Evidence map›Paper›PMID 40677929›Full record

ArticleMayo Clinic proceedings. Digital health2025

Development and Evaluation of an Artificial Intelligence-Powered Surgical Oral Examination Simulator: A Pilot Study.

Arya S Rao, Siona Prasad, Richard S Lee, Susan Farrell, Sophia McKinley, Marc D Succi

Abstract read
In one paragraph

Article in Mayo Clinic proceedings. Digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
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

6 authors.

Arya S RaoHarvard Medical School, Boston, MA.
Siona PrasadHarvard Medical School, Boston, MA.
Richard S LeeHarvard Medical School, Boston, MA.
Susan FarrellHarvard Medical School, Boston, MA.
Sophia McKinleyHarvard Medical School, Boston, MA.
Marc D SucciHarvard Medical School, Boston, MA.

Funding

Medical Scientist Training ProgramT32GM144273 · NIGMS · HARVARD MEDICAL SCHOOL · PI David Shumway Jones, Jacqueline A. Lees · 2022 to 2026
$14.7M
NIGMS NIH HHS T32 GM144273
6 · The paper itself

Abstract

Objective: To develop and validate an artificial intelligence-powered platform that simulates surgical oral examinations, addressing the limitations of traditional faculty-led sessions. Patients and Methods: This cross-sectional study, conducted from June 1, 2024, through December 1, 2024, comprised technical validation and educational assessment of a novel large language model (LLM)-based surgical education tool (surgery oral examination large language model [SOE-LLM]). The study involved 12 surgical clerkship students completing their core rotation at a major academic medical center. The SOE-LLM, using MIMIC-IV-derived surgical cases (acute appendicitis and pancreatitis), was implemented to simulate oral examinations. Technical validation assessed performance across 8 domains: case presentation accuracy, physical examination findings, historical detail preservation, laboratory data reporting, imaging interpretation, management decisions, and recognition of contraindicated interventions. Educational utility was evaluated using a 5-point Likert scale. Results: Technical validation showed the SOE-LLM's ability to function as a consistent oral examiner. The model accurately guided students through case presentations, responded to diagnostic questions, and provided clinically sound responses based on MIMIC-IV cases. When tested with standardized prompts, it maintained examination fidelity, requiring proper diagnostic reasoning and differentiating operative versus medical management. Student evaluations highlighted the platform's value as an examination preparation tool (mean, 4.250; SEM, 0.1794) and its ability to create a low-stakes environment for high-stakes decision practice (mean, 4.833; SEM, 0.1124). Conclusion: The SOE-LLM shows potential as a valuable tool for surgical education, offering a consistent and accessible platform for simulating oral examinations.

Identifiers

PMID40677929
PMCPMC12270061

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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 Socratic graph.