Evidence map›Paper›PMID 39593041›Full record

ArticleBMC medical education2024

Performance of ChatGPT and Bard on the medical licensing examinations varies across different cultures: a comparison study.

Yikai Chen, Xiujie Huang, Fangjie Yang, Haiming Lin, Haoyu Lin, Zhuoqun Zheng, Qifeng Liang, Jinhai Zhang, Xinxin Li

Abstract readComparative Study
In one paragraph

Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

32 citing papers in PubMed.

  1. Article
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  3. [Comparative study on the application of large language models in pre-exam learning for the Chinese dental licen-sing examination].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2026
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  8. A Comparative Analysis of GPT-4o and ERNIE Bot in a Chinese Radiation Oncology Exam.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
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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

9 authors.

Yikai Chen *Department of Gastrointestinal Surgery, The First Affiliated Hospital of Shantou University Medical College, No. 57 Changping Road, Jinping District, Shantou, Guangdong, 515000, China.
Xiujie Huang *Department of Gastrointestinal Surgery, The First Affiliated Hospital of Shantou University Medical College, No. 57 Changping Road, Jinping District, Shantou, Guangdong, 515000, China.
Fangjie YangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Shantou University Medical College, No. 57 Changping Road, Jinping District, Shantou, Guangdong, 515000, China.
Haiming LinDepartment of Orthopaedics, The First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, 515000, China.
Haoyu LinDepartment of Thyroid Breast Surgery, The First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, 515000, China.
Zhuoqun ZhengDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Shantou University Medical College, No. 57 Changping Road, Jinping District, Shantou, Guangdong, 515000, China.
Qifeng LiangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Shantou University Medical College, No. 57 Changping Road, Jinping District, Shantou, Guangdong, 515000, China.
Jinhai ZhangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Shantou University Medical College, No. 57 Changping Road, Jinping District, Shantou, Guangdong, 515000, China. stuzjh@163.com.
Xinxin LiDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Shantou University Medical College, No. 57 Changping Road, Jinping District, Shantou, Guangdong, 515000, China. xxli2023@163.com.

Funding

Guangdong Province clinical teaching base teaching reform project 2023 NO.32Guangdong Province clinical teaching base teaching reform project No.128Guangdong Province "New medical" teaching committee teaching reform project 2023 NO.122Guangdong Province undergraduate higher education teaching reform project No.583Ministry of Education industry-university cooperative education project No.230805236050915Shantou University Medical School undergraduate teaching quality and teaching reform project 2023 No.25
6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the performance of GPT-3.5, GPT-4, GPT-4o and Google Bard on the United States Medical Licensing Examination (USMLE), the Professional and Linguistic Assessments Board (PLAB), the Hong Kong Medical Licensing Examination (HKMLE) and the National Medical Licensing Examination (NMLE).

methodsThis study was conducted in June 2023. Four LLMs (Large Language Models) (GPT-3.5, GPT-4, GPT-4o and Google Bard) were applied to four medical standardized tests (USMLE, PLAB, HKMLE and NMLE). All questions are multiple-choice questions and were sourced from the question banks of these examinations.

resultsIn USMLE step 1, step 2CK and Step 3, there are accuracy rates of 91.5%, 94.2% and 92.7% provided from GPT-4o, 93.2%, 95.0% and 92.0% provided from GPT-4, 65.6%, 71.6% and 68.5% provided from GPT-3.5, and 64.3%, 55.6%, 58.1% from Google Bard, respectively. In PLAB, HKMLE and NMLE, GPT-4o scored 93.3%, 91.7% and 84.9%, GPT-4 scored 86.7%, 89.6% and 69.8%, GPT-3.5 scored 80.0%, 68.1% and 60.4%, and Google Bard scored 54.2%, 71.7% and 61.3%. There was significant difference in the accuracy rates of four LLMs in the four medical licensing examinations.

conclusionGPT-4o performed better in the medical licensing examinations than other three LLMs. The performance of the four models in the NMLE examination needs further improvement. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Educational MeasurementLicensure, MedicalCross-Cultural ComparisonHong KongHumansUnited StatesArtificial intelligenceChatGPTGoogle bardLarge language modelsMedical educationMedical licensing examination

Identifiers

PMID39593041
PMCPMC11590336

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.