Evidence map›Paper›PMID 39656836›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2025

Establishing best practices in large language model research: an application to repeat prompting.

Robert J Gallo, Michael Baiocchi, Thomas R Savage, Jonathan H Chen

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. From Model to Product: Understanding and Teaching AI Evidence.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
    Article
  3. Article
  4. Article
  5. 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

4 authors.

Robert J GalloCenter for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, CA 94025, United States.ORCID 0000-0002-2601-0173
Michael BaiocchiDepartment of Epidemiology and Population Health, Stanford University, Stanford, CA 94305, United States.ORCID 0000-0002-7571-5268
Thomas R SavageDivision of Hospital Medicine, Stanford University, Stanford, CA 94305, United States.
Jonathan H ChenDivision of Hospital Medicine, Stanford University, Stanford, CA 94305, United States.

Funding

Stanford Center for Clinical & Translational Education and Research (Spectrum)UL1TR003142 · NCATS · STANFORD UNIVERSITY · PI O'HARA, RUTH M · 2019 to 2023
$45.0M
Western States Node of the National Drug Abuse Treatment Clinical Trials Network (TMS for CUD) UG1DA015815 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Keith N. Humphreys, Philip Todd Korthuis · 2015 to 2026
$24.6M
American Heart Association-Strategically Focused Research Network-Diversity in Clinical TrialsGordon and Betty Moore Foundation #12409Medical InformaticsNational Center for Advancing Translational Sciences's Clinical and Translational Science UL1TR003142National Institute of Allergy and Infectious Diseases 1R01AI17812101National Institute on Drug Abuse Clinical Trials Network UG1DA015815-CTN-0136NCATS NIH HHS UL1 TR003142NIDA NIH HHS UG1 DA015815Stanford Artificial Intelligence in Medicine and Imaging-Human-Centered Artificial IntelligenceStanford Bio-X Interdisciplinary SeedStanford Institute for Human-Centered Artificial IntelligenceUnited States GovernmentVA Advanced Fellowship in Medical Informatics
6 · The paper itself

Abstract

objectivesWe aimed to demonstrate the importance of establishing best practices in large language model research, using repeat prompting as an illustrative example. MATERIALS AND

methodsUsing data from a prior study investigating potential model bias in peer review of medical abstracts, we compared methods that ignore correlation in model outputs from repeated prompting with a random effects method that accounts for this correlation.

resultsHigh correlation within groups was found when repeatedly prompting the model, with intraclass correlation coefficient of 0.69. Ignoring the inherent correlation in the data led to over 100-fold inflation of effective sample size. After appropriately accounting for this issue, the authors' results reverse from a small but highly significant finding to no evidence of model bias. DISCUSSION: The establishment of best practices for LLM research is urgently needed, as demonstrated in this case where accounting for repeat prompting in analyses was critical for accurate study conclusions.

Indexed as

Abstracting and IndexingBiomedical ResearchHumansLarge Language Modelslarge language modelmultilevel analysispeer review

Identifiers

PMID39656836
PMCPMC11756642

What OpenQuestion holds

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LicenceCC BY
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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.