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ECOSBot: a multicenter validation pilot study of a generative AI tool for OSCE-based nephrology training.

Raphaël Bentegeac1,2, Nans Florens3,4,5, Mehdi Maanaoui6,7

  • 1Lille University, Department of Public Health - Epidemiology, Lille University Hospital Center, Lille, France.

Clinical Kidney Journal
|October 24, 2025
PubMed
Summary
This summary is machine-generated.

ECOSBot, an AI tool, effectively simulates nephrology Objective Structured Clinical Examinations (OSCEs) for medical students. This technology enhances nephrology education by providing high-fidelity patient and examiner roles, proving useful for OSCE preparation.

Keywords:
LLM-powered simulationgenerative AImedical education technologynephrologyvirtual standardized patient

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Area of Science:

  • Medical Education
  • Artificial Intelligence in Medicine
  • Nephrology Training

Background:

  • Nephrology diagnostic reasoning is complex, challenging traditional training methods.
  • Objective Structured Clinical Examinations (OSCEs) are crucial but resource-intensive.
  • Generative AI's potential for nephrology OSCE simulation is unexplored.

Purpose of the Study:

  • To develop and assess ECOSBot, an AI tool for simulating nephrology OSCEs.
  • To evaluate ECOSBot's performance in patient simulation and examiner roles.
  • To determine the usability and utility of ECOSBot for medical students.

Main Methods:

  • Developed ECOSBot using GPT-4o for standardized patients and examiners.
  • Conducted a multicenter prospective study with 91 undergraduate medical students.
  • Evaluated ECOSBot against faculty ratings for authenticity, correctness, relevance, and examiner scoring.

Main Results:

  • ECOSBot achieved high fidelity in patient simulation (authenticity 98.6%, correctness 98.3%, relevance 99.2%).
  • Strong agreement between ECOSBot and human raters for global scores (ICC=0.94).
  • Students found ECOSBot highly useful (91.7%) for nephrology OSCE preparation.

Conclusions:

  • ECOSBot reliably simulates nephrology OSCE roles with high fidelity.
  • The tool aligns well with expert ratings, offering a scalable solution.
  • Challenges remain in assessing subjective skills, but ECOSBot enhances nephrology education.