Evidence map›Paper›PMID 38956112›Full record

Trial reportScientific reports2024

Real-Time multifaceted artificial intelligence vs In-Person instruction in teaching surgical technical skills: a randomized controlled trial.

Recai Yilmaz, Mohamad Bakhaidar, Ahmad Alsayegh, Nour Abou Hamdan, Ali M Fazlollahi, Trisha Tee, Ian Langleben, Alexander Winkler-Schwartz, Denis Laroche, Carlo Santaguida and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06273579 (Effect of Artificial Intelligence-Augmented Human Instruction on Surgical Simulation Performance), which is not on this map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 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.

NCT06273579 nacompletednot on this map

Effect of Artificial Intelligence-Augmented Human Instruction on Surgical Simulation Performance: A Randomized Controlled Trial

TypeinterventionalSponsorMcGill UniversityRan2024 to 2024Enrolled88ConditionsSurgical EducationArmsExpert instruction using AI tutor script, AI-augmented personalized expert instruction
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  14. Intelligent Assessment Systems in Medical Education: A Systematic Review.Journal of advances in medical education & professionalism · 2025
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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

11 authors.

Recai YilmazNeurosurgical Simulation and Artificial Intelligence Learning Centre, Department of Neurology and Neurosurgery, Montreal Neurological Institute, McGill University, 300 Rue Léo Pariseau, Suite 2210, Montreal, QC, H2X 4B3, Canada. recai.yilmaz@mail.com.
Mohamad BakhaidarNeurosurgical Simulation and Artificial Intelligence Learning Centre, Department of Neurology and Neurosurgery, Montreal Neurological Institute, McGill University, 300 Rue Léo Pariseau, Suite 2210, Montreal, QC, H2X 4B3, Canada.
Ahmad AlsayeghNeurosurgical Simulation and Artificial Intelligence Learning Centre, Department of Neurology and Neurosurgery, Montreal Neurological Institute, McGill University, 300 Rue Léo Pariseau, Suite 2210, Montreal, QC, H2X 4B3, Canada.
Nour Abou HamdanNeurosurgical Simulation and Artificial Intelligence Learning Centre, Department of Neurology and Neurosurgery, Montreal Neurological Institute, McGill University, 300 Rue Léo Pariseau, Suite 2210, Montreal, QC, H2X 4B3, Canada.
Ali M FazlollahiNeurosurgical Simulation and Artificial Intelligence Learning Centre, Department of Neurology and Neurosurgery, Montreal Neurological Institute, McGill University, 300 Rue Léo Pariseau, Suite 2210, Montreal, QC, H2X 4B3, Canada.
Trisha TeeNeurosurgical Simulation and Artificial Intelligence Learning Centre, Department of Neurology and Neurosurgery, Montreal Neurological Institute, McGill University, 300 Rue Léo Pariseau, Suite 2210, Montreal, QC, H2X 4B3, Canada.
Ian LanglebenNeurosurgical Simulation and Artificial Intelligence Learning Centre, Department of Neurology and Neurosurgery, Montreal Neurological Institute, McGill University, 300 Rue Léo Pariseau, Suite 2210, Montreal, QC, H2X 4B3, Canada.
Alexander Winkler-SchwartzNeurosurgical Simulation and Artificial Intelligence Learning Centre, Department of Neurology and Neurosurgery, Montreal Neurological Institute, McGill University, 300 Rue Léo Pariseau, Suite 2210, Montreal, QC, H2X 4B3, Canada.
Denis LarocheNational Research Council Canada, Boucherville, QC, Canada.
Carlo SantaguidaFaculty of Medicine and Health Sciences, McGill University, Montreal, Canada.
Rolando F Del MaestroNeurosurgical Simulation and Artificial Intelligence Learning Centre, Department of Neurology and Neurosurgery, Montreal Neurological Institute, McGill University, 300 Rue Léo Pariseau, Suite 2210, Montreal, QC, H2X 4B3, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trainees develop surgical technical skills by learning from experts who provide context for successful task completion, identify potential risks, and guide correct instrument handling. This expert-guided training faces significant limitations in objectively assessing skills in real-time and tracking learning. It is unknown whether AI systems can effectively replicate nuanced real-time feedback, risk identification, and guidance in mastering surgical technical skills that expert instructors offer. This randomized controlled trial compared real-time AI feedback to in-person expert instruction. Ninety-seven medical trainees completed a 90-min simulation training with five practice tumor resections followed by a realistic brain tumor resection. They were randomly assigned into 1-real-time AI feedback, 2-in-person expert instruction, and 3-no real-time feedback. Performance was assessed using a composite-score and Objective Structured Assessment of Technical Skills rating, rated by blinded experts. Training with real-time AI feedback (n = 33) resulted in significantly better performance outcomes compared to no real-time feedback (n = 32) and in-person instruction (n = 32), .266, [95% CI .107 .425], p < .001; .332, [95% CI .173 .491], p = .005, respectively. Learning from AI resulted in similar OSATS ratings (4.30 vs 4.11, p = 1) compared to in-person training with expert instruction. Intelligent systems may refine the way operating skills are taught, providing tailored, quantifiable feedback and actionable instructions in real-time.

Indexed as

Artificial IntelligenceClinical CompetenceAdultFemaleHumansMaleSimulation Training

Identifiers

PMID38956112
PMCPMC11219907

What OpenQuestion holds

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Registered trials

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.