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Learning the Randleman Criteria in Refractive Surgery: Utilizing ChatGPT-3.5 Versus Internet Search Engine.

Jared J Tuttle1, Majid Moshirfar2,3,4, James Garcia1

  • 1Ophthalmology, University of Texas Health Science Center at San Antonio, San Antonio, USA.

Cureus
|August 19, 2024
PubMed
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This summary is machine-generated.

Large language models like ChatGPT-3.5 are less accurate than internet searches for medical information. Internet searches reliably defined the Randleman criteria, while ChatGPT-3.5 often provided incorrect or fabricated details.

Area of Science:

  • Medical Education
  • Artificial Intelligence in Healthcare
  • Information Retrieval

Background:

  • Large language models (LLMs) show promise for self-directed medical learning.
  • Concerns exist regarding the accuracy of LLMs, such as ChatGPT-3.5, in specialized medical fields.
  • The Randleman criteria require precise definition for accurate medical application.

Purpose of the Study:

  • To compare the accuracy and reliability of ChatGPT-3.5 versus internet search engines.
  • To evaluate the efficacy of these tools in defining the Randleman criteria within a self-directed learning context.
  • To assess the efficiency and truthfulness of information provided by ChatGPT-3.5 and internet searches.

Main Methods:

  • Twenty-three medical students used ChatGPT-3.5 for 10 minutes, then conducted independent internet searches for 10 minutes.
Keywords:
artificial intelligence and educationchatgpt-3.5corneal and refractive surgerykeratoconuslasikmedical educationpost-lasik ectasiaprompt engineeringrandleman criteriaself-directed learning (sdl)

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  • Information gathered on the Randleman criteria from both sources was analyzed.
  • Analyses focused on accuracy, efficiency, and reliability of the definitions and parameters provided.
  • Main Results:

    • Internet searches provided correct Randleman criteria definitions for 100% of students.
    • ChatGPT-3.5 correctly defined the criteria for only 26.1% of students.
    • ChatGPT-3.5 generated incorrect definitions (17.4%), fabricated information (4.3%), and failed to define criteria for 52.2% of students.

    Conclusions:

    • Internet search engines are superior to ChatGPT-3.5 for accessing accurate and reliable medical information like the Randleman criteria.
    • ChatGPT-3.5 demonstrated significant inaccuracies, including fabricated data and incomplete definitions, hindering self-directed learning.
    • Medical learners must exercise caution and critical judgment when utilizing LLMs; further research into prompt engineering and LLM updates is warranted.