Use of large language models as artificial intelligence tools in academic research and publishing among global clinical researchers
Open accessAbstract
With breakthroughs in Natural Language Processing and Artificial Intelligence (AI), the usage of Large Language Models (LLMs) in academic research has increased tremendously. Models such as Generative Pre-trained Transformer (GPT) are used by researchers in literature review, abstract screening, and manuscript drafting. However, these models also present the attendant challenge of providing ethically questionable scientific information. Our study provides a snapshot of global researchers' perception of current trends and future impacts of LLMs in research. Using a cross-sectional design, we surveyed 226 medical and paramedical researchers from 59 countries across 65 specialties, trained in the Global Clinical Scholars' Research Training certificate program of Harvard Medical School between 2020 and 2024. Majority (57.5%) of these participants practiced in an academic setting with a median of 7 (2,18) PubMed Indexed published articles. 198 respondents (87.6%) were aware of LLMs and those who were aware had higher number of publications (p < 0.001). 18.7% of the respondents who were aware (n = 37) had previously used LLMs in publications especially for grammatical errors and formatting (64.9%); however, most (40.5%) did not acknowledge its use in their papers. 50.8% of aware respondents (n = 95) predicted an overall positive future impact of LLMs while 32.6% were unsure of its scope. 52% of aware respondents (n = 102) believed that LLMs would have a major impact in areas such as grammatical errors and formatting (66.3%), revision and editing (57.2%), writing (57.2%) and literature review (54.2%). 58.1% of aware respondents were opined that journals should allow for use of AI in research and 78.3% believed that regulations should be put in place to avoid its abuse. Seeing the perception of researchers towards LLMs and the significant association between awareness of LLMs and number of published works, we emphasize the importance of developing comprehensive guidelines and ethical framework to govern the use of AI in academic research and address the current challenges.
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A global survey of clinical researchers (n = 226) found that although about 88% were aware of LLMs, only 19% had used them in publications, mostly for grammar and formatting, and most did not acknowledge their use.
“However, a global survey of clinical researchers (n = 226) found that although about 88% were aware of LLMs, only 19% had used them in publications, mostly for grammar and formatting, and most did not acknowledge their use (Mishra et al., 2024).”
From How much are LLMs changing the language of academic papers after ChatGPT? A multi-database and full text analysis (2026) · cites this paper as Mishra et al., 2024
The Abstract and Results report 226 respondents, 87.6% awareness, and publication use by 18.7% of those aware, most commonly for grammar and formatting (64.9%). But the Discussion says about 40% of users did not acknowledge LLM use—not most. The 19% figure also applies to aware respondents, rather than all 226 surveyed. (LLM, conf=0.90)
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Cites
1 retracted
[Retracted] English Grammar Detection Based on LSTM‐CRF Machine Learning Model
Wu, L., & Pan, M. (2021) · Computational Intelligence and Neuroscience · doi:10.1155/2021/8545686 · Cited by 10 · see citing works
RetractedBarocas, S., & Selbst, A. D. (2014) · doi:10.2139/ssrn.2477899 · Cited by 3,048 · see citing works
Artificial hallucinations in ChatGPT: implications in scientific writing
Alkaissi, H., & McFarlane, S. I. (2023) · Cureus · doi:10.7759/cureus.35179 · Cited by 1,540 · see citing works
ChatGPT is fun, but not an author
Thorp, H. H. (2023) · Science · doi:10.1126/science.adg7879 · Cited by 1,437 · see citing works
Dave, T., Athaluri, S. A., & Singh, S. (2023) · Frontiers in Artificial Intelligence · doi:10.3389/frai.2023.1169595 · Cited by 1,204 · see citing works
Climbing towards NLU: On Meaning, Form, and Understanding in the Age of Data
Bender, E. M., & Koller, A. (2020) · Proceedings of the 58th Annual Meeting of the Association for Computational Linguistics · doi:10.18653/v1/2020.acl-main.463 · Cited by 1,082 · cited 1× · see citing works
“First, is the lack of information or comprehension on part of the researchers regarding the technologies they are using, due to which they remain oblivious to the degree to which AI has been integrated into their research 19,20 .”
