{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T07:08:38Z","timestamp":1789196918323,"version":"build-2803163510"},"reference-count":12,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the feasibility and effectiveness of combining AI\u2010enhanced teaching with traditional instruction for clinical skills training of resident physicians undergoing standardized training in cardiac and great vessel surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Forty resident physicians were randomly divided into two groups. The AI\u2010combined teaching group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920) received an 8\u2010week AI\u2010enhanced teaching program (including intelligent learning planning, an intelligent surgical video library, and an intelligent case analysis library) combined with traditional instruction; the traditional teaching group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920) received only conventional teaching. Before and after the training, Objective Structured Clinical Examinations (OSCE) and porcine heart model assessments for mitral valve replacement and coronary artery bypass grafting were conducted, and satisfaction was surveyed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After training, the total OSCE score of the AI\u2010combined teaching group was significantly higher than that of the traditional teaching group (85.6\u2009\u00b1\u20094.2 vs. 78.3\u2009\u00b1\u20095.1,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), with notable advantages in image interpretation and skill operation. Surgical skill scores were also significantly better (92.4\u2009\u00b1\u20093.7 vs. 86.1\u2009\u00b1\u20094.9,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). All members of the AI\u2010combined teaching group expressed satisfaction, and their surgical confidence scores increased significantly (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>AI\u2010enhanced teaching combined with traditional instruction significantly improves the clinical and surgical skills of resident physicians in cardiac and great vessel surgery and represents a feasible and efficient human\u2013computer collaborative teaching model.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70972","type":"journal-article","created":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T06:25:55Z","timestamp":1789194355000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Application of\n                    <scp>AI<\/scp>\n                    \u2010Enhanced Teaching Combined With Traditional Instruction in Cardiac and Great Vessel Surgery"],"prefix":"10.1111","author":[{"given":"Chengxin","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery The First Affiliated Hospital of Anhui Medical University  Hefei Anhui China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5449-9385","authenticated-orcid":false,"given":"Jinguo","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery The First Affiliated Hospital of Anhui Medical University  Hefei Anhui China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.49008"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934\u2010025\u201001277\u20101"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.21470\/1678\u20109741\u20102023\u20100308"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.3233\/SHTI230581"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.2196\/57037"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.26496"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.34658"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.15495"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/10872981.2024.2330250"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2025.116257"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/10872981.2025.2542807"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.3233\/SHTI220597"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70972","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.70972","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70972","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T06:25:55Z","timestamp":1789194355000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.70972"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,11]]},"references-count":12,"alternative-id":["10.1111\/ans.70972"],"URL":"https:\/\/doi.org\/10.1111\/ans.70972","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,11]]},"assertion":[{"value":"2026-06-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ans.70972"}}