林菲尔德的UMass Chan医学院- baystate普通外科住院医师项目。参与者:2022-23年NRMP比赛周期有1332份申请,2023-24年有1221份申请。在排除国际医学毕业生和不完整的申请后,对1490份ps进行了分析。结果:纳入1490例PS(758例[50.9%],2022-23年;732[49.1%] 2023-24)。人口统计学特征在两个周期之间没有差异。GPTZero发现,在2022-23年和2023-24年,分别有77个(10.2%)和268个(36.6%)的ps使用了人工智能(p )。结论:尽管人工智能检测工具并不完善,但人工智能在个人陈述准备中使用的增加是令人信服的。人工智能在居留申请中使用的影响尚不清楚,项目必须制定政策,预测在即将到来的申请周期中人工智能的持续使用和潜在的增加使用。
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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