Evaluating the Current Ability of ChatGPT to Assist in Professional Otolaryngology Education

Abstract

Abstract Objective To quantify ChatGPT's concordance with expert Otolaryngologists when posed with high‐level questions that require blending rote memorization and critical thinking. Study Design Cross‐sectional survey. Setting OpenAI's ChatGPT‐3.5 Platform. Methods Two board‐certified otolaryngologists (HZ, RS) input 2 sets of 30 text‐based questions (open‐ended and single‐answer multiple‐choice) into the ChatGPT‐3.5 model. Responses were rated on a scale (correct, partially correct, incorrect) by each Otolaryngologist working simultaneously with the AI model. Interrater agreement percentage was based on binomial distribution for calculating the 95% confidence intervals and performing significance tests. Statistical significance was defined as P < .05 for 2‐sided tests. Results In testing open‐ended questions, the ChatGPT model had 56.7% of initially answering questions with complete accuracy, and 86.7% chance of answer with some accuracy (corrected agreement = 80.1%; P < .001). For repeat questions, ChatGPT improved to 73.3% with complete accuracy and 96.7% with some accuracy (corrected agreement = 88.8%; P < .001). For multiple‐choice questions, the ChatGPT model performed substantially worse (43.3% correct). Conclusion ChatGPT currently does not provide reliably accurate responses to sophisticated questions in Otolaryngology. Professional societies must be aware of the potential of this tool and prevent unscrupulous use during test‐taking situations and consider guidelines for clinical scenarios. Expert clinical oversight is still necessary for myriad use cases (eg, hallucination).