The journal acknowledges the increasing integration of generative AI technologies in academic research. While recognizing these tools' potential to enhance research productivity and support knowledge creation, the journal emphasizes the critical importance of responsible and transparent use.

Authors must adhere to the following guidelines when using generative AI tools such as ChatGPT, GPT-4, Bard, and similar technologies:

1. Transparent Content Identification
   • Clearly identify and mark any AI-generated content within the manuscript text
   • Provide a comprehensive acknowledgment of AI tool usage in the manuscript's acknowledgments section
2. Authorship Restrictions
   • Generative AI tools are strictly prohibited from being listed as authors
   • Responsibility for the manuscript's content remains exclusively with human authors
3. Compliance and Potential Consequences
   • Manuscripts that fail to disclose AI tool usage may be rejected
   • Authors might be required to provide detailed information about AI tool implementation in the methods section
   • For published articles where AI tool usage was not originally disclosed, corrective actions may be implemented

This policy is dynamic and will continue to evolve as the journal collaborates with editorial partners to understand generative AI's expanding role in research publication. Authors are advised to periodically review these guidelines for the most current information. The journal encourages authors to consult the World Association of Medical Editors (WAME) recommendations on generative AI tools in scholarly manuscripts for comprehensive guidance.