ChatGPT and the rise of large language models: the new AI-driven infodemic threat in public health
De Angelis, L., Baglivo, F., Arzilli, G., Privitera, G. P., Ferragina, P., Tozzi, A. E., & Rizzo, C. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1166120 · Cited by 708 · see citing works
Tools such as ChatGPT threaten transparent science; here are our ground rules for their use
(2023) · Nature · doi:10.1038/d41586-023-00191-1 · Cited by 605 · see citing works
ChatGPT and the future of medical writing
Biswas, S. (2023) · Radiology · doi:10.1148/radiol.223312 · Cited by 571 · see citing works
Bornmann, L., Haunschild, R., & Mutz, R. (2021) · Humanities and Social Sciences Communications · doi:10.1057/s41599-021-00903-w · Cited by 532 · see citing works
Preiksaitis, C., & Rose, C. (2023) · JMIR Medical Education · doi:10.2196/48785 · Cited by 468 · see citing works
Flanagin, A., Bibbins-Domingo, K., Berkwits, M., & Christiansen, S. L. (2023) · JAMA · doi:10.1001/jama.2023.1344 · Cited by 420 · see citing works
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
Artificial intelligence and the conduct of literature reviews
Wagner, G., Lukyanenko, R., & Paré, G. (2021) · Journal of Information Technology · doi:10.1177/02683962211048201 · Cited by 332 · see citing works
Ethics of large language models in medicine and medical research
Li, H., Moon, J. T., Purkayastha, S., Celi, L. A., Trivedi, H., & Gichoya, J. W. (2023) · The Lancet Digital Health · doi:10.1016/s2589-7500(23)00083-3 · Cited by 286 · see citing works
Hosseini, M., & Horbach, S. P. J. M. (2023) · Research Integrity and Peer Review · doi:10.1186/s41073-023-00133-5 · Cited by 243 · see citing works
Eppler, M., Ganjavi, C., Ramacciotti, L. S., Piazza, P., Rodler, S., Checcucci, E., Gomez Rivas, J., Kowalewski, K. F., Belenchón, I. R., Puliatti, S., et al. (2024) · European Urology · doi:10.1016/j.eururo.2023.10.014 · Cited by 117 · cited 2× · see citing works
“This is in contrast to Eppler et al.‘s earlier study 16 , where nearly half of the respondents reported having used LLMs in their academic practice.”
InfluentialKendall, G., & Teixeira da Silva, J. A. (2024) · Learned Publishing · doi:10.1002/leap.1578 · Cited by 100 · see citing works
Knowledge, Perceptions and Attitude of Researchers Towards Using ChatGPT in Research
Abdelhafiz, A. S., Ali, A. M. M., Maaly, A. M., Ziady, H. H., Sultan, E. A., & Mahgoub, M. A. (2024) · Journal of Medical Systems · doi:10.1007/s10916-024-02044-4 · Cited by 76 · see citing works
Medical Students’ Knowledge and Attitude Towards Artificial Intelligence: An Online Survey
Al Saad, M. M., Shehadeh, A., Alanazi, S., Alenezi, M., Abu alez, A., Eid, H., Alfaouri, M. S., Aldawsari, S., & Alenezi, R. (2022) · The Open Public Health Journal · doi:10.2174/18749445-v15-e2203290 · Cited by 60 · see citing works
Mapping the Increasing Use of LLMs in Scientific Papers
Liang, W., Zhang, Y., Wu, Z., Lepp, H., Ji, W., Zhao, X., Cao, H., Liu, S., He, S., Huang, Z., et al. (2024) · arXiv · doi:10.48550/arxiv.2404.01268 · Cited by 55 · see citing works
Christou, P. (2023) · The Qualitative Report · doi:10.46743/2160-3715/2023.6407 · Cited by 35 · see citing works
Umer, M., Naveed, A., Maryam, Q., Malik, A. R., Bashir, N., & Kandel, K. (2024) · Annals of Medicine and Surgery · doi:10.1097/ms9.0000000000001957 · Cited by 17 · see citing works
Patil, S., & Tovani‐Palone, M. R. (2023) · Clinics · doi:10.1016/j.clinsp.2023.100226 · Cited by 10 · see citing works
Watkins, R. (2023) · doi:10.31219/osf.io/6uh8p · Cited by 6 · see citing works
