Orthopedics

Comprehensive Summary

This study assesses how effectively an AI training module improves pediatric fracture identification among medical trainees. A total of 240 pediatric upper-extremity radiographs were divided into two balanced groups based on anatomy, fracture presence, and displacement. 4 medical students and 4 radiology residents were recruited to interpret the images. The AI-based training module utilized a previously validated open-source fracture detection algorithm. Participants were tested on one of the two groups (A or B) and asked to indicate whether they thought a fracture was present, its location, and their confidence level from 0-100. Accuracy, sensitivity, and specificity for fracture detection were also calculated for each reader group. After the initial testing, participants reviewed AI-generated annotations for the first set of cases. They then completed the second set without AI assistance to evaluate how the training module influenced their diagnostic accuracy. Findings showed that the radiology residents demonstrated a significant improvement in diagnostic accuracy (71.3% to 77.5%), particularly in identifying non-angulated and non-displaced fractures. In contrast, medical students did not improve substantially (56.3% to 57.3%). Confidence scores for both groups remained largely unchanged (residents 79.0% to 80.6 and students 46.1% to 46.3%). Overall, the findings indicate that the effectiveness of AI-based training depends on the trainee’s prior knowledge and experience in the field.

Outcomes and Implications

This study highlights the potential of AI-based training tools as an accessible and scalable method for medical education. While direct clinical integration of AI still faces several challenges, this study demonstrates a low-risk approach to leveraging AI that can indirectly improve patient outcomes through enhanced training. While the current tool is most effective for radiology residents or individuals with relevant background knowledge, further development could tailor its training complexity to match varying levels of expertise. Additionally, the training model could be expanded to study less common pathology cases, allowing for a wider scope of use. Overall, AI-assisted learning tools provide residents with stimulating and evidence-based educational experiences to improve diagnostic accuracy.

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AIIM Research

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© 2025 AIIM. Created by AIIM IT Team

AIIM Research

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© 2025 AIIM. Created by AIIM IT Team

AIIM Research

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© 2025 AIIM. Created by AIIM IT Team