Artificial Intelligence in Relation to Accurate Information and Tasks in Gynecologic Oncology and Clinical Medicine – Dunning-Kruger Effects and Ultracrepidarianism
Open accessPreprint — published as 10.3390/diagnostics15060735
Abstract
We have published on the accuracy of the Google Virtual Assistant, Alexa, Siri, Cortana, Gemini and Copilot. Emerging from this published work was a focus on the ac-curacy of AI that could be determined through validations. In our work published in 2023, the accuracy of responses to a panel of 24 queries related to gynecologic oncology was low, with Google Virtual Assistant (VA) providing the most correct audible replies (18.1%), followed by Alexa (6.5%), Siri (5.5%), and Cortana (2.3%). In the months following our publication, there was explosive excitement about several generative AIs that continue to transform the landscape of information accessibility by presenting the search results in impressively engaging narratives. This type of presentation has been enabled by combining machine learning algorithms with Natural Language Processing (NLP). In 2024, we published our exploration of the generative AIs Gemini and Copilot as well as the Google Assistant in relation to how accurately they responded to the panel of 24 queries that we used in the 2023 publication. Google Gemini achieved an 87.5% accuracy rate, while the accuracy of Microsoft Copilot was 83.3%. In contrast, the Google VA’s accuracy in audible responses improved from 18% in the 2023 report to 63% in 2024. Because of our investigation in this area, we have examined the accuracy of results obtained through different AI models in this review. The landscape of the findings reviewed here surveyed 252 papers published in 2024, topically reporting on AI in medicine of which 83 articles are considered in the present review because they contain evidenced-based findings. In particular, the types of cases considered deal with AI accuracy in initial differential diagnoses, cancer treatment recommendations, board-style exams and performance in various clinical tasks. Importantly, summaries of the validation techniques used to evaluate AI findings are presented. This review focuses on those AIs that have a clinical relevancy evidenced by application and evaluation in clinical publications. This relevancy speaks to both what has been promised and what has been delivered by various AI systems. Readers will be able to understand when generative AI may be expressing views without having the necessary information (ultracrepidarianism) or is responding as if the generative AI had expert knowledge when it does not. Without an awareness that AIs may deliver inadequate or confabulated information, incorrect medical decisions and inappropriate clinical applications can result (Dunning-Kruger effect). As a result, in certain cases a generative AI might underperform and provide results which greatly overestimate any medical or clinical validity.
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LLMs can express unwarranted confidence in domains beyond their reliable competence, complicating unsupervised use in specialized oncologic practice.
“A further concern is that these models can express unwarranted confidence in domains beyond their reliable competence, complicating their unsupervised use in specialized oncologic practice [5].”
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Asoglu, H., Kose, S., Kayim, O., Abaci, A., Khatib, G., Vardar, M. A., Kilic Bagir, E., Gumurdulu, D., Kidi, M. M., Bayram, E., et al. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15124451 · Cited by 1 · see citing works
- Authors
- Pavlik, E. J., Land Woodward, J., Lawton, F., Swiecki-Sikora, A. L., Ramaiah, D. D., & Rives, T. A.
- Affiliations
- University of Kentucky (US)
- Corresponding author
- Pavlik, Edward J.
- Venue
- Diagnostics
- Publisher
- MDPI AG
- Published
- 2025-02-07
- Volume
- 15
- Issue
- 6
- Pages
- 735-735
- ISSN
- 2075-4418 (ISSN-L)
- PMC
- PMC11941301
- OpenAlex
- W4408526199
- Cited by
- 8
- References
- 0
- Citations by year
- 2026: 5 · 2025: 3
- FWCI
- 0.47
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Diagnostics (publishedVersion, cc-by)
- Preprints.org (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Health Sciences › Health Professions › Health Information Management › Artificial Intelligence in Healthcare
- Physical Sciences › Computer Science › Artificial Intelligence › Artificial Intelligence Applications
- Keywords
- artificial intelligence in healthcare, generative AI, Dunning-Kruger effect, AI accuracy, differential diagnosis, cancer treatment recommendations, clinical imaging, gynecologic oncology, clinical decision-making
About these checks
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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