Patient Care and Surgical Training During Armed Conflict: Experiences and Perspectives of Surgical Residents in Ukraine

Dzhemiliev, Ali; Kizub, Darya; Welten, Vanessa M.; Shabat, Galyna; Huivaniuk, Inesa; Bielichenko, Svitlana; Semeniv, Solomiia; Zmijewski, Polina; Voitiv, Ya. Yu.; Usenko, Olexander; Beznosenko, Andriy; Kopetskyi, Viacheslav; Frolov, Serhii; Melnitchouk, Nelya

doi:10.1097/sla.0000000000005873

Cited by 6 publications

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“…Another proof-of-concept study demonstrated the utility of using ChatGPT to teach emergency physicians how to break bad news [40]. In the future, these technologies may offer an opportunity to democratize access to quality surgical education in low-and middleincome countries such as Ukraine, where the scarce surgeon workforce is desperate for an improved surgical education infrastructure in response to recent influxes of patients with traumatic injuries [41][42][43].…”

Section: Discussionmentioning

confidence: 99%

WITHDRAWN: ChatGPT-4 as a Board-Certified Surgeon: A Pilot Study

Roshal,

Silvestri,

Sathe

et al. 2024

Preprint

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PurposeLarge language models (LLMs), such as GPT-4 (OpenAI; San Francisco, CA), are promising tools for surgical education. However, skepticism about their accuracy and reliability remains a significant barrier to their widespread adoption. Although GPT-4 has demonstrated a remarkable ability to pass multiple-choice tests, its general surgery knowledge and clinical judgment in complex oral-based examinations are less clear. This study aims to evaluate GPT-4’s general surgery knowledge using written and oral board-style examinations to drive improvements that will enable the tool to revolutionize surgical education and practice.MethodsWe tested GPT-4’s ability to answer 250 random multiple-choice questions (MCQs) from the Surgical Council on Resident Education (SCORE) question bank and navigate four oral board scenarios derived from the Entrustable Professional Activities (EPA) topic list. Two former oral board examiners assessed the responses independently for accuracy.ResultsOn MCQs, GPT-4 answered 197 out of 250 (78.8%) correctly, corresponding to a 99% probability of passing the American Board of Surgery Qualifying Examination (ABS QE). On oral board scenarios, GPT-4 committed critical failures in three of four (75%) clinical cases. Common reasons for failure were incorrect timing of intervention and incorrect suggested operation.ConclusionsWhile GPT-4’s high performance on MCQs mirrored prior studies, the model struggled to generate accurate long-form content in our mock oral board examination. Future efforts should use specialized datasets and advanced reinforcement learning to enhance GPT-4’s contextual understanding and clinical judgment.

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Section: Discussionmentioning

confidence: 99%

WITHDRAWN: ChatGPT-4 as a Board-Certified Surgeon: A Pilot Study

Roshal,

Silvestri,

Sathe

et al. 2024

Preprint

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“…In addition to antibiotics, non-antibiotic substances such as quorum-sensing inhibitors and antimicrobial peptides were considered to be potential anti-biofilm agents. Together, these strategies offer the potential for addressing biofilm-related complications and enhancing the overall success of implants in the long term ( Dzhemiliev et al, 2023 ; Khoo and Grinstaff, 2011 ).…”

Section: Introductionmentioning

confidence: 99%

A review on antimicrobial strategies in mitigating biofilm-associated infections on medical implants

Kadirvelu,

Sivaramalingam,

Jothivel

et al. 2024

Current Research in Microbial Sciences

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“…Understanding the current state of surgical education is vital for addressing medical workforce needs during and after the war. 4 Our study aims to evaluate Ukraine's surgical education system, pinpointing areas for enhancing surgeon training. We seek to rally Ukrainian and international stakeholders, including the Ministry of Health and Ministry of Education, to prioritize these issues and make necessary adjustments to training programs.…”

Section: Introductionmentioning

confidence: 99%

Strengths and opportunities for improvement in surgical education in Ukraine: A qualitative study

Dzhemiliev,

Antoniv,

Huivaniuk

et al. 2024

World j. surg.

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BackgroundThe full‐scale invasion of Ukraine by Russia in 2022 has significantly impacted the country's healthcare system including surgical education. To assess the current state and identify the strengths and opportunities for the improvement of Ukraine's surgical education system during the peri‐war period, this study is one of the first to explore the state of surgical education across Ukraine in peri‐war, providing essential insights for current and postwar healthcare reconstruction.MethodsThis qualitative study involved semi‐structured interviews with 24 Ukrainian surgical residents, surgeons, and program leadership from various regions. The study focused on clinical training, didactics, mentorship, autonomy, resident evaluation, the impact of war, and gender disparities in surgical education. Data analysis was conducted using a rapid qualitative analysis technique.ResultsInterviews revealed strengths in surgical education such as adaptability to war conditions and international collaborations. However, opportunities for improvement were identified including a lack of structured clinical and didactic experiences, limited autonomy and access to simulators, gender discrimination, and war‐time challenges. These issues highlight a need for more comprehensive training and support systems for surgical trainees in Ukraine.ConclusionsThe study underscores the resilience and adaptability of Ukrainian surgical education in the face of war while also emphasizing the need for significant improvements. It calls for implementing structured training programs, enhanced mentorship, and attention to gender equality. These findings are crucial for improving surgical education in Ukraine and can be used as an example for other lower‐middle‐income countries, especially in conflict settings.

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Patient Care and Surgical Training During Armed Conflict: Experiences and Perspectives of Surgical Residents in Ukraine

Cited by 6 publications

References 0 publications

WITHDRAWN: ChatGPT-4 as a Board-Certified Surgeon: A Pilot Study

WITHDRAWN: ChatGPT-4 as a Board-Certified Surgeon: A Pilot Study

A review on antimicrobial strategies in mitigating biofilm-associated infections on medical implants

Strengths and opportunities for improvement in surgical education in Ukraine: A qualitative study

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