Nelson, Darlene

Abstract Large language models are becoming ubiquitous in the editing and generation of written content and are actively being explored for their use in medical education. The use of artificial intelligence (AI) engines to generate content in academic spaces is controversial and has been meet with swift responses and guidance from academic journals and publishers regarding the appropriate use or disclosure of use of AI engines in professional writing. To date, there is no guidance to applicants of graduate medical education programs in using AI engines to generate application content—primarily personal statements and letters of recommendation. In this Perspective, we review perceptions of using AI to generate application content, considerations for the impact of AI in holistic application review, ethical challenges regarding plagiarism, and AI text classifiers. Finally, included are recommendations to the graduate medical education community to provide guidance on use of AI engines in applications to maintain the integrity of the application process in graduate medical education.

This is a case of primary pulmonary lymphoma presenting concurrently with superimposed lung abscess, managed with the assistance of intracavitary fibrinolytic therapy. A 28-year-old man presented with 2 months of persistent cough. He had a large lung abscess involving almost the entire right upper lobe. The mass continued to progress in spite of appropriate antibiotic administration. Given the extent of involvement, he was not a surgical candidate. A bronchoscopy with bronchoalveolar lavage and transbronchial biopsies demonstrated diffuse large B cell lymphoma. Initial cultures were positive for Group G Streptococci. A CT-guided percutaneous drain was placed with initial purulent drainage that grew Prevotella and Streptococcus mitis; however, drainage quickly abated without adequate evacuation of the abscess cavity. To further optimise drainage in anticipation of chemotherapy administration, intracavitary fibrinolytic therapy including tissue plasminogen activator and deoxyribonuclease was attempted to better evacuate the infected space.