RESUMEN
Artificial Intelligence (AI) has revolutionized the healthcare industry. There have been limited studies assessing AI model efficacy and accuracy in urology. To our knowledge, there is a lack in research looking at one of the most common urological procedures: the vasectomy. Ten frequently asked questions regarding vasectomies were individually entered into three different AI sources (ChatGPT, Bard & Bing) using free interfaces available to consumers. The responses were critically analyzed by three urologists and graded on a scale of 1 to 4 for clarity, accuracy, and evidence-based information, with 1 being the best and 4 being the worst. ChatGPT had the best average rating per question at 1.367, followed by Bard at 2.167 and Bing at 1.800(p = 0.000083). ChatGPT was found to provide significantly more satisfactory answers than both Bard (p = 0.00005) and Bing (p = 0.03988). The difference between Bard and Bing however was found to be insignificant (p = 0.09651). Overall, our study shows that AI Chatbots may provide mostly accurate information on frequently asked questions regarding vasectomies and is a reasonable resource for patients interested in the procedure to use. ChatGPT is the most accurate and concise of the chatbots assessed.
RESUMEN
BACKGROUND: As orthopedic surgery becomes increasingly competitive, orthopedic surgeons are now pursuing advanced degrees more frequently to enhance their resumes or gain additional expertise. The specific impact of this additional training and education on a surgeon's career trajectory is not well defined. The purpose of this study was to understand the impact of an advanced degree on the academic career of orthopedic shoulder and elbow surgeons. METHODS: Orthopedic shoulder and elbow fellowship-trained surgeons were identified using the directory listed on the American Shoulder and Elbow Surgeons website. Demographics, education, and current professional roles were obtained. Research productivity was obtained using SCOPUS and Google Scholar. Advanced degrees were defined as those additional to the primary medical degree (Doctor of Medicine [MD] or Doctor of Osteopathic Medicine [DO]). Outcome measures collected included timing of advanced degree obtainment, current academic and leadership roles, leadership on journal editorial boards, and research productivity. Statistical analysis was performed using the chi-square test and Mann-Whitney U test to determine the association of advanced degrees on outcome measures. RESULTS: In total, 893 orthopedic shoulder and elbow surgeons were identified, of whom 129 had advanced degrees. Most common advanced degrees included Master of Science (MS/MSc; 43%), Master of Business Administration (MBA; 23%), and Doctor of Philosophy (PhD; 13%). The most common period of degree obtainment was before medical school (35%) with the least common times being after medical school/before residency (0.9%) and between residency and fellowship training (0.9%). Surgeons who held advanced degrees demonstrated greater research productivity, with a higher h-index (p < 0.001), a greater number of citations (p < 0.001), and more publications (p < 0.001). Of the 523 shoulder and elbow surgeons who worked at an academic institution, those holding advanced degrees were more likely to serve as orthopedic department chair (p < 0.001) and serve an editorial board position (< 0.001). CONCLUSION: This study found that having an advanced degree as an orthopedic shoulder and elbow surgeon was linked to higher research impact and productivity and an increased likelihood of becoming a department chair and holding an editorial position. These significant findings can help future trainees and department leadership in understanding the importance and impact of additional training on career trajectories for academic faculty.