Cano, P. M. A. (2024) · Journal of Electrical Systems · doi:10.52783/jes.3611 · Cited by 4 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [1]Naveed, H. et al. A comprehensive overview of large language models. (2023). https://arxiv.org/abs/2307.06435. · arXiv
Cited by
Sorted by citations
Alkalbani, A. M., Alrawahi, A. S., Salah, A., Haghighi, V., Zhang, Y., Alkindi, S. S. A., & Sheng, Q. Z. (2025) · Information · doi:10.3390/info16060489 · Cited by 27 · see citing works
Evaluating the performance and robustness of LLMs in materials science Q&A and property predictions
Wang, H., Li, K., Ramsay, S., Fehlis, Y., Kim, E., & Hattrick-Simpers, J. R. (2025) · Digital Discovery · doi:10.1039/d5dd00090d · Cited by 16 · see citing works
Undergraduate Nursing Students’ Perspectives on Artificial Intelligence in Academia
Lam, M., Adhami, N., Du, O., Huntley, R., Abdulai, A.-F., Yi Wong, K. L., & Hung, L. (2025) · Canadian Journal of Nursing Research · doi:10.1177/08445621251347025 · Cited by 13 · see citing works
Kewalramani, D., Jawa, R. S., Martin, C. A., Gosain, A., Wan, D. C., Varghese, T. K., Boland, G. M., Dream, S. Y., Sifri, Z. C., Mollen, K. P., et al. (2025) · Surgery · doi:10.1016/j.surg.2025.109849 · Cited by 16 · see citing works
The future of reviews writing in the AI era
Zheng, Z. (2025) · Nature Reviews Chemistry · doi:10.1038/s41570-025-00738-y · Cited by 11 · see citing works
Artificial intelligence in sport: applications, political economy and research agendas
Abeza, G. (2026) · Sport Business and Management An International Journal · doi:10.1108/sbm-03-2026-0092 · Cited by 10 · see citing works
Generative AI and scientific manuscript peer review
Hoyt, R., Limon, A., & Chang, A. C. (2025) · Intelligence-Based Medicine · doi:10.1016/j.ibmed.2025.100246 · Cited by 12 · see citing works
AI-Powered Math Tutoring: Platform for Personalized and Adaptive Education
Chudziak, J. A., & Kostka, A. (2025) · Lecture notes in computer science · doi:10.1007/978-3-031-98465-5_58 · Cited by 7 · see citing works
Kousha, K., & Thelwall, M. (2026) · Scientometrics · doi:10.1007/s11192-026-05601-5 · Cited by 10 · see citing works
Beher, J., Treml, E. A., & Wintle, B. A. (2025) · PLoS ONE · doi:10.1371/journal.pone.0326166 · Cited by 5 · see citing works
Strategies of AI ‐Driven CAR ‐T Cell Therapy Towards Solid Tumours
Abdalla, A. M. E., Miao, Y., Taha, Y. A., Meng, N., & Ouyang, C. (2026) · Immunology · doi:10.1111/imm.70124 · Cited by 4 · see citing works
Adam, T., Abosabie, S. A. S., Dittmer, M., Wolf, E., Abosabie, S., Behnke, C., Baier, F., Weickmann, A., Köser, L., Correll, C., et al. (2026) · Research Synthesis Methods · doi:10.1017/rsm.2026.10093 · Cited by 6 · see citing works
Коваль, Е. А., Ушкин, С. Г., Николаевна, А. О., & Zhadunova, N. V. (2026) · Высшее образование в России · doi:10.31992/0869-3617-2025-34-12-107-126 · Cited by 3 · see citing works
From reviews to real-time: dynamic evidence in dentistry
Gavrilova, A. V., & Galli, C. (2026) · Evidence-Based Dentistry · doi:10.1038/s41432-026-01206-2 · Cited by 4 · see citing works
Large Language Models in Surgery: Promise, Pitfalls, and Practical Use
Denham, D. T., Wang, C. Y., Maric, E., Hinton, L. R., & Heniford, B. T. (2026) · Journal of Abdominal Wall Surgery · doi:10.3389/jaws.2026.16349 · Cited by 3 · see citing works
The Artificial Intelligence Dilemma in Academic Writing: Balancing Efficiency and Integrity
Mondal, H., Mondal, S., & Jana, S. (2025) · Indian Journal of Cardiovascular Disease in Women · doi:10.25259/ijcdw_86_2024 · Cited by 3 · see citing works
Zou, Y., Kuek, F., Ng, K. H., & Cheng, X. (2026) · PLoS ONE · doi:10.1371/journal.pone.0343163 · Cited by 3 · see citing works
Skyline Retrieval meets Set-Cover Chunk Merging: A Cost-Effective RAG-Sketch for Long-Context LLM QA
