Development of a Universal Prompt as a Scalable Generative AI-Assisted Tool for USMLE Step 1 Style Multiple-Choice Question Refinement in Medical Education.

Unlabelled: We developed a generative artificial intelligence (genAI)-assisted tool enabling learners to receive feedback on, revise, and clone multiple-choice questions aligned with learning objectives. Initially designed as a custom GPT, we adapted it to a universal prompt for platform-agnostic, equitable access. This innovation exemplifies readily adaptable genAI-enhanced learning driven by pedagogy.

Supplementary Information: The online version contains supplementary material available at 10.1007/s40670-025-02334-7.