Evidence map›Paper›PMID 38866891›Full record

ArticleScientific reports2024

In-depth analysis of ChatGPT's performance based on specific signaling words and phrases in the question stem of 2377 USMLE step 1 style questions.

Leonard Knoedler, Samuel Knoedler, Cosima C Hoch, Lukas Prantl, Konstantin Frank, Laura Soiderer, Sebastian Cotofana, Amir H Dorafshar, Thilo Schenck, Felix Vollbach and 2 more

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

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

  1. Pooled it
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  12. Harnessing advanced large language models in otolaryngology board examinations: an investigation using python and application programming interfaces.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
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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

12 authors.

Leonard KnoedlerDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Samuel KnoedlerDepartment of Plastic Surgery and Hand Surgery, Klinikum Rechts Der Isar, Technical University of Munich, Munich, Germany.
Cosima C HochDepartment of Otolaryngology, Head and Neck Surgery, School of Medicine, Technical University of Munich (TUM), Munich, Germany.
Lukas PrantlDepartment of Plastic, Hand and Reconstructive Surgery, University Hospital Regensburg, Regensburg, Germany.
Konstantin FrankOcean Clinic, Marbella, Spain.
Laura SoidererUniversity Hospital Regensburg, Regensburg, Germany.
Sebastian CotofanaDepartment of Dermatology, Erasmus Medical Centre, Rotterdam, The Netherlands.
Amir H DorafsharDepartment of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Thilo SchenckPrivate Practice, Munich, Germany.
Felix VollbachDepartment of Hand, Plastic and Aesthetic Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
Giuseppe SofoInstituto Ivo Pitanguy, Hospital Santa Casa de Misericórdia, Pontifícia Universidade Católica Do Rio de Janeiro, Rio de Janeiro, Brazil.
Michael AlfertshoferDepartment of Plastic Surgery and Hand Surgery, Klinikum Rechts Der Isar, Technical University of Munich, Munich, Germany. m.alfertshofer@campus.lmu.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ChatGPT has garnered attention as a multifaceted AI chatbot with potential applications in medicine. Despite intriguing preliminary findings in areas such as clinical management and patient education, there remains a substantial knowledge gap in comprehensively understanding the chances and limitations of ChatGPT's capabilities, especially in medical test-taking and education. A total of n = 2,729 USMLE Step 1 practice questions were extracted from the Amboss question bank. After excluding 352 image-based questions, a total of 2,377 text-based questions were further categorized and entered manually into ChatGPT, and its responses were recorded. ChatGPT's overall performance was analyzed based on question difficulty, category, and content with regards to specific signal words and phrases. ChatGPT achieved an overall accuracy rate of 55.8% in a total number of n = 2,377 USMLE Step 1 preparation questions obtained from the Amboss online question bank. It demonstrated a significant inverse correlation between question difficulty and performance with r

Indexed as

Educational MeasurementHumansLicensure, MedicalSurveys and QuestionnairesChatGPTClinical Decision-MakingMedical EducationOpenAIUSMLEUSMLE Step 1

Identifiers

PMID38866891
PMCPMC11169536

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.