Evidence map›Paper›PMID 40108629›Full record

ArticleBMC medical education2025

Integrating AI into clinical education: evaluating general practice trainees' proficiency in distinguishing AI-generated hallucinations and impacting factors.

Jiacheng Zhou, Jintao Zhang, Rongrong Wan, Xiaochuan Cui, Qiyu Liu, Hua Guo, Xiaofen Shi, Bingbing Fu, Jia Meng, Bo Yue and 2 more

Abstract readMulticenter Study
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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.

Jiacheng ZhouDepartment of General Practice, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu, China.
Jintao ZhangDepartment of General Practice, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu, China.
Rongrong WanDepartment of General Practice, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu, China.
Xiaochuan CuiDepartment of General Practice, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu, China.
Qiyu LiuDepartment of General Practice, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu, China.
Hua GuoDepartment of General Practice, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu, China.
Xiaofen ShiDepartment of General Practice, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu, China.
Bingbing FuDepartment of Postgraduate Education, The First Affiliated Hospital of Jiamusi University, Heilongjiang, China.
Jia MengDepartment of General Practice, The Second Affiliated Hospital of Harbin Medical University, Heilongjiang, China.
Bo YueResidency Training Center, The Second Affiliated Hospital of Qiqihar Medical University, Heilongjiang, China.
Yunyun Zhang *Department of General Practice, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu, China. zhangyunyun026133@njmu.edu.cn.
Zhiyong Zhang *Department of General Practice, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu, China. zhangzhiyong0112@njmu.edu.cn.

Funding

Emerging Discipline Leader Program 2024-YZ-HBDTR-ZYY-2024Taihu Light Basic Research Project, Wuxi Municipal Science and Technology Bureau K20221023Top Talent Support Program for Young and Middle-aged people of Wuxi Health Committee BJRC-8 and HB2023015Wuxi Association for Science and Technology KX-24-C154
6 · The paper itself

Abstract

objectiveTo assess the ability of General Practice (GP) Trainees to detect AI-generated hallucinations in simulated clinical practice, ChatGPT-4o was utilized. The hallucinations were categorized into three types based on the accuracy of the answers and explanations: (1) correct answers with incorrect or flawed explanations, (2) incorrect answers with explanations that contradict factual evidence, and (3) incorrect answers with correct explanations.

methodsThis multi-center, cross-sectional survey study involved 142 GP Trainees, all of whom were undergoing General Practice Specialist Training and volunteered to participate. The study evaluated the accuracy and consistency of ChatGPT-4o, as well as the Trainees' response time, accuracy, sensitivity (d'), and response tendencies (β). Binary regression analysis was used to explore factors affecting the Trainees' ability to identify errors generated by ChatGPT-4o.

resultsA total of 137 participants were included, with a mean age of 25.93 years. Half of the participants were unfamiliar with AI, and 35.0% had never used it. ChatGPT-4o's overall accuracy was 80.8%, which slightly decreased to 80.1% after human verification. However, the accuracy for professional practice (Subject 4) was only 57.0%, and after human verification, it dropped further to 44.2%. A total of 87 AI-generated hallucinations were identified, primarily occurring at the application and evaluation levels. The mean accuracy of detecting these hallucinations was 55.0%, and the mean sensitivity (d') was 0.39. Regression analysis revealed that shorter response times (OR = 0.92, P = 0.02), higher self-assessed AI understanding (OR = 0.16, P = 0.04), and more frequent AI use (OR = 10.43, P = 0.01) were associated with stricter error detection criteria.

conclusionsThe study concluded that GP trainees faced challenges in identifying ChatGPT-4o's errors, particularly in clinical scenarios. This highlights the importance of improving AI literacy and critical thinking skills to ensure effective integration of AI into medical education.

Indexed as

Artificial IntelligenceClinical CompetenceGeneral PracticeHallucinationsAdultCross-Sectional StudiesFemaleHumansMaleYoung AdultChatGPT-4o generated hallucinationsGeneral practice (GP) traineesGeneral practice specialist trainingResponse bias

Identifiers

PMID40108629
PMCPMC11924592

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.