Evidence map›Paper›PMID 42802837›Full record

ArticleCureus2026

Human-Governed Validation of Artificial Intelligence-Generated Medical Assessment Artifacts: A Technical Report.

Vinicius C Destefani, Matheus Feliciano C Ferreira, Afranio C Destefani

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Vinicius C DestefaniMedical Education, Centro Universitário Integrado, Campo Mourão, BRA.
Matheus Feliciano C FerreiraMedical Education, Centro Universitário Integrado, Campo Mourão, BRA.
Afranio C DestefaniSchool of Medicine, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, Vitória, BRA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Generative artificial intelligence (AI) models can create fluent medical assessment materials, including multiple-choice questions, distractors, clinical vignettes, answer explanations, and blueprint tags. However, linguistic plausibility does not establish measurement validity. Using AI-generated text as ready-made assessment material may introduce risks related to clinical accuracy, item-writing quality, blueprint alignment, distractor functioning, fairness, and score interpretation. This technical report presents a human-governed validation workflow that treats AI-generated medical assessment artifacts as candidates requiring staged review rather than immediate deployment. The workflow is organized into seven gates: artifact taxonomy, AI provenance and human accountability, clinical and content review, item-writing and language review, blueprint alignment, psychometric-readiness decision, and final human approval. The psychometric-readiness gate explicitly asks whether item analysis, distractor analysis, differential item functioning (DIF) review, or other empirical evaluation is required before an artifact is used in a scored assessment. By separating expert clinical review from psychometric evidence, the workflow preserves human accountability while acknowledging that expert approval alone cannot support all score-based interpretations. We recommend introducing AI-generated assessment materials into medical education pipelines as preliminary candidates subject to documented governance, human oversight, and empirical evaluation when used for scored or consequential assessment.

Indexed as

educational measurementgenerative aimedical educationmultiple-choice questionspsychometricsquality assurance

Identifiers

PMID42802837
PMCPMC13616226

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.