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Letter: Long-Term Outcomes of Primary Chemoablation of Low-Grade Upper Tract Urothelial Carcinoma With UGN-101, a Mitomycin Reverse Thermal Gel. 信：使用UGN-101（一种丝裂霉素逆转录热凝胶）对低级别上尿路上皮癌进行原发性化疗消融的长期结果。
IF 5.9 2区 医学 Q1 UROLOGY & NEPHROLOGY
Journal of Urology
Pub Date : 2025-04-01 Epub Date: 2024-12-26 DOI: 10.1097/JU.0000000000004380
Jesse Persily, Katie Murray
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引用次数: 0
Editorial Comment. 编辑评论。
IF 5.9 2区 医学 Q1 UROLOGY & NEPHROLOGY
Journal of Urology
Pub Date : 2025-04-01 Epub Date: 2025-01-21 DOI: 10.1097/JU.0000000000004390
Niels V Johnsen
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引用次数: 0
Editorial Comment. 编辑评论。
IF 5.9 2区 医学 Q1 UROLOGY & NEPHROLOGY
Journal of Urology
Pub Date : 2025-04-01 Epub Date: 2025-01-21 DOI: 10.1097/JU.0000000000004399
Megan A Stout, Lauren E Corona
{"title":"Editorial Comment.","authors":"Megan A Stout, Lauren E Corona","doi":"10.1097/JU.0000000000004399","DOIUrl":"10.1097/JU.0000000000004399","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"502"},"PeriodicalIF":5.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143007410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reply by Authors. 作者回复。
IF 5.9 2区 医学 Q1 UROLOGY & NEPHROLOGY
Journal of Urology
Pub Date : 2025-04-01 Epub Date: 2025-01-21 DOI: 10.1097/JU.0000000000004397
Jennifer M Jones, Andrew Matthew, Simon Tanguay, Celestia S Higano, Larry Goldenberg, Doris Howell, Manjula Maganti
{"title":"Reply by Authors.","authors":"Jennifer M Jones, Andrew Matthew, Simon Tanguay, Celestia S Higano, Larry Goldenberg, Doris Howell, Manjula Maganti","doi":"10.1097/JU.0000000000004397","DOIUrl":"10.1097/JU.0000000000004397","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"416"},"PeriodicalIF":5.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143007517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trauma, and Genital and Urethral Reconstruction.
IF 5.9 2区 医学 Q1 UROLOGY & NEPHROLOGY
Journal of Urology
Pub Date : 2025-04-01 Epub Date: 2024-11-20 DOI: 10.1097/JU.0000000000004324
Sean P Elliott
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引用次数: 0
Urologic Oncology: Prostate Cancer.
IF 5.9 2区 医学 Q1 UROLOGY & NEPHROLOGY
Journal of Urology
Pub Date : 2025-04-01 Epub Date: 2025-03-07 DOI: 10.1097/JU.0000000000004385
Samir S Taneja
{"title":"Urologic Oncology: Prostate Cancer.","authors":"Samir S Taneja","doi":"10.1097/JU.0000000000004385","DOIUrl":"https://doi.org/10.1097/JU.0000000000004385","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":"213 4","pages":"538-540"},"PeriodicalIF":5.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial Intelligence as a Discriminator of Competence in Urological Training: Are We There? 人工智能作为泌尿外科培训能力的判别标准：我们做到了吗？
IF 5.9 2区 医学 Q1 UROLOGY & NEPHROLOGY
Journal of Urology
Pub Date : 2025-04-01 Epub Date: 2024-12-09 DOI: 10.1097/JU.0000000000004357
Naji J Touma, Ruchit Patel, Thomas Skinner, Michael Leveridge

Purpose: Assessments in medical education play a central role in evaluating trainees' progress and eventual competence. Generative artificial intelligence is finding an increasing role in clinical care and medical education. The objective of this study was to evaluate the ability of the large language model ChatGPT to generate examination questions that are discriminating in the evaluation of graduating urology residents.

Materials and methods: Graduating urology residents representing all Canadian training programs gather yearly for a mock examination that simulates their upcoming board certification examination. The examination consists of a written multiple-choice question (MCQ) examination and an oral objective structured clinical examination. In 2023, ChatGPT Version 4 was used to generate 20 MCQs that were added to the written component. ChatGPT was asked to use Campbell-Walsh Urology, AUA, and Canadian Urological Association guidelines as resources. Psychometric analysis of the ChatGPT MCQs was conducted. The MCQs were also researched by 3 faculty for face validity and to ascertain whether they came from a valid source.

