Comparison of the Success of Chatgpt 4.0 and Google Gemini in Anatomy Questions Asked in Türkiye National Medical Specialization Exams
Open accessAbstract
Objective: The scientific validity of utilizing artificial intelligence (AI)-based tools for studying anatomy and preparing for medical specialization exams has increasingly become a subject of academic interest. This study aimed to evaluate the performance of ChatGPT 4.0 and Google Gemini in answering anatomy questions from the Türkiye National Medical Specialization Examination. Materials and Methods: Anatomy-related questions were extracted from exams administered biannually between 2006 and 2021, which were publicly available through the institutional website. Out of 400 questions, 384 were deemed suitable and were simultaneously posed to both AI models. Results: The overall accuracy was 80.7% for ChatGPT 4.0 and 69.3% for Gemini (p < 0.001). ChatGPT 4.0 demonstrated a significantly higher success rate in questions requiring clinical reasoning and inference (91.1%) compared to Gemini (71.4%) (p = 0.007). Conclusion: ChatGPT 4.0 outperformed Gemini in terms of accuracy and reliability, particularly for clinically oriented anatomy questions. While AI models such as ChatGPT show promise in anatomy education and exam preparation, it is advisable to use them in conjunction with validated academic resources.
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In the absence of regulation or with excess use of AI, there are threats of losing the capacity to think and develop professionally.
“However, in case of the absence of regulation or excess use of AI, there are threats of losing the capacity to think, and develop professionally [22,23].”
From HOW AI TOOLS (LIKE CHATGPT/GEMINI) AFFECT CRITICAL THINKING IN NURSING STUDENTS. A SYSTEMATIC REVIEW (2026) · cites this paper as [23]
The Discussion recommends guidelines for integrating AI into medical curricula, and the Conclusion emphasizes supportive use and human critical evaluation (pages unavailable). Neither passage says that unregulated or excessive AI use threatens people's capacity to think or develop professionally. Searches for overreliance, critical-thinking loss, and professional development found no passage addressing that claim. (LLM, conf=0.72)
Experimental — accuracy not yet measuredStrategic and ethical use of AI would render critical thinking, clinical reasoning, and reflective capacity more effective.
“Strategic and ethical use of AI would render critical thinking and clinical reasoning and reflective capacity more effective.”
From HOW AI TOOLS (LIKE CHATGPT/GEMINI) AFFECT CRITICAL THINKING IN NURSING STUDENTS. A SYSTEMATIC REVIEW (2026) · cites this paper as [23]
The Conclusion (page unavailable) recommends using AI as a supportive tool alongside reliable sources and retaining human critical evaluation. The Discussion (page unavailable) calls for guidelines on integrating AI into teaching, but neither passage says that strategic and ethical AI use improves critical thinking, clinical reasoning, or reflective capacity. Searches for those capacities and ethical use found no supporting passage. (LLM, conf=0.72)
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Research works printed but not linked: 27
- Meroueh C, Chen ZE. Artificial intelligence in anatomical pathology: building a strong foundation for precision medicine. Hum Pathol. 2023;132:31-8.
- Mogali SR. Initial impressions of ChatGPT for anatomy education. Anatomical sciences education. 2024;17(3):444-7.
- Pirkle S, Yang J, Blumberg TJ. Do ChatGPT and Gemini Provide Appropriate Recommendations for Pediatric Orthopaedic Conditions? J Pediatr Orthop. 2024;44(8):e123-9.
- Peters M, Leclercq M, Yanni A, Eynden XV, Martin L, Haute NV, et al. ChatGPT and Trainee performances in the management of maxillofacial patients. J Stomatol Oral Maxillofac Surg. 2024;125(4):102090.
- Al-Sharif EM, Penteado RC, Dib El Jalbout N, Topilow NJ, Shoji MK, Kikkawa DO, et al. Evaluating the Accuracy of ChatGPT and Google BARD in Fielding Oculoplastic Patient Queries: A Comparative Study on Artificial versus Human Intelligence. Ophthal Plast Reconstr Surg. 2024;40(3):303-11.
- Mayo-Yáñez M, Lechien JR, Maria-Saibene A, Vaira LA, Maniaci A, Chiesa-Estomba CM. Examining the Performance of ChatGPT 3.5 and Microsoft Copilot in Otolaryngology: A Comparative Study with Otolaryngologists' Evaluation. Indian J Otolaryngol Head Neck Surg. 2024;76(4):3465-9.
- Meral G, Ateş S, Günay S, Öztürk A, Kuşdoğan M. Comparative analysis of ChatGPT, Gemini and emergency medicine specialist in ESI triage assessment. Am J Emerg Med. 2024;81:146-50.
- Qin S, Chislett B, Ischia J, Ranasinghe W, de Silva D, Coles-Black J, et al. ChatGPT and generative AI in urology and surgery-A narrative review. BJUI Compass. 2024;5(9):813-21.
- Aygün, T., Keskin, A., & Yücel, N. Changes in the types of anatomy questions asked in the medical specialization exam over the years, Türkiye example. BMC Medical Education. 2025;25(1): 607.
- Lewandowski M, Łukowicz P, Świetlik D, Barańska-Rybak W. ChatGPT-3.5 and ChatGPT-4 dermatological knowledge level based on the Specialty Certificate Examination in Dermatology. Clin Exp Dermatol. 2024;49(7):686-91.
