Evidence map›Paper›PMID 39402411›Full record

ArticleJournal of general internal medicine2025

Comparing Scoring Consistency of Large Language Models with Faculty for Formative Assessments in Medical Education.

Radhika Sreedhar, Linda Chang, Ananya Gangopadhyaya, Peggy Woziwodzki Shiels, Julie Loza, Euna Chi, Elizabeth Gabel, Yoon Soo Park

Abstract readComparative Study
In one paragraph

Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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

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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

8 authors.

Radhika SreedharUniversity of Illinois College of Medicine, Chicago, IL, USA. sreedhar@uic.edu.ORCID 0000-0002-1598-2292
Linda ChangUniversity of Illinois College of Medicine, Chicago, IL, USA.
Ananya GangopadhyayaUniversity of Illinois College of Medicine, Chicago, IL, USA.
Peggy Woziwodzki ShielsUniversity of Illinois College of Medicine, Chicago, IL, USA.
Julie LozaUniversity of Illinois College of Medicine, Chicago, IL, USA.
Euna ChiUniversity of Illinois College of Medicine, Chicago, IL, USA.
Elizabeth GabelUniversity of Illinois College of Medicine, Chicago, IL, USA.
Yoon Soo ParkUniversity of Illinois College of Medicine, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Liaison Committee on Medical Education requires that medical students receive individualized feedback on their self-directed learning skills. Pre-clinical students are asked to complete multiple spaced critical appraisal assignments. However, the individual feedback requires significant faculty time. As large language models (LLMs) can score and generate feedback, we explored their use in grading formative assessments through validity and feasibility lenses.

objectiveTo explore the consistency and feasibility of using an LLM to assess and provide feedback for formative assessments in undergraduate medical education. DESIGN AND

participantsThis was a cross-sectional study of pre-clinical students' critical appraisal assignments at University of Illinois College of Medicine (UICOM) during the 2022-2023 academic year.

interventionAn initial sample of ten assignments was used to develop a prompt. For each student entry, the de-identified assignment and prompt were provided to ChatGPT 3.5, and its scoring was compared to the existing faculty grade. MAIN MEASURES: Differences in scoring of individual items between ChatGPT and faculty were assessed. Scoring consistency using inter-rater reliability (IRR) was calculated as percent exact agreement. Chi-squared test was used to determine if there were significant differences in scores. Psychometric characteristics including internal-consistency reliability, area under precision-recall curve (AUCPR), and cost were studied. KEY

resultsIn this cross-sectional study, 111 pre-clinical students' faculty graded assignments were compared with that of ChatGPT and the scoring of individual items was comparable. The overall agreement between ChatGPT and faculty was 67% (OR = 2.53, P < 0.001); mean AUCPR was 0.69 (range 0.61-0.76). Internal-consistency reliability of ChatGPT was 0.64 and its use resulted in a fivefold reduction in faculty time, and potential savings of 150 faculty hours.

conclusionsThis study of psychometric characteristics of ChatGPT demonstrates the potential role for LLMs to assist faculty in assessing and providing feedback for formative assignments.

Indexed as

Educational MeasurementEducation, Medical, UndergraduateFaculty, MedicalFormative FeedbackStudents, MedicalCross-Sectional StudiesFemaleHumansLarge Language ModelsMaleReproducibility of ResultsChatGPT scoring consistency formative assignments

Identifiers

PMID39402411
PMCPMC11780228

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Registered trials

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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.