Evidence map›Paper›PMID 38801461›Full record

ArticleDie Ophthalmologie2024

[ChatGPT and the German board examination for ophthalmology: an evaluation].

Rémi Yaïci, M Cieplucha, R Bock, F Moayed, N E Bechrakis, P Berens, N Feltgen, D Friedburg, M Gräf, R Guthoff and 11 more

Abstract readEnglish Abstract
PubMed Publisher
In one paragraph

Article in Die Ophthalmologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. A large comprehensive comparison of large language models on ophthalmology board exams.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Rémi YaïciKlinik für Augenheilkunde, Medizinische Fakultät, Universitätsklinikum Düsseldorf, Heinrich-Heine Universität Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland. remi.yaici@med.uni-duesseldorf.de.ORCID http://orcid.org/0000-0002-7476-2724
M CiepluchaKlinik für Augenheilkunde, Medizinische Fakultät, Universitätsklinikum Düsseldorf, Heinrich-Heine Universität Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.
R BockKlinik für Augenheilkunde, Medizinische Fakultät, Universitätsklinikum Düsseldorf, Heinrich-Heine Universität Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.
F MoayedKlinik für Augenheilkunde, Medizinische Fakultät, Universitätsklinikum Düsseldorf, Heinrich-Heine Universität Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.
N E BechrakisAugenklinik, Universitätsklinikum Essen, Essen, Deutschland.
P BerensHertie Institute for AI in Brain Health (Hertie AI), Tübingen, Deutschland.
N FeltgenAugenklinik, Universitätsspital Basel, Basel, Schweiz.
D Friedburg, Krefeld, Deutschland.
M GräfUniversitätsklinikum Gießen und Marburg, Marburg, Gießen, Deutschland.
R GuthoffKlinik für Augenheilkunde, Medizinische Fakultät, Universitätsklinikum Düsseldorf, Heinrich-Heine Universität Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.
E M HoffmannAugenklinik, Universitätsklinikum Mainz, Mainz, Deutschland.
H HoeraufAugenklinik, Universitätsklinikum Göttingen, Göttingen, Deutschland.
C HintschichAugenklinik und Poliklinik, LMU Klinikum, Ludwigs-Maximilians-Universität München, München, Deutschland.
T KohnenAugenklinik, Universitätsklinikum Frankfurt, Frankfurt, Deutschland.
E M MessmerAugenklinik und Poliklinik, LMU Klinikum, Ludwigs-Maximilians-Universität München, München, Deutschland.
M M NentwichAugenklinik, Universitätsklinikum Würzburg, Würzburg, Deutschland.
U PleyerCharité - Universitätsmedizin Berlin, Berlin, Deutschland.
U SchaudigAsklepios Klinik Barmbek, Hamburg, Deutschland.
B SeitzKlinik für Augenheilkunde, Universitätsklinikum des Saarlandes, Homburg, Deutschland.
G GeerlingKlinik für Augenheilkunde, Medizinische Fakultät, Universitätsklinikum Düsseldorf, Heinrich-Heine Universität Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.
M RothKlinik für Augenheilkunde, Medizinische Fakultät, Universitätsklinikum Düsseldorf, Heinrich-Heine Universität Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn recent years artificial intelligence (AI), as a new segment of computer science, has also become increasingly more important in medicine. The aim of this project was to investigate whether the current version of ChatGPT (ChatGPT 4.0) is able to answer open questions that could be asked in the context of a German board examination in ophthalmology.

methodsAfter excluding image-based questions, 10 questions from 15 different chapters/topics were selected from the textbook 1000 questions in ophthalmology (1000 Fragen Augenheilkunde 2nd edition, 2014). ChatGPT was instructed by means of a so-called prompt to assume the role of a board certified ophthalmologist and to concentrate on the essentials when answering. A human expert with considerable expertise in the respective topic, evaluated the answers regarding their correctness, relevance and internal coherence. Additionally, the overall performance was rated by school grades and assessed whether the answers would have been sufficient to pass the ophthalmology board examination.

resultsThe ChatGPT would have passed the board examination in 12 out of 15 topics. The overall performance, however, was limited with only 53.3% completely correct answers. While the correctness of the results in the different topics was highly variable (uveitis and lens/cataract 100%; optics and refraction 20%), the answers always had a high thematic fit (70%) and internal coherence (71%).

conclusionThe fact that ChatGPT 4.0 would have passed the specialist examination in 12 out of 15 topics is remarkable considering the fact that this AI was not specifically trained for medical questions; however, there is a considerable performance variability between the topics, with some serious shortcomings that currently rule out its safe use in clinical practice.

Indexed as

Educational MeasurementOphthalmologySpecialty BoardsArtificial IntelligenceCertificationClinical CompetenceGermanyHumansArtificial intelligenceLarge Language ModelMedicineOpen questionsSubspeciality

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.