Human AI collaboration for unsupervised categorization of live surgical feedback

Abstract Formative verbal feedback during live surgery is essential for adjusting trainee behavior and accelerating skill acquisition. Despite its importance, understanding optimal feedback is challenging due to the difficulty of capturing and categorizing feedback at scale. We propose a Human-AI Co...

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Main Authors: Rafal Kocielnik, Cherine H. Yang, Runzhuo Ma, Steven Y. Cen, Elyssa Y. Wong, Timothy N. Chu, J. Everett Knudsen, Peter Wager, John Heard, Umar Ghaffar, Anima Anandkumar, Andrew J. Hung
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:npj Digital Medicine
Online Access:https://doi.org/10.1038/s41746-024-01383-3
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Summary:Abstract Formative verbal feedback during live surgery is essential for adjusting trainee behavior and accelerating skill acquisition. Despite its importance, understanding optimal feedback is challenging due to the difficulty of capturing and categorizing feedback at scale. We propose a Human-AI Collaborative Refinement Process that uses unsupervised machine learning (Topic Modeling) with human refinement to discover feedback categories from surgical transcripts. Our discovered categories are rated highly for clinical clarity and are relevant to practice, including topics like “Handling and Positioning of (tissue)” and “(Tissue) Layer Depth Assessment and Correction [during tissue dissection].” These AI-generated topics significantly enhance predictions of trainee behavioral change, providing insights beyond traditional manual categorization. For example, feedback on “Handling Bleeding” is linked to improved behavioral change. This work demonstrates the potential of AI to analyze surgical feedback at scale, informing better training guidelines and paving the way for automated feedback and cueing systems in surgery.
ISSN:2398-6352