Skip to content

ChatGPT-4 study plans lift Pakistani medical students' surgery scores

At Islamic International Medical College, Pakistan, 100 students were randomized in 2024; after two hours of study, the ChatGPT-4 group scored 22.8 against 19.24 on an acute abdomen test.

2
Benefit status
Reported
Evidence
Independently studied
Observed
Sources
1 publication

Benefits

Benefit

The ChatGPT-4 group scored 22.8 against 19.24 (p = 0.005, Cohen's d = 0.58)

Awaiting review

Outcome identifiers

Unresolved

Not reviewedUnresolved

Category

Improved Learning

Awaiting review

Status

Reported benefit

Awaiting review

Beneficiary groups

People.

Awaiting review

Beneficiaries

Unresolved

Not reviewedUnresolved

Reach

Unresolved

Not reviewedUnresolved

Distribution and access

Unresolved

Not reviewedUnresolved

Duration

Unresolved

Not reviewedUnresolved

Expected?

Yes

Awaiting review

Costs and harms

Unresolved

Not reviewedUnresolved

AI system

System

ChatGPT-4, used to deliver AI-driven personalized learning pathways on the acute abdomen topic

Awaiting review

Model

This is an explicit unresolved assignment: the sources on record do not settle this question.

Not reviewedUnresolved

Reported configuration

GPT-4 (ChatGPT-4)

Awaiting review

Provider

Unresolved

Not reviewedUnresolved

Role

Unresolved

Not reviewedUnresolved

Configuration

Unresolved

Not reviewedUnresolved

Inputs and outputs

Unresolved

Not reviewedUnresolved

Autonomy

Unresolved

Not reviewedUnresolved

Workflow

Students worked through ChatGPT-4 learning pathways on one defined surgical topic. Faculty set the topic within the general surgery course.

Awaiting review

Human oversight

Unresolved

Not reviewedUnresolved

Relation to AI

Students were randomly assigned to learning with ChatGPT-4 or with conventional resources on the same topic, so the difference reflects the ChatGPT-4 learning pathways.

Awaiting review

AI contribution

Students were randomly assigned to learning with ChatGPT-4 or with conventional resources on the same topic, so the difference reflects the ChatGPT-4 learning pathways.

Awaiting review

Measurement

Studies

Randomized. [1]

Fully reviewed: supporting details for Studies

Review date: 29 October 2026.

Sources: [1]

Study design

Randomized. [1]

Fully reviewed: supporting details for Study design

Review date: 29 October 2026.

Sources: [1]

Measurement

Topic-specific pre-test and post-test. [1]

Fully reviewed: supporting details for Measurement

Review date: 29 October 2026.

Sources: [1]

Setting and sample

100 fourth-year medical students, Islamic International Medical College, February to July 2024. [1]

Fully reviewed: supporting details for Setting and sample

Review date: 29 October 2026.

Sources: [1]

Measures

Post-test score. [1]

Fully reviewed: supporting details for Measures

Review date: 29 October 2026.

Sources: [1]

Comparison

Conventional educational resources. [1]

Fully reviewed: supporting details for Comparison

Review date: 29 October 2026.

Sources: [1]

Results

22.8 against 19.24 (Cohen's d = 0.58, p = 0.005). [1]

Fully reviewed: supporting details for Results

Review date: 29 October 2026.

Sources: [1]

Additional value from AI

The difference is attributed to the ChatGPT-4 learning pathways. [1]

Fully reviewed: supporting details for Additional value from AI

Review date: 29 October 2026.

Sources: [1]

Limitations

Single institution; one topic; short-term outcome; two-hour exposure; no formal washout between crossover phases; scores were similar after crossover. [1]

Fully reviewed: supporting details for Limitations

Review date: 29 October 2026.

Sources: [1]

Denominators

Two hours of study on one topic, then one hour with the other method after crossover. [1]

Fully reviewed: supporting details for Denominators

Review date: 29 October 2026.

Sources: [1]

Materials for replication

The evaluation does not state this detail. [1]

Partly reviewedUnresolved: supporting details for Materials for replication

Review date: 29 October 2026.

Sources: [1]

Money

Kind of value

The kind of monetary value is unclear.

Not reviewedUnresolved

Amount

The monetary value is not established.

Not reviewedUnresolved

Currency and prices

The currency and price basis are unclear.

Not reviewedUnresolved

Period and unit

The period and unit of the monetary estimate are unclear.

Not reviewedUnresolved

Realization

Whether the monetary value was realized is unclear.

Not reviewedUnresolved

Recipients and payers

The recipients and payers are unclear.

Not reviewedUnresolved

Gross or net

Whether the monetary figure includes costs is unclear.

Not reviewedUnresolved

Included costs

The costs included in the estimate are unclear.

Not reviewedUnresolved

Comparison

The financial comparison is not established.

Not reviewedUnresolved

Method

The method used to calculate monetary value is unclear.

Not reviewedUnresolved

Return and payback

The return on investment or payback period is not established.

