Evidence map›Paper›PMID 39328276›Full record

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ChatGPT Generated Otorhinolaryngology Multiple-Choice Questions: Quality, Psychometric Properties, and Suitability for Assessments.

Cecilia Lotto, Sean C Sheppard, Wilma Anschuetz, Daniel Stricker, Giulia Molinari, Sören Huwendiek, Lukas Anschuetz

Abstract read
In one paragraph

Article in OTO open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
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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

7 authors.

Cecilia LottoDepartment of Otorhinolaryngology, Head and Neck Surgery Inselspital, Bern University Hospital, University of Bern Bern Switzerland.ORCID https://orcid.org/0000-0001-6276-1997
Sean C SheppardDepartment of Otorhinolaryngology, Head and Neck Surgery Inselspital, Bern University Hospital, University of Bern Bern Switzerland.ORCID https://orcid.org/0000-0001-6427-3102
Wilma AnschuetzInstitute for Medical Education University of Bern Bern Switzerland.ORCID https://orcid.org/0009-0000-9385-546X
Daniel StrickerInstitute for Medical Education University of Bern Bern Switzerland.ORCID 0000-0002-7722-0293
Giulia MolinariDepartment of Otolaryngology, Head and Neck Surgery IRCCS Azienda Ospedaliero-Universitaria di Bologna Bologna Italy.ORCID https://orcid.org/0000-0002-3402-4364
Sören HuwendiekInstitute for Medical Education University of Bern Bern Switzerland.ORCID https://orcid.org/0000-0001-6116-9633
Lukas AnschuetzDepartment of Otorhinolaryngology, Head and Neck Surgery Inselspital, Bern University Hospital, University of Bern Bern Switzerland.ORCID https://orcid.org/0000-0001-6927-0664

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To explore Chat Generative Pretrained Transformer's (ChatGPT's) capability to create multiple-choice questions about otorhinolaryngology (ORL). Study Design: Experimental question generation and exam simulation. Setting: Tertiary academic center. Methods: ChatGPT 3.5 was prompted: "Can you please create a challenging 20-question multiple-choice questionnaire about clinical cases in otolaryngology, offering five answer options?." The generated questionnaire was sent to medical students, residents, and consultants. Questions were investigated regarding quality criteria. Answers were anonymized and the resulting data was analyzed in terms of difficulty and internal consistency. Results: ChatGPT 3.5 generated 20 exam questions of which 1 question was considered off-topic, 3 questions had a false answer, and 3 questions had multiple correct answers. Subspecialty theme repartition was as follows: 5 questions were on otology, 5 about rhinology, and 10 questions addressed head and neck. The qualities of focus and relevance were good while the vignette and distractor qualities were low. The level of difficulty was suitable for undergraduate medical students (n = 24), but too easy for residents (n = 30) or consultants (n = 10) in ORL. Cronbach's Conclusion: ChatGPT 3.5 is able to generate grammatically correct simple ORL multiple choice questions for a medical student level. However, the overall quality of the questions was average, needing thorough review and revision by a medical expert to ensure suitability in future exams.

Indexed as

artificial intelligenceChatGPTexamlarge language modelmultiple choice questionotolaryngology

Identifiers

PMID39328276
PMCPMC11424880

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.