Zhu, X., Li, H., Zhang, Y., & Chen, L. (2026) · Proceedings of the ACM on Management of Data · doi:10.1145/3802111 · Cited by 2 · see citing works
AlFayyad, I., Maurice, Z. P., Bouter, L. M., Macdonald, H., & Schroter, S. (2025) · medRxiv · doi:10.1101/2025.10.24.25338574 · Cited by 2 · see citing works
Cheng, P.-J., Hu, F., Chen, L.-Y., Liu, J.-Y., Wu, J., & Chen, W. (2025) · Taiwan Journal of Ophthalmology · doi:10.4103/tjo.tjo-d-25-00072 · Cited by 1 · see citing works
Mittal, S., & Aggarwal, Y. (2026) · Cureus · doi:10.7759/cureus.101433 · Cited by 1 · see citing works
Chia, A. W.-Y., Teo, W. L.-L., Munro, Y. L., & Dalan, R. (2026) · Scientific Reports · doi:10.1038/s41598-025-29591-1 · Cited by 1 · see citing works
From Verification Burden to Trusted Collaboration: Design Goals for LLM-Assisted Literature Reviews
Nogueira, B., Geyer, W., Anderson, A. W., Li, T. J.-J., Kim, D., Moniz, N., & Chawla, N. V. (2026) · ACM International Conference on Intelligent User Interfaces (IUI) · doi:10.1145/3742414.3794723 · Cited by 1 · see citing works
The Silent Author in Urology: Quantifying Large Language Model Influence at the Corpus LevelPreprint
Arezki, A., Tsui, J. M. G., & Kassouf, W. (2025) · medRxiv · doi:10.1101/2025.07.21.25331681 · Cited by 1 · see citing works
Talent Supply and Demand Matching Based on Prompt Learning and the Pre-Trained Language Model
Li, K., Liu, J., & Zhuang, C. (2025) · Applied Sciences · doi:10.3390/app15052536
Response: Comparing letters written by humans and ChatGPT : A preliminary study
Matsubara, S. (2025) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.70085
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Ramachnadran, R., Patil, U., Sundar, S., Shah, P., & Ramesh, P. (2025) · AI · doi:10.3390/ai6080177
Liu, H., Dai, L., & Jiang, H. (2025) · Applied Sciences · doi:10.3390/app151910696
From AI peer review to AI ethics: addressing terminological confusion in science
Kozak, M. (2025) · Journal of Documentation · doi:10.1108/jd-07-2025-0201
Amjad, A. I. (2025) · Advances in computational intelligence and robotics book series · doi:10.4018/979-8-3373-4217-7.ch006
Zhang, Z. (2025) · International Conference on Artificial Intelligence and Digital Ethics (ICAIDE) · doi:10.1109/icaide65466.2025.11189595
Mujeeb, H., Karapars, Z. G., & Andic, A. (2026) · Communications in computer and information science · doi:10.1007/978-3-032-12773-0_8
Conversing with machines: How AI is changing the way scientists think
Gavrilova, A. V., & Galli, C. (2026) · Quantitative Biology · doi:10.1002/qub2.70032
Rosli, R. M. K. R., & Zakaria, A. F. (2025) · IEEE International Conference on Engineering Education (ICEED) · doi:10.1109/iceed66794.2025.11400468
An LLM-Enabled Interactive Knowledge Check System for Personalised E-Learning
Guoxiang, G. T., Loh, K., En, C. Z., Min, C. H., Andrea, L. W. X., Li, X., & Hui, W. (2025) · International Conference on Robotics, Automation and Artificial Intelligence (RAAI) · doi:10.1109/raai67517.2025.11423384
Igoniye, W., Briggs-Kamara, Cookey, Sigalo, F. B., & Njeh, C. F. (2025) · Egyptian Journal of Basic and Applied Sciences · doi:10.1080/2314808x.2026.2624216
Citation Inaccuracies and the Need for Multi-Level Oversight in AI-Assisted Medical Writing
Rajaratnam, V., Omar, U. F., Kee, K., & Kaliya-Perumal, A.-K. (2026) · Standards · doi:10.3390/standards6010010 · Cited by 1 · see citing works
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SAIMSARA (2026) · SAIMSARA Journal · doi:10.62487/saimsarada26548b
Generative AI, academic skill structure and innovation
Moch, E. (2026) · Journal of Entrepreneurship and Global Business Strategy · doi:10.66705/zakg0c54
