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GenAI and Faculty Collaboration Support Feasible Development of Curriculum-Aligned Open-Access Board-Style Questions
Ronaé McLin1, Colleen M Croniger1,2, Amy L Wilson-Delfosse3
1Case Western Reserve University School of Medicine, Cleveland, OH 44106 USA.
Abstract:
A curriculum-aligned generative AI chatbot was developed to create USMLE-style anatomy multiple-choice questions using open-access resources. Subject matter experts evaluated 100 of these questions and 83% were found to be potentially usable, with many needing minimal or no modifications. Sentiment analysis of subject matter expert interviews showed mild positive sentiment while acknowledging both advantages and limitations of AI-generated assessment items. Interestingly, the chatbot revealed discrepancies between faculty expectations and documented learning objectives, highlighting opportunities for curricular improvement. This ethically designed system provides a scalable, cost-effective approach to enhance equity and support local assessment development in medical education.
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