Samuel Ja Robinson, Yin Mar Oo, Damir Ljuhar, Elizabeth McLeod, Maurizio Pacilli, Ramesh M Nataraja
A guide to outcome evaluation of simulation-based education programmes in low and middle-income countries
ANZ journal of surgery
despite importance informed consent healthcare readability specificity consent forms often impede patients comprehension study investigates use gpt4 simplify surgical consent forms introduces aihuman expert collaborative approach validate content appropriateness consent forms multiple institutions assessed readability simplified using gpt4 pre postsimplification readability metrics compared using nonparametric tests independent reviews medical authors malpractice defense attorney conducted finally gpt4s potential generating de novo procedurespecific consent forms assessed forms evaluated using validated 8item rubric expert subspecialty surgeon review analysis 15 academic medical centers consent forms revealed significant reductions average reading time word rarity passive sentence frequency p 005 following gpt4faciliated simplification readability improved average college freshman 8thgrade level p 0004 matching average americans reading level medical legal sufficiency consistency confirmed gpt4 generated procedurespecific consent forms five varied surgical procedures average 6thgrade reading level forms received perfect scores standardized consent form rubric withstood scrutiny upon expert subspeciality surgeon review study demonstrates first aihuman expert collaboration enhance surgical consent forms significantly improving readability without sacrificing clinical detail framework could extended patient communication materials emphasizing clear communication mitigating disparities related health literacy barriers