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AI-enhanced adaptive testing with cognitive diagnostic feedback and its association with performance in undergraduate surgical education: a pilot study

2026·0 Zitationen·Frontiers in Behavioral NeuroscienceOpen Access
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2026

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Abstract

Background: Effective feedback in the cognitive domain is essential for surgical education but often limited by resource constraints and traditional assessment formats. Artificial Intelligence (AI) has emerged as a catalyst for innovation, enabling automated feedback, real-time cognitive diagnostics, and scalable item generation, thereby transforming how future surgeons learn and are assessed. Methods: 3-5 days before the summative Progress Test. A total of 147 students participated, of whom 116 completed the formative CAT. Performance correlations, group comparisons, analysis of covariance (ANCOVA), and regression analyses were conducted. Results: = 0.170). Conclusion: AI-enhanced CAT-Cognitive Diagnostic Modeling (CDM) represents a promising formative approach in undergraduate surgical education, being associated with higher summative performance and providing individualized diagnostic feedback. Refining feedback presentation and enhancing decision-making assessment could further optimize its educational impact.

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Artificial Intelligence in Healthcare and EducationClinical Reasoning and Diagnostic SkillsRadiology practices and education
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