Results: The mean score of the 35 examination takers on the ChatGPT MCQs was 60.7% vs 61.1% for the overall examination. Twenty-five of ChatGPT MCQs showed a discrimination index > 0.3, the threshold for questions that properly discriminate between high and low examination performers. Twenty-five percent of ChatGPT MCQs showed a point biserial > 0.2, which is considered a high correlation with overall performance on the examination. The assessment by faculty found that ChatGPT MCQs often provided incomplete information in the stem, provided multiple potentially correct answers, and were sometimes not rooted in the literature. Thirty-five percent of the MCQs generated by ChatGPT provided wrong answers to stems.

Conclusions: Despite what seems to be similar performance on ChatGPT MCQs and the overall examination, ChatGPT MCQs tend not to be highly discriminating. Poorly phrased questions with potential for artificial intelligence hallucinations are ever present. Careful vetting for quality of ChatGPT questions should be undertaken before their use on assessments in urology training examinations.

导读：医学教育中的评估在评估受训者的进步和最终的能力方面起着核心作用。生成式人工智能（AI）在临床护理和医学教育中发挥着越来越大的作用。本研究的目的是评估大型语言模型ChatGPT的能力，以产生在评估泌尿外科毕业住院医师的考试问题。方法：毕业泌尿外科住院医师代表所有加拿大培训计划每年聚集模拟考试，模拟他们即将到来的委员会认证考试。考试包括书面多项选择题（mcq）考试和口头OSCE考试。在2023年，ChatGPT Version 4被用于生成20个mcq，这些mcq被添加到编写的组件中。ChatGPT被要求使用Campbell-Walsh泌尿外科、AUA和CUA指南作为资源。对ChatGPT mcq进行心理测量分析。mcq也由3个教员进行了面部有效性的研究，以确定它们是否来自一个有效的来源。结果：35名考生在ChatGPT mcq上的平均得分为60.7%，而整体考试的平均得分为61.1%。25%的ChatGPT mcq显示了区分指数>.3，这是正确区分考试成绩好坏的问题的门槛。25%的ChatGPT mcq得分为bb0 0.2，这被认为与考试的整体表现高度相关。教师们的评估发现，ChatGPT mcq往往提供了不完整的信息，提供了多个可能正确的答案，有时没有植根于文献。ChatGPT生成的mcq中有35%提供了错误的答案。结论：尽管ChatGPT mcq和整体考试的表现似乎相似，但ChatGPT mcq往往不是高度区分的。措辞拙劣、可能引发人工智能幻觉的问题随处可见。在泌尿科培训考试中使用ChatGPT试题进行评估之前，应仔细审查其质量。
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引用次数: 0
Uro-Science. Uro-Science。
IF 5.9 2区 医学 Q1 UROLOGY & NEPHROLOGY
Journal of Urology
Pub Date : 2025-04-01 Epub Date: 2024-12-18 DOI: 10.1097/JU.0000000000004351
Anthony Atala
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引用次数: 0
Editorial Comment. 编辑评论。
IF 5.9 2区 医学 Q1 UROLOGY & NEPHROLOGY
Journal of Urology
Pub Date : 2025-04-01 Epub Date: 2025-01-21 DOI: 10.1097/JU.0000000000004391
Jason Elyaguov
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引用次数: 0
The High Price to Pay for Survivorship of Genitourinary Rhabdomyosarcoma, Quality of Life.
IF 5.9 2区 医学 Q1 UROLOGY & NEPHROLOGY
Journal of Urology
Pub Date : 2025-04-01 Epub Date: 2025-02-05 DOI: 10.1097/JU.0000000000004443
Niccolo M Passoni, Jonathan C Routh
{"title":"The High Price to Pay for Survivorship of Genitourinary Rhabdomyosarcoma, Quality of Life.","authors":"Niccolo M Passoni, Jonathan C Routh","doi":"10.1097/JU.0000000000004443","DOIUrl":"10.1097/JU.0000000000004443","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"405-406"},"PeriodicalIF":5.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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