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Wang, V., Yang, K., & Fernandez, J. M. (2026) · Journal of Cutaneous Medicine and Surgery · doi:10.1177/12034754261445883
Chakraborty, S., Gill, S. K., & Verma, M. K. (2026) · Library Hi Tech · doi:10.1108/lht-05-2025-0112
Yu, X., & Qianqian, Y. (2026) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s614952
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Fedorchenko, Y., Üşen, A., Seiil, B., Zimba, O., & Korkosz, M. (2026) · Seminars in Arthritis and Rheumatism · doi:10.1016/j.semarthrit.2026.152966
Dong, M., Liu, X., Luo, Y., Zeng, Y., Fei, F., & Du, L. C. (2026) · Research Integrity and Peer Review · doi:10.1186/s41073-026-00231-0
Nakamura, S., Tada, K., Yamashita, Y., Inomata, N., Sakata, K., Ito, K., Kuroda, Y., Yoshizumi, F., Kouso, H., Iwaki, K., et al. (2026) · Surgery Today · doi:10.1007/s00595-026-03383-0
Buhr, C. R., Blaikie, A. J., Smith, H., Kelsey, T., Ruckes, C., Matthias, C., Kuhn, S., & Eckrich, J. (2026) · Frontiers in Digital Health · doi:10.3389/fdgth.2026.1849286
Leveraging Local LLMs for Taxonomy-Aware Analysis of STRING-Supported Species
Alzahrani, H. (2026) · Communications in computer and information science · doi:10.1007/978-3-032-22199-5_7
Molle, A., Saenen, N. D., Smeets, K., Bijnens, K., Aerts, M., Kremer, C., Solazzo, E., & Abrahantes, J. C. (2026) · Regulatory Toxicology and Pharmacology · doi:10.1016/j.yrtph.2026.106182
Sahhar, M., Lewis, A. M., Achilova, F., Singh, M., Nassar, J. E., Callanan, T. C., Liu, J., Daniels, A. H., & Antoci, V. (2026) · The Journal of Arthroplasty · doi:10.1016/j.arth.2026.07.041
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Neubauer, J., Bartz‐Schmidt, K. U., & Gelişken, F. (2026) · Ophthalmology Science · doi:10.1016/j.xops.2026.101337
Withanage, W. D. M. D., Nissanka, N. M. T. A., Wickramasinghe, C. P., Fernando, W. P. P. D., Perera, V., & Gunatilake, G. D. (2026) · Access Microbiology · doi:10.1099/acmi.0.001137.v5
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- Authors
- Mishra, T., Sutanto, E., Rossanti, R., Pant, N., Ashraf, A., Raut, A., Uwabareze, G., Oluwatomiwa, A., & Zeeshan, B.
- Affiliations
- Manipal Academy of Higher Education (IN)
- University of Indonesia (ID)
- Dr. Hasan Sadikin General Hospital (ID)
- Royal Free London NHS Foundation Trust (GB)
- Allama Iqbal Medical College (PK)
- Guthrie Robert Packer Hospital (US)
- World Health Organization (CH)
- Corresponding author
- Zeeshan, Bushra
- ORCID
- Venue
- Scientific Reports
- Published
- 2024-12-30
- Volume
- 14
- Issue
- 1
- Pages
- 31672-31672
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC11685435
- OpenAlex
- W4405894594
- Cited by
- 54
- References
- 25
- Citations by year
- 2026: 32 · 2025: 22
- FWCI
- 5.05
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Scientific Reports (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- World Health Organization
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Social Sciences › Arts and Humanities › History and Philosophy of Science › Academic Writing and Publishing
- Physical Sciences › Computer Science › Information Systems › Artificial Intelligence in Education
- Keywords
- large language models, generative AI in research, researcher perceptions, clinical investigators, AI ethics, AI regulation, manuscript preparation, AI-assisted writing
- MeSH terms
- Adult, Artificial Intelligence, Cross-Sectional Studies, Female, Humans, Language, Male, Natural Language Processing, Publishing, Surveys and Questionnaires, Research Personnel, Biomedical Research
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