{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T07:43:20Z","timestamp":1787903000988,"version":"build-2784847793"},"reference-count":16,"publisher":"Korea Health Personnel Licensing Examination Institute","license":[{"start":{"date-parts":[[2019,4,10]],"date-time":"2019-04-10T00:00:00Z","timestamp":1554854400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["jeehp.org"],"crossmark-restriction":true},"short-container-title":["J Educ Eval Health Prof"],"abstract":"<jats:p>Purpose: Lack of confidence in suturing\/ligature skills due to insufficient practice and assessments is common among novice Chinese medical interns. This study aimed to improve the skill acquisition of medical interns through a new intervention program. Methods: In addition to regular clinical training, expert-led or expert-led plus artificial intelligence (AI) system tutoring courses were implemented during the first 2 weeks of the surgical block. Interns could voluntarily join the regular (no additional tutoring), expert-led tutoring, or expert-led+AI  tutoring groups freely. In the regular group, interns (n=25) did not receive additional tutoring. The expert-led group received 3-hour expert-led tutoring and in-training formative assessments after 2 practice sessions. After a similar expert-led course, the expert-led+AI group (n=23) practiced and assessed their skills on an AI system. Through a comparison with the internal standard, the system automatically recorded and evaluated every intern\u2019s suturing\/ligature skills. In the expert-led+AI group, performance and confidence were compared between interns who participated in 1, 2, or 3 AI practice sessions.Results: The end-of-surgical block objective structured clinical examination (OSCE) performance and self-assessed confidence in suturing\/ligature skills were highest in the expert-led+AI group. In comparison with the expert-led group, the expert-led+AI group showed similar performance in the in-training assessment and greater improvement in the end-of-surgical block OSCE. In the expert-led+AI group, the best performance and highest post-OSCE confidence were noted in those who engaged in 3 AI practice sessions.Conclusion: This pilot study demonstrated the potential value of incorporating an additional expert-led+AI system\u2013assisted tutoring course into the regular surgical curriculum.<\/jats:p>","DOI":"10.3352\/jeehp.2019.16.7","type":"journal-article","created":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T22:38:47Z","timestamp":1555367927000},"page":"7","update-policy":"https:\/\/doi.org\/10.3352\/crossmark_policy","source":"Crossref","is-referenced-by-count":60,"title":["An expert-led and artificial intelligence system-assisted tutoring course to improve the confidence of Chinese medical interns in suturing and ligature skills: a prospective pilot study"],"prefix":"10.3352","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7719-0397","authenticated-orcid":true,"given":"Ying-Ying","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boaz","family":"Shulruf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"14441","published-online":{"date-parts":[[2019,4,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2015.09.017"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.4137\/JMECD.S39381"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2015.118"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.01.022"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-0240-2"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.3352\/jeehp.2013.10.10"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1111\/tct.12128"},{"key":"ref8","first-page":"Doc41","author":"Heni","year":"2012","journal-title":"GMS Z Med Ausbild"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6920-14-71"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-016-0589-1"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s40037-016-0251-y"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2077.178540"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.3402\/meo.v21.32160"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-4042-4"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.4103\/ijabmr.IJABMR_385_17"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2013.828153"}],"container-title":["Journal of Educational Evaluation for Health Professions"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/jeehp.org\/upload\/jeehp-16-07.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/jeehp.org\/DOIx.php?id=10.3352\/jeehp.2019.16.7","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/jeehp.org\/upload\/jeehp-16-07.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,4]],"date-time":"2020-02-04T02:18:04Z","timestamp":1580782684000},"score":1,"resource":{"primary":{"URL":"http:\/\/jeehp.org\/DOIx.php?id=10.3352\/jeehp.2019.16.7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,10]]},"references-count":16,"URL":"https:\/\/doi.org\/10.3352\/jeehp.2019.16.7","relation":{},"ISSN":["1975-5937"],"issn-type":[{"value":"1975-5937","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,10]]},"assertion":[{"value":"2019-02-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-10","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}}]}}