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Plastic Surgery and Artificial Intelligence: How ChatGPT Improved Operation Note Accuracy, Time, and Education.

Ahmad M Abdelhady¹, Christopher R Davis¹

¹Department of Plastic and Reconstructive Surgery, Queen Victoria Hospital, West Sussex, United Kingdom.

Mayo Clinic Proceedings. Digital Health

|April 10, 2025

Summary

Large language models (LLMs) like ChatGPT significantly reduce operative note creation time for plastic surgeons, with high satisfaction from both surgeons and patients. AI-generated notes adhere to guidelines and can be enhanced with realistic images.

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Area of Science:

Medical Informatics
Artificial Intelligence in Surgery
Plastic Surgery Documentation

Background:

Efficient and accurate operative note generation is crucial in plastic surgery.
Traditional methods of note-taking can be time-consuming.
Exploring innovative tools to support surgical documentation is essential.

Purpose of the Study:

To assess the feasibility and effectiveness of using large language models (LLMs), specifically ChatGPT, as a supportive tool for plastic surgeons.
To compare AI-generated operative notes with human-generated notes.

Main Methods:

ChatGPT-4 was used to generate operative notes for plastic surgery procedures.
Notes were compared to handwritten or computer-generated notes using a Likert scale.
Data analyzed included note creation time, guideline adherence, surgeon, and patient satisfaction.

Main Results:

ChatGPT-generated notes were significantly faster (5.1 seconds vs. 7.10 minutes) and 100% adhered to guidelines.
High satisfaction reported by surgeons (89% very satisfied/satisfied) and patients (84% very satisfied/satisfied).
AI tools also created realistic images to enhance operative notes.

Conclusions:

LLM-generated operative notes offer significant time savings and high adherence to guidelines.
AI tools demonstrate strong potential for enhancing surgical documentation and improving user satisfaction.
While not replacing human input, AI presents valuable opportunities for advancement in medical fields.