Evidence map›Paper›PMID 38619565›Full record

Observational studyInternational orthopaedics2024

Effectiveness of AI-powered Chatbots in responding to orthopaedic postgraduate exam questions-an observational study.

Raju Vaishya, Karthikeyan P Iyengar, Mohit Kumar Patralekh, Rajesh Botchu, Kapil Shirodkar, Vijay Kumar Jain, Abhishek Vaish, Marius M Scarlat

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  5. Examining the Role of Artificial Intelligence in Assessment: A Comparative Study of ChatGPT and Educator-Generated Multiple-Choice Questions in a Dental Exam.European journal of dental education : official journal of the Association for Dental Education in Europe · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Raju VaishyaDepartment of Orthopaedics, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, 110076, India. raju.vaishya@gmail.com.ORCID 0000-0002-9577-9533
Karthikeyan P IyengarDepartment of Orthopaedics, Southport and Ormskirk Hospital, Mersey West Lancashire Teaching NHS Trust, Southport, UK.
Mohit Kumar PatralekhDepartment of Orthopaedics, Safdarjung Hospital, New Delhi, India.
Rajesh BotchuDepartment of Musculoskeletal Radiology, Royal Orthopedic Hospital, Birmingham, UK.
Kapil ShirodkarDepartment of Musculoskeletal Radiology, Royal Orthopedic Hospital, Birmingham, UK.
Vijay Kumar JainDepartment of Orthopaedics, RML Hospital, New Delhi, India.
Abhishek VaishDepartment of Orthopaedics, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, 110076, India.
Marius M ScarlatClinique Chirurgicale St Michel, Groupe ELSAN Toulon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study analyses the performance and proficiency of the three Artificial Intelligence (AI) generative chatbots (ChatGPT-3.5, ChatGPT-4.0, Bard Google AI®) and in answering the Multiple Choice Questions (MCQs) of postgraduate (PG) level orthopaedic qualifying examinations.

methodsA series of 120 mock Single Best Answer' (SBA) MCQs with four possible options named A, B, C and D as answers on various musculoskeletal (MSK) conditions covering Trauma and Orthopaedic curricula were compiled. A standardised text prompt was used to generate and feed ChatGPT (both 3.5 and 4.0 versions) and Google Bard programs, which were then statistically analysed.

resultsSignificant differences were found between responses from Chat GPT 3.5 with Chat GPT 4.0 (Chi square = 27.2, P < 0.001) and on comparing both Chat GPT 3.5 (Chi square = 63.852, P < 0.001) with Chat GPT 4.0 (Chi square = 44.246, P < 0.001) with. Bard Google AI® had 100% efficiency and was significantly more efficient than both Chat GPT 3.5 with Chat GPT 4.0 (p < 0.0001).

conclusionThe results demonstrate the variable potential of the different AI generative chatbots (Chat GPT 3.5, Chat GPT 4.0 and Bard Google) in their ability to answer the MCQ of PG-level orthopaedic qualifying examinations. Bard Google AI® has shown superior performance than both ChatGPT versions, underlining the potential of such large language processing models in processing and applying orthopaedic subspecialty knowledge at a PG level.

Indexed as

Artificial IntelligenceEducational MeasurementEducation, Medical, GraduateOrthopedicsClinical CompetenceCurriculumHumansArtificial intelligenceBardChatbotsChatGPTMedical EducationMultiple-choice questionOrthopaedics

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.