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Performance of ChatGPT in the Portuguese National Residency Access Examination

Ferraz-Costa, Gonçalo; Griné, Mafalda; Oliveira-Santos, Manuel; Teixeira, Rogério

ChatGPT, a language model developed by OpenAI, has been tested in several medical board examinations. This study aims to evaluate the performance of ChatGPT on the Portuguese National Residency Access Examination, a mandatory test for medical residency in Portugal. The study specifically compares the capabilities of ChatGPT versions 3.5 and 4o across five examination editions from 2019 to 2023. A total of 750 m...

Date: 2024   |   Origin: Acta Médica Portuguesa

Three-dimensional simulation for interventional cardiology procedures: face and...

Sequeira, Carolina; Oliveira-Santos, Manuel; Borges Rosa, João; Silva Marques, João; Oliveira Santos, Eduardo; Norte, Gustavo; Gonçalves, Lino

Introduction and objectives: Three-dimensional (3D) model simulation provides the opportunity to manipulate real devices and learn intervention skills in a realistic, controlled, and safe environment. To ensure that simulators provide a realistic surrogate to real procedures they must undergo scientific validation. We aimed to evaluate the 3D-printed simulator SimulHeart® for face and content validity to demons...


Old habits die hard: Can AI help bring coronary angiography Into the 21st Century?

Menezes, Miguel Nobre; Oliveira, Catarina Simões; Silva, João Lourenço; Silva, Beatriz Valente; Marques, João Silva; Guerreiro, Cláudio

Coronary angiography (CAG) was pioneered in the 1950s by Eduardo Coelho (who performed the first nonselective in vivo CAG in 1952 at the Santa Marta Hospital in Lisbon, Portugal) and Frank Mason Sones Jr (who performed the first selective CAG in vivo in 1958 at the Cleveland Clinic in Ohio, USA). Sones further developed the technique by contributing to the development of the C-arm, enabling multiangular views a...


The association of collaterals with myocardial ischemia and viability in chroni...

Leite, Luís; Campos, Gustavo; Silva, Rodolfo; Jorge, Elisabete; Oliveira-Santos, Manuel; Gomes, Andreia; Gonçalves, Lino; Castelo-Branco, Miguel

Collateral development in chronic total occlusions (CTO) is crucial to perfuse the distal myocardium and its angiographic evaluation is frequently used to assess the need for revascularization. We aimed to analyse the association between the presence of ischemia and hibernating myocardium, evaluated by cardiac [13 N]NH3/2-[18 F]FDG PET-CT, and the angiographic characterization of the collateral circulation. Pro...


Computational Flow Dynamic Analysis in Left Atrial Appendage Thrombus Formation...

Valvez, Sara; Oliveira-Santos, Manuel; Piedade, A. P.; Gonçalves, Lino; Amaro, Ana M.

Atrial fibrillation (AF) is a common cardiac arrhythmia characterized by irregular and rapid electrical activity in the atria, leading to ineffective contraction and poor blood flow. More than 90% of the left atrial (LA) thrombi that cause thromboembolic events during atrial fibrillation (AF) develop in the left atrial appendage (LAA). AF modifies the hemodynamics of the left atrium, which can result in thrombo...


Assessment of distance to primary percutaneous coronary intervention centres in...

Borges-Rosa, João; Oliveira-Santos, Manuel; Simões, Marco A.; Carvalho, Paulo; Ibanez-Sanchez, Gema; Fernandez-Llatas, Carlos; Costa, Marco

Objectives: In ST-segment elevation myocardial infarction (STEMI), time delay between symptom onset and treatment is critical to improve outcome. The expected transport delay between patient location and percutaneous coronary intervention (PCI) centre is paramount for choosing the adequate reperfusion therapy. The “Centro” region of Portugal has heterogeneity in PCI assess due to geographical reasons. We aimed ...


Fusion imaging in interventional cardiology

Nobre, Carolina; Oliveira-Santos, Manuel; Paiva, Luís; Costa, Marco; Gonçalves, Lino

The number and complexity of percutaneous interventions for the treatment of structural heart disease has increased in clinical practice in parallel with the development of new imaging technologies, in order to render these interventions safer and more accurate. Complementary imaging modalities are commonly used, but they require additional mental reconstruction and effort by the interventional team. The concep...


A 10- and 15-year performance analysis of ESC/EAS and ACC/AHA cardiovascular ri...

Ferreira, Cátia Santos; Baptista, Rui Terenas; Oliveira-Santos, Manuel; Moura, José Pereira de; Gonçalves, Lino

Background: A key strategy for the primary prevention of cardiovascular disease (CVD) is the use of risk prediction algorithms. We aimed to investigate the predictive ability of SCORE (Systematic COronary Risk Estimation) and PCE (Pooled Cohort Equations) systems for atherosclerotic CVD (ASCVD) risk in Portugal, a low CVD risk country, at the 10-year landmark and at a longer, 15-year follow-up. Methods: The SCO...


Avaliação do Exame Final do Internato Médico em Portugal

Marques, Tiago Reis; Laíns, Inês; Martins, Maria João; Goiana-da-Silva, Francisco; Sampaio, Filipa; Pessanha, Inês; Fernandes, Diogo Hipólito

Introdução: Existe uma elevada heterogeneidade na estrutura da avaliação da formação médica pós-graduada a nível mundial. No entanto, contrastando com outros países, não existem estudos científicos em Portugal que tenham avaliado o modelo da avaliação final da especialidade. O presente estudo pretendeu avaliar a adequação do exame do final da especialidade aos seus propósitos; aí incluída a sua validade enquant...


Satisfação com a Especialidade entre os Internos da Formação Específica em Port...

Martins, Maria João; Laíns, Inês; Brochado, Bruno; Oliveira-Santos, Manuel; Pinto Teixeira, Pedro; Brandão, Mariana; Cerqueira, Rui João

Introdução: A satisfação com a profissão médica tem sido apontada como um fator essencial para a qualidade assistencial, o bemestar dos doentes e a estabilidade dos sistemas de saúde. Estudos recentes têm vindo a enfatizar um crescente descontentamento dos médicos, principalmente como consequência das alterações das relações laborais. Objetivos: Avaliar a perceção dos médicos de formação específica em Portugal,...


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