Evidence map›Paper›PMID 40486013›Full record

ArticleMedical journal of the Islamic Republic of Iran2025

ChatGPT's Performance on Iran's Medical Licensing Exams.

Alireza Keshtkar, Ali-Asghar Hayat, Farnaz Atighi, Nazanin Ayare, Mohammadreza Keshtkar, Parsa Yazdanpanahi, Erfan Sadeghi, Noushin Deilami, Hamid Reihani, Alireza Karimi and 2 more

Abstract read
In one paragraph

Article in Medical journal of the Islamic Republic of Iran, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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.

Alireza KeshtkarResearch Center of Noncommunicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran.
Ali-Asghar HayatClinical Education Research Center, Department of Medical Education, School of Medicine. Shiraz University of Medical Sciences. Shiraz, Iran.
Farnaz AtighiStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Nazanin AyareStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Mohammadreza KeshtkarStudent Research Committee, Yazd University of Medical Sciences, Yazd, Iran.
Parsa YazdanpanahiStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Erfan SadeghiDepartment of Biostatistics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Noushin DeilamiStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Hamid ReihaniStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Alireza KarimiStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Hamidreza MokhtariStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Mohammad Hashem HashempurResearch Center for Traditional Medicine and History of Medicine, Department of Persian Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID https://orcid.org/0000-0002-6700-9304

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A 175 billion parameter transformer architecture is used by OpenAI's ChatGPT language model to perform tasks requiring natural language processing. This study aims to evaluate the knowledge and interpretive abilities of ChatGPT on three types of Iranian medical license exams: basic sciences, pre-internship, and pre-residency. Methods: This comparative study involved administering three different levels of Iran's medical license exams, which included basic sciences, pre-internship, and pre-residency, to ChatGPT 3.5. Two versions of each exam were used, corresponding to the ChatGPT 3.5's internet access time: one during the access time and one after. These exams were inputted to ChatGPT in Persian and English. The accuracy and concordance of each question were extracted by two blinded adjudicators. Results: A total of 2210 questions, including 667 basic sciences, 763 pre-internship, and 780 pre-residency questions, were presented to ChatGPT in both English and Persian languages. Across all