Not reviewedUnresolved

People and places

Participants

Developer: OpenAI. Operator: Islamic International Medical College, Riphah International University (general surgery course).

Awaiting review

Jurisdictions

Benefit: Islamic International Medical College, Riphah International University, Pakistan. Developer: United States. Operator: Pakistan.

Awaiting review

Ownership and control

Unresolved

Not reviewedUnresolved

Dependencies

Unresolved

Not reviewedUnresolved

Cross-border connections

Unresolved

Not reviewedUnresolved

Geopolitical implications

The geopolitical implications are unclear.

Not reviewedUnresolved

Follow-up

Conditions for replication

Students need access to ChatGPT-4. The content must stay within the course's defined objectives.

Awaiting review

Replication attempts

Unresolved

Not reviewedUnresolved

Later findings

Unresolved

Not reviewedUnresolved

Availability

Unresolved

Not reviewedUnresolved

Institutional decision

A relevant institutional decision has not been established.

Not reviewedUnresolved

Grounds

The grounds for an institutional decision are unclear.

Not reviewedUnresolved

Action and result

The result of an institutional decision is not established.

Not reviewedUnresolved

Success criterion

The criterion for a successful institutional decision is unclear.

Not reviewedUnresolved

Evidence

Source numbers

AIBD-0619-source-0001

Awaiting review

Citations

Numbered references below.

Awaiting review

Language

Unresolved

Not reviewedUnresolved

Source relationships

Independent

Awaiting review

Original evidence

Unresolved

Not reviewedUnresolved

Access and versions

Unresolved

Not reviewedUnresolved

Supported findings

Unresolved

Not reviewedUnresolved

Evidence strength

Independently studied. Sources: one independent peer-reviewed study. The cited evidence includes no finding by a regulator or court. [1]

Fully reviewed: supporting details for Evidence strength

Review date: 29 October 2026.

Sources: [1]

Missing evidence

Unresolved

Not reviewedUnresolved

Grades

Assessed benefits

People.

Awaiting review

Depth

People: 2.

Awaiting review

Reasons

People: Students in the ChatGPT-4 group scored 22.8 against 19.24 on the acute abdomen post-test, a moderate effect (Cohen's d = 0.58).

Awaiting review

Observed or intended

Unresolved

Not reviewedUnresolved

Rubric

Unresolved

Not reviewedUnresolved

Assessor and date

Unresolved

Not reviewedUnresolved

Alternative assessments

Unresolved

Not reviewedUnresolved

Fill

Independently studied

Awaiting review

Entry details

Kind

The case describes an evaluation or a study. The case is a randomized crossover trial. [1]

Fully reviewed: supporting details for Kind

Review date: 29 October 2026.

Sources: [1]

Field

Education.

Awaiting review

Purpose

ChatGPT-4 is a general-purpose chatbot. The faculty used it to give students personalized learning pathways, and higher test scores were the purpose of the trial.

Awaiting review

Dates

Observed: July 2024. Updated: 29 October 2026.

Awaiting review

Stage

The system was used in a pilot. ChatGPT-4 was used for one topic within one course during a trial. [1]

Fully reviewed: supporting details for Stage

Review date: 29 October 2026.

Sources: [1]

Version

SHA-256: 6430ca5ea135…

Awaiting review: supporting details for Version

SHA-256 of the public case, its assessments, and its displayed answers and notes, excluding its own identifier and the derived coverage summary.

References

Other identifiers

Unresolved

Not reviewedUnresolved

Category mappings

Unresolved

Not reviewedUnresolved

Citable summary

Unresolved

Not reviewedUnresolved

Revisions

1 revision. Latest: 29 October 2026.

Awaiting review

Sources

  1. Peer-reviewed study Independent author

    Ilyas M, Khan RA, Yasmeen R, Kamal Z, Ain NU. Impact of ChatGPT-assisted personalized learning on teaching acute abdomen to undergraduate medical students: A randomized crossover study. Pak J Med Sci. 2026;42(8). doi:10.12669/pjms.42.8.14827

Cite this case

BibTeX Download BibTeX

Version 6430ca5ea135, archived in the edition of 29 October 2026

Benefit marks

Depth

The number and color show the depth of a benefit.

  1. Depth 1. A convenience, or time or money saved.
  2. Depth 2. A measurable improvement in a result or ability.
  3. Depth 3. A lasting change, an ability restored, or a risk removed.
  4. Depth 4. A serious harm averted or a serious condition resolved in time.
  5. Depth 5. A life or livelihood preserved, or a change documented across a population.

Beneficiary

  • Circle: a person
  • Square: an organization
  • Triangle: society

Evidence

  • Solid. A court or regulator found a benefit, or researchers independently studied it.

  • Hatched. Independent reporting.

  • Outline. Claimed by the parties. Only the people or organizations involved, or sources whose independence has not been assessed, support the benefit.

The fill changes with the evidence. The depth color stays the same.

How benefits are assessed