Large Language Models Answer Medical Questions Accurately, but Can’t Match Clinicians’ Knowledge
Abstract
This Medical News article discusses new research on artificial intelligence systems such as ChatGPT and Med-PaLM.
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Strategies used in the medical field have been shown to induce hallucination.
“strategies used in the medical field have been shown to induce hallucination (Umapathi et al., 2023;Harris, 2023;Ji et al., 2023)”
From MedAgents: Large Language Models as Collaborators for Zero-shot Medical Reasoning (2024) · cites this paper as Harris, 2023
Failures in medical question answering originate from a lack of domain knowledge rather than from reasoning rationale.
“Such failures in medical question-answering originate from a lack of domain knowledge (Harris, 2023;Kung et al., 2023;Tian et al., 2024) instead of reasoning rationale.”
From MedAgents: Large Language Models as Collaborators for Zero-shot Medical Reasoning (2024) · cites this paper as Harris, 2023
Cited by
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The application of large language models in medicine: A scoping review
Meng, X., Yan, X., Zhang, K., Liu, D., Cui, X., Yang, Y., Zhang, M., Cao, C., Wang, J., Wang, X., et al. (2024) · iScience · doi:10.1016/j.isci.2024.109713 · Cited by 414 · see citing works
MedAgents: Large Language Models as Collaborators for Zero-shot Medical Reasoning
Tang, X., Zou, A., Zhang, Z., Li, Z., Zhao, Y., Zhang, X., Cohan, A., & Gerstein, M. (2024) · Findings of the Association for Computational Linguistics ACL 2024 · doi:10.18653/v1/2024.findings-acl.33 · Cited by 133 · see citing works
Chow, J. C. L., & Li, K. (2025) · Information · doi:10.3390/info16070549 · Cited by 84 · see citing works
Comparative Analysis of Multimodal Large Language Model Performance on Clinical Vignette Questions
Han, T., Adams, L. C., Bressem, K. K., Busch, F., Nebelung, S., & Truhn, D. (2024) · JAMA · doi:10.1001/jama.2023.27861 · Cited by 83 · see citing works
A bibliometric analysis of the rise of ChatGPT in medical research
Barrington, N. M., Gupta, N., Musmar, B., Doyle, D., Panico, N., Godbole, N., Reardon, T., & D’Amico, R. S. (2023) · Medical Sciences · doi:10.3390/medsci11030061 · Cited by 69 · see citing works
Inherent bias in large language models: a random sampling analysis.
Ayoub, N. F., Balakrishnan, K., Ayoub, M. S., Barrett, T. F., David, A. P., & Gray, S. T. (2024) · Mayo Clinic Proceedings Digital Health · doi:10.1016/j.mcpdig.2024.03.003 · Cited by 47 · see citing works
Wu, J., Wu, X., Qiu, Z., Li, M., Lin, S., Zhang, Y., Zheng, Y., Yuan, C., & Yang, J. (2024) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocae079 · Cited by 41 · see citing works
- Authors
- Harris, E.
- Corresponding author
- Harris, Emily
- ORCID
- Harris, Emily
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2023-09-05
- Volume
- 330
- Issue
- 9
- Pages
- 792
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W4385620111
- Cited by
- 70
- References
- 0
- Citations by year
- 2026: 14 · 2025: 19 · 2024: 28 · 2023: 9
- FWCI
- 2.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (P30AG059307)
- National Institute on Drug Abuse (UG1DA015815)
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Physical Sciences › Computer Science › Artificial Intelligence › Machine Learning in Healthcare
- Health Sciences › Health Professions › Health Information Management › Artificial Intelligence in Healthcare
- Keywords
- large language models, ChatGPT, medical question answering, clinical knowledge, AI accuracy, clinical decision support, artificial intelligence in healthcare
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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