Skin surgery training: a literature review of methods and their efficacy

Abstract

Skin surgery ranges from small biopsies to Mohs micrographic surgery and excisions necessitating complex skin flap design or grafting. For all dermatology doctors in training there is a need to acquire competence to perform skin surgery safely, in an appropriate time frame, and with minimal complication rates. There exist a range of different methods, with varying reliance upon advancing technology, to teach skin surgery and to refine surgical skills before procedures are performed on patients. We searched PubMed, MEDLINE, and SCOPUS databases to identify all papers relevant to postgraduate dermatology skin surgery teaching and training published in the last 10 years in English. This yielded 440 results, for which all abstracts were screened. Manuscripts related to aesthetic surgery training, such as robotic hair transplantation training are excluded.

RETRACTED: Artificial Intelligence on the Exam Table: ChatGPT's Advancement in Urology Self-assessment

“…5-7 Its propensity to err is attributed to a slew of causes, including its potential to generate false information (hallucinate), the knowledge cutoff of September 2021, the lack of indexed information, or the inability to adequately contextualize an inquiry. 5-7 These shortcomings have been documented in the literature, yet have shown improvement upon each successive version of ChatGPT, especially between 3.5 and 4.0. 5-7 Additionally, ChatGPT has demonstrated further use outside the realm of medical education, including in clinical support settings in writing patient discharge summaries and responding to patient portal messages.…”

“…5-7 These shortcomings have been documented in the literature, yet have shown improvement upon each successive version of ChatGPT, especially between 3.5 and 4.0. 5-7 Additionally, ChatGPT has demonstrated further use outside the realm of medical education, including in clinical support settings in writing patient discharge summaries and responding to patient portal messages. 2,3…”

“…The accuracy of 28.2% falls short of its performance in the 2021 and 2022 American College of Gastroenterology self-assessment examinations (68.3% in ChatGPT-3.0), the Dermatology Specialty Certificate examination (63% in ChatGPT-3.5), and the Ophthalmic Knowledge Assessment Program examination (46.4% in ChatGPT-3.5; see Figure ). [5][6][7] Its propensity to err is attributed to a slew of causes, including its potential to generate false information (hallucinate), the knowledge cutoff of September 2021, the lack of indexed information, or the inability to adequately contextualize an inquiry. [5][6][7] These shortcomings have been documented in the literature, yet…”

“…[5][6][7] Its propensity to err is attributed to a slew of causes, including its potential to generate false information (hallucinate), the knowledge cutoff of September 2021, the lack of indexed information, or the inability to adequately contextualize an inquiry. [5][6][7] These shortcomings have been documented in the literature, yet…”

“…have shown improvement upon each successive version of ChatGPT, especially between 3.5 and 4.0. [5][6][7] Additionally, ChatGPT has demonstrated further use outside the realm of medical education, including in clinical support settings in writing patient discharge summaries and responding to patient portal messages. 2,3 When observing ChatGPT's struggles in urology in comparison with the relative successes seen in other fields, it is important to consider possible root causes.…”