- Reddy S, Schwartzman G, Flowers RH. ChatGPT in Dermatology Clinical Practice: Potential Uses and Pitfalls. Cutis. 2023;112(2):E15-7. 12.
- D'Agostino M, Feo F, Martora F, Genco L, Megna M, Cacciapuoti S, et al. ChatGPT and dermatology. Ital J Dermatol Venereol. 2024;159(4):234-40.
- Massey PA, Montgomery C, Zhang AS. Comparison of ChatGPT-3.5, ChatGPT-4, and Orthopaedic Resident Performance on Orthopaedic Assessment Examinations. J Am Acad Orthop Surg. 2023;31(23):1173-9.
- Jain N, Gottlich C, Fisher J, Campano D, Winston T. Assessing ChatGPT's orthopedic in-service training exam performance and applicability in the field. J Orthop Surg Res. 2024;19(1):27.
- Schoch J, Schmelz HU, Strauch A, Borgmann H, Nestler T. Performance of ChatGPT-3.5 and ChatGPT-4 on the European Board of Urology (EBU) exams: a comparative analysis. World J Urol. 2024;42(1):445.
- Huang CH, Hsiao HJ, Yeh PC, Wu KC, Kao CH. Performance of ChatGPT on Stage 1 of the Taiwanese medical licensing exam. Digit Health. 2024;10:20552076241233144.
- Ishida K, Hanada E. Potential of ChatGPT to Pass the Japanese Medical and Healthcare Professional National Licenses: A Literature Review. Cureus. 2024;16(8):e66324.
- Takagi S, Koda M, Watari T. The Performance of ChatGPT-4V in Interpreting Images and Tables in the Japanese Medical Licensing Exam. JMIR Med Educ. 2024;10:e54283.
- Zong H, Li J, Wu E, Wu R, Lu J, Shen B. Performance of ChatGPT on Chinese national medical licensing examinations: a five-year examination evaluation study for physicians, pharmacists and nurses. BMC Med Educ. 2024;24(1):143.
- Oztermeli AD, Oztermeli A. ChatGPT performance in the medical specialty exam: An observational study. Medicine (Baltimore). 2023;102(32):e34673.
- Alessandri-Bonetti M, Liu HY, Donovan JM, Ziembicki JA, Egro FM. A Comparative Analysis of ChatGPT, ChatGPT-4, and Google Bard Performances at the Advanced Burn Life Support Exam. J Burn Care Res. 2024;45(4):945-8.
- Fowler T, Pullen S, Birkett L. Performance of ChatGPT and Bard on the official part 1 FRCOphth practice questions. Br J Ophthalmol. 2024;108(10):1379-83.
- Kung TH, Cheatham M, Medenilla A, Sillos C, De Leon L, Elepaño C, et al. Performance of ChatGPT on USMLE: Potential for AI-assisted medical education using large language models. PLOS Digit Health. 2023;2(2):e0000198.
- Totlis T, Natsis K, Filos D, Ediaroglou V, Mantzou N, Duparc F, et al. The potential role of ChatGPT and artificial intelligence in anatomy education: a conversation with ChatGPT. Surg Radiol Anat. 2023;45(10):1321-9.
- Mantzou N, Ediaroglou V, Drakonaki E, Syggelos SA, Karageorgos FF, Totlis T. ChatGPT efficacy for answering musculoskeletal anatomy questions: a study evaluating quality and consistency between raters and timepoints. Surg Radiol Anat. 2024;46(9):1455-64.
- İlgaz HB, Çelik Z. The importance of artificial intelligence platforms in anatomy education: ChatGPT and Google Bard experience. Turkish Clinics Journal of Anatomy. 2023;15(3):45-52.
- Keskin A., Aygun, T. A Performance of Generative Pre-Trained Transformers (GPT) in Answering Questions on Anatomy in The Turkish Dentistry Specialization Exam. JITSI: Jurnal Ilmiah Teknologi Sistem Informasi. (2024); 5(4): 188-192.
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HOW AI TOOLS (LIKE CHATGPT/GEMINI) AFFECT CRITICAL THINKING IN NURSING STUDENTS. A SYSTEMATIC REVIEW
Din, A. L. (2026) · Journal of Medical & Health Sciences Review · doi:10.65035/650ytk03 · Cited by 1 · see citing works
- Authors
- Keskin, A., & Aygün, T.
- Affiliations
- Giresun University (TR)
- Corresponding author
- Keskin, Arif
- Venue
- Tıp Eğitimi Dünyası
- Publisher
- Tip Egitimi Dunyasi
- Published
- 2025-12-22
- Volume
- 24
- Issue
- 74
- Pages
- 127-134
- ISSN
- 1303-328X (ISSN-L)
- OpenAlex
- W7116731488
- Cited by
- 1
- References
- 0
- Citations by year
- 2026: 1
- FWCI
- 0.24
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- other-oa
- Locations
- Tıp Eğitimi Dünyası (publishedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Physical Sciences › Engineering › Biomedical Engineering › Anatomy and Medical Technology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Keywords
- ChatGPT-4, Google Gemini, large language models, anatomy education, exam preparation, clinical reasoning, AI accuracy
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