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Published on: July 11, 2025
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Medical students' perceptions of AI-generated practice questions as learning tools
Hudson Tate1, Brenton T Bicknell1, Paul Fiore1
1Marnix E. Heersink School of Medicine, University of Alabama at Birmingham, AL, USA.
Summary
Generative artificial intelligence (AI) tools can enhance medical education. AI-generated practice questions were well-received by medical students, with upperclassmen performing better, suggesting AI
Area of Science:
- Medical Education
- Artificial Intelligence in Education
- Health Professions Education
Background:
- Generative artificial intelligence (AI) tools, including large language models (LLMs), show promise for enhancing student learning in medical education.
- Formative assessment is crucial for medical student development, and AI offers novel approaches to creating practice materials.
- The United States Medical Licensing Examination (USMLE) style practice questions are a standard tool for assessing medical knowledge.
Purpose of the Study:
- To evaluate the perceived utility of AI-generated, USMLE-style practice questions as a formative learning tool for preclinical medical students.
- To assess the performance outcomes of medical students using AI-generated multiple-choice questions (MCQs).
- To explore differences in performance and perception based on student year and feedback.
Main Methods:
- ChatGPT 4.0 was used to generate MCQs for 15 microbiology and endocrinology lectures.
- A total of 386 preclinical medical students (198 first-year (MS1) and 188 second-year (MS2)) participated.
- 490 AI-generated question sets were completed optionally, with student feedback collected on 94.9% of sets.
Main Results:
- The majority of students found the AI-generated questions helpful (82.8%) or somewhat helpful (16.1%).
- Second-year medical students (MS2) achieved significantly higher correct answer rates (84.4%) compared to first-year students (MS1) (78.6%).
- No significant difference in average scores was found based on student feedback or rating of the questions.
Conclusions:
- AI-generated MCQs are broadly accepted by medical students as valuable supplemental formative learning tools.
- Performance on AI-generated questions varied between student cohorts and lecture topics, indicating potential areas for targeted learning.
- Further research is warranted to explore the broader feasibility and impact of AI tools in medical education.
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