Assessing readability of explanations and reliability of answers by GPT-3.5 and GPT-4 in non-traumatic spinal cord injury education.
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| Title: | Assessing readability of explanations and reliability of answers by GPT-3.5 and GPT-4 in non-traumatic spinal cord injury education. |
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| Authors: | García-Rudolph, Alejandro1,2,3 alejandropablogarcia@gmail.com, Sanchez-Pinsach, David1,2,3, Wright, Mark Andrew1,2,3, Opisso, Eloy1,2,3, Vidal, Joan1,2,3 |
| Source: | Medical Teacher. Aug2025, Vol. 47 Issue 8, p1336-1343. 8p. |
| Subject Terms: | *Educational tests & measurements, *Evaluation, *Generative artificial intelligence, *Medical education, *Readability (Literary style), *Textbooks, *Certification, *Educational technology, Success, Research evaluation, Spinal cord injuries, Descriptive statistics, Reliability (Personality trait), Chatbots |
| Abstract: | Purpose: Our study aimed to: i) Assess the readability of textbook explanations using established indexes; ii) Compare these with GPT-4's default explanations, ensuring similar word counts for direct comparisons; iii) Evaluate GPT-4's adaptability by simplifying high-complexity explanations; iv) Determine the reliability of GPT-3.5 and GPT-4 in providing accurate answers. Material and methods: We utilized a textbook designed for ABPMR certification. Our analysis covered 50 multiple-choice questions, each with a detailed explanation, focusing on non-traumatic spinal cord injury (NTSCI). Results: Our analysis revealed statistically significant differences in readability scores, with the textbook achieving 14.5 (SD = 2.5) compared to GPT-4's 17.3 (SD = 1.9), indicating that GPT-4's explanations are generally more complex (p < 0.001). Using the Flesch Reading Ease Score, 86% of GPT-4's explanations fell into the 'Very difficult' category, significantly higher than the textbook's 58% (p = 0.006). GPT-4 successfully demonstrated adaptability by reducing the mean readability score of the top-nine most complex explanations, maintaining the word count. Regarding reliability, GPT-3.5 and GPT-4 scored 84% and 96% respectively, with GPT-4 outperforming GPT-3.5 (p = 0.046). Conclusions: Our results confirmed GPT-4's potential in medical education by providing highly accurate yet often complex explanations for NTSCI, which were successfully simplified without losing accuracy. [ABSTRACT FROM AUTHOR] |
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| Database: | Education Research Complete |
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