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The Role of ChatGPT in Personal Statements for Plastic Surgery Residency Applications: Program Directors' Perspective
Krishna A Patel1, Carly J Suriano1, Jeffrey E Janis2
1From the Department of General Surgery, OhioHealth Riverside Methodist Hospital, Columbus, OH.
Plastic and Reconstructive Surgery. Global Open
|April 17, 2025
Summary
Plastic surgery residency program directors find personal statements important but view ChatGPT use as largely unethical. Most directors cannot detect AI-generated content, raising ethical concerns in applications.
Area of Science:
- Medical Education
- Artificial Intelligence in Medicine
- Surgical Residency Admissions
Background:
- Personal statements are crucial for plastic surgery residency applications, yet are time-consuming to write.
- The use of artificial intelligence (AI) tools like ChatGPT for statement generation presents potential ethical challenges.
- Understanding program directors' views on AI in applications is vital for admissions processes.
Purpose of the Study:
- To assess plastic surgery residency program directors' (PDs) perspectives on the importance of personal statements.
- To determine PDs' opinions on the ethical appropriateness of using ChatGPT in personal statement creation.
- To gauge PDs' confidence in detecting AI-assisted application materials.
Main Methods:
- An anonymous 6-question multiple-choice survey was distributed to 120 plastic surgery residency PDs.
- The survey was administered in three rounds using REDCap, with an additional email reminder.
- Data was collected and analyzed in aggregate.
Main Results:
- A 28.6% response rate was achieved. 73.5% of PDs consider personal statements important for interviewee selection and rank lists.
- 85.3% of PDs lack confidence in detecting ChatGPT use, and most residencies do not use AI-detection software.
- A significant majority (58.8%) believe ChatGPT use is unethical for personal statements, with only small percentages finding it appropriate for specific tasks like brainstorming or editing.
Conclusions:
- While AI can streamline application writing, its ethical implications are a major concern for plastic surgery residency admissions.
- The majority of surveyed PDs perceive the use of ChatGPT in personal statement writing as unethical.
- Further discussion and policy development are needed regarding AI tool usage in medical residency applications.

