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Artificial Intelligence Versus Expert Plastic Surgeon: Comparative Study Shows ChatGPT "Wins" Rhinoplasty
K Kay Durairaj1,2, Omer Baker2, Dario Bertossi3
1Department of Otolaryngology-Head and Neck Surgery, Huntington Hospital, Pasadena, California, USA.
Facial Plastic Surgery & Aesthetic Medicine
|November 20, 2023
Summary
Large language models like ChatGPT excel at answering patient questions about septorhinoplasty surgery. ChatGPT provided more accurate, complete, and higher-quality responses than expert surgeons.
Area of Science:
- Artificial Intelligence in Medicine
- Medical Education Technology
- Patient Information Resources
Background:
- Large language models (LLMs) show potential for improving online patient education and decision-making tools.
- LLMs can address gaps in readily available, understandable information for patients considering nasal surgery.
Purpose of the Study:
- To evaluate and compare ChatGPT's performance against expert surgeon responses for septorhinoplasty patient inquiries.
- Assess AI's capability in providing preoperative and postoperative surgical information.
Main Methods:
- ChatGPT-3.5 and an experienced rhinoplasty surgeon provided answers to patient questions.
- Seven blinded expert surgeons rated responses on empathy, accuracy, completeness, and overall quality using a 5-point Likert scale.
Main Results:
- ChatGPT significantly outperformed physician responses in accuracy, completeness, and overall quality (p < 0.001).
- Evaluators overwhelmingly preferred ChatGPT's responses 80.95% of the time (p < 0.001).
Conclusions:
- ChatGPT demonstrates a strong capacity for delivering accurate, complete, and high-quality patient information regarding septorhinoplasty.
- AI tools like ChatGPT show potential to educate and counsel patients effectively, potentially matching or exceeding expert surgeon capabilities.

