Evidence map›Paper›PMID 37438534›Full record

ArticleNature2023

Large language models encode clinical knowledge.

Karan Singhal, Shekoofeh Azizi, Tao Tu, S Sara Mahdavi, Jason Wei, Hyung Won Chung, Nathan Scales, Ajay Tanwani, Heather Cole-Lewis, Stephen Pfohl and 22 more

Erratum issued 2 registry-linked trialsAbstract readComparative Study
In one paragraph

Article in Nature, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 1,612 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,612citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07037940 nacompletednot on this mapstarted 2025, after this paper: background citation

Comparing OpenEvidence and GPT-4 for Diagnostic Reasoning and Management Decisions: A Randomized Trial

TypeinterventionalSponsorMontefiore Medical CenterRan2025 to 2025Enrolled41ConditionsLarge Language ModelsArmsOpenEvidence, GPT-4
NCT07626060 recruitingnot on this mapstarted 2026, after this paper: background citation

Diagnostic Accuracy of Large Language Models (GPT-4o and Claude) in HEART Score Calculation and 30-Day MACE Prediction in Emergency Department Chest Pain Patients: A Prospective Observational Validation Study Against Three-Expert Consensus

TypeobservationalSponsorMarmara University Pendik Training and Research HospitalRan2026 to 2027Enrolled690ConditionsEmergency Medicine, Artificial Intelligence (AI), Artificial Intelligence (AI) in Diagnosis, Chest Pain Rule Out Myocardial InfarctionArmsGPT-4o HEART Score Calculator, Claude HEART Score Calculator, Three-Expert Consensus HEART Score
3 · Its place in the literature

Who cites it

1,612 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Generative large language models in the clinical management of Alzheimer's disease and mild cognitive impairment.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
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  15. The consensus-based CINEX guideline for reporting clinical information extraction studies.Journal of the American Medical Informatics Association : JAMIA · 2026
    Article
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1,552 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors.

Karan Singhal *Google Research, Mountain View, CA, USA. karansinghal@google.com.
Shekoofeh Azizi *Google Research, Mountain View, CA, USA. shekazizi@google.com.ORCID 0000-0002-7447-6031
Tao Tu *Google Research, Mountain View, CA, USA.
S Sara MahdaviGoogle Research, Mountain View, CA, USA.
Jason WeiGoogle Research, Mountain View, CA, USA.
Hyung Won ChungGoogle Research, Mountain View, CA, USA.
Nathan ScalesGoogle Research, Mountain View, CA, USA.
Ajay TanwaniGoogle Research, Mountain View, CA, USA.
Heather Cole-LewisGoogle Research, Mountain View, CA, USA.
Stephen PfohlGoogle Research, Mountain View, CA, USA.
Perry PayneGoogle Research, Mountain View, CA, USA.
Martin SeneviratneGoogle Research, Mountain View, CA, USA.
Paul GambleGoogle Research, Mountain View, CA, USA.
Chris KellyGoogle Research, Mountain View, CA, USA.ORCID 0000-0002-1246-844X
Abubakr BabikerGoogle Research, Mountain View, CA, USA.
Nathanael SchärliGoogle Research, Mountain View, CA, USA.
Aakanksha ChowdheryGoogle Research, Mountain View, CA, USA.
Philip MansfieldGoogle Research, Mountain View, CA, USA.ORCID 0000-0003-4969-0543
Dina Demner-FushmanNational Library of Medicine, Bethesda, MD, USA.
Blaise Agüera Y ArcasGoogle Research, Mountain View, CA, USA.
Dale WebsterGoogle Research, Mountain View, CA, USA.ORCID 0000-0002-3023-8824
Greg S CorradoGoogle Research, Mountain View, CA, USA.
Yossi MatiasGoogle Research, Mountain View, CA, USA.ORCID 0000-0003-3960-6002
Katherine ChouGoogle Research, Mountain View, CA, USA.
Juraj GottweisGoogle Research, Mountain View, CA, USA.
Nenad TomasevDeepMind, London, UK.ORCID 0000-0003-1624-0220
Yun LiuGoogle Research, Mountain View, CA, USA.ORCID 0000-0003-4079-8275
Alvin RajkomarGoogle Research, Mountain View, CA, USA.
Joelle BarralGoogle Research, Mountain View, CA, USA.
Christopher SemtursGoogle Research, Mountain View, CA, USA.ORCID 0000-0001-6108-2773
Alan KarthikesalingamGoogle Research, Mountain View, CA, USA. alankarthi@google.com.
Vivek NatarajanGoogle Research, Mountain View, CA, USA. natviv@google.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Large language models (LLMs) have demonstrated impressive capabilities, but the bar for clinical applications is high. Attempts to assess the clinical knowledge of models typically rely on automated evaluations based on limited benchmarks. Here, to address these limitations, we present MultiMedQA, a benchmark combining six existing medical question answering datasets spanning professional medicine, research and consumer queries and a new dataset of medical questions searched online, HealthSearchQA. We propose a human evaluation framework for model answers along multiple axes including factuality, comprehension, reasoning, possible harm and bias. In addition, we evaluate Pathways Language Model

Indexed as

BenchmarkingComputer SimulationKnowledgeMedicineNatural Language ProcessingBiasClinical CompetenceComprehensionDatasets as TopicHumansLicensurePatient SafetyPhysicians

Identifiers

PMID37438534
PMCPMC10396962

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.