Effectiveness of ChatGPT for Clinical Scenario Generation: A Qualitative Study

Introduction: A growing area is the use of ChatGPT in simulation-based learning, a widely recognized methodology in medical education. This study aimed to evaluate ChatGPT’s ability to generate realistic simulation scenarios to assist faculty as a significant challenge in medical education. Metho...

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Main Authors: Faezeh Ghaffari, Mostafa Langarizadeh, Ehsan Nabovati, Mahdieh Sabery
Format: Article
Language:English
Published: Shahid Beheshti University of Medical Sciences 2025-05-01
Series:Archives of Academic Emergency Medicine
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Online Access:https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2690
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author Faezeh Ghaffari
Mostafa Langarizadeh
Ehsan Nabovati
Mahdieh Sabery
author_facet Faezeh Ghaffari
Mostafa Langarizadeh
Ehsan Nabovati
Mahdieh Sabery
author_sort Faezeh Ghaffari
collection DOAJ
description Introduction: A growing area is the use of ChatGPT in simulation-based learning, a widely recognized methodology in medical education. This study aimed to evaluate ChatGPT’s ability to generate realistic simulation scenarios to assist faculty as a significant challenge in medical education. Method: This study employs a qualitative research design and thematic analysis to interpret expert opinions. The study was conducted in two phases. Scenario generation via ChatGPT and expert review for validation. We used ChatGPT (GPT-4) to create clinical scenarios on cardiovascular topics, including cardiogenic shock, postoperative cardiac tamponade after heart surgery, and heart failure. A panel of five experts, four nurses with expertise in emergency medicine and critical care and an anesthesia specialist, evaluated the scenarios. The experts' feedback, strengths and weaknesses, and proposed revisions from the expert discussions were analyzed via thematic analysis. Key themes and proposed revisions were identified, recorded, and compiled by the research team. Results: The clinical scenarios were produced by ChatGPT in less than 5 seconds per case. The thematic analysis identified six recurring themes in the experts' discussions: clinical accuracy, the clarity of learning objectives, the logical flow of patient cases, realism and feasibility, alignment with nursing competencies, and level of difficulty. All the experts agreed that the scenarios were realistic and followed clinical guidelines. However, they also identified several errors and areas that needed improvement. The experts identified and documented specific errors, incorrect recommendations, missing information, and inconsistencies with standard nursing practices. Conclusion: It seems that, ChatGPT can be a valuable tool for developing clinical scenarios, but expert review and refinement are necessary to ensure the accuracy and alignment of the generated scenarios with clinical and educational standards.
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spelling doaj-art-5ee116fd43984236a14e7612dc23fae42025-08-20T01:56:48ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042025-05-0113110.22037/aaemj.v13i1.2690Effectiveness of ChatGPT for Clinical Scenario Generation: A Qualitative StudyFaezeh Ghaffari0Mostafa Langarizadeh1Ehsan Nabovati 2Mahdieh Sabery 34. Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.department of health information management, School of health management and information sciences, Iran University of Medical Sciences, Tehran-IranHealth Information Management Research Center, Kashan University of Medical Sciences, Kashan, IranTrauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran Introduction: A growing area is the use of ChatGPT in simulation-based learning, a widely recognized methodology in medical education. This study aimed to evaluate ChatGPT’s ability to generate realistic simulation scenarios to assist faculty as a significant challenge in medical education. Method: This study employs a qualitative research design and thematic analysis to interpret expert opinions. The study was conducted in two phases. Scenario generation via ChatGPT and expert review for validation. We used ChatGPT (GPT-4) to create clinical scenarios on cardiovascular topics, including cardiogenic shock, postoperative cardiac tamponade after heart surgery, and heart failure. A panel of five experts, four nurses with expertise in emergency medicine and critical care and an anesthesia specialist, evaluated the scenarios. The experts' feedback, strengths and weaknesses, and proposed revisions from the expert discussions were analyzed via thematic analysis. Key themes and proposed revisions were identified, recorded, and compiled by the research team. Results: The clinical scenarios were produced by ChatGPT in less than 5 seconds per case. The thematic analysis identified six recurring themes in the experts' discussions: clinical accuracy, the clarity of learning objectives, the logical flow of patient cases, realism and feasibility, alignment with nursing competencies, and level of difficulty. All the experts agreed that the scenarios were realistic and followed clinical guidelines. However, they also identified several errors and areas that needed improvement. The experts identified and documented specific errors, incorrect recommendations, missing information, and inconsistencies with standard nursing practices. Conclusion: It seems that, ChatGPT can be a valuable tool for developing clinical scenarios, but expert review and refinement are necessary to ensure the accuracy and alignment of the generated scenarios with clinical and educational standards. https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2690Generative artificial intelligenceArtificial intelligenceEducation, medicalComputer simulation
spellingShingle Faezeh Ghaffari
Mostafa Langarizadeh
Ehsan Nabovati
Mahdieh Sabery
Effectiveness of ChatGPT for Clinical Scenario Generation: A Qualitative Study
Archives of Academic Emergency Medicine
Generative artificial intelligence
Artificial intelligence
Education, medical
Computer simulation
title Effectiveness of ChatGPT for Clinical Scenario Generation: A Qualitative Study
title_full Effectiveness of ChatGPT for Clinical Scenario Generation: A Qualitative Study
title_fullStr Effectiveness of ChatGPT for Clinical Scenario Generation: A Qualitative Study
title_full_unstemmed Effectiveness of ChatGPT for Clinical Scenario Generation: A Qualitative Study
title_short Effectiveness of ChatGPT for Clinical Scenario Generation: A Qualitative Study
title_sort effectiveness of chatgpt for clinical scenario generation a qualitative study
topic Generative artificial intelligence
Artificial intelligence
Education, medical
Computer simulation
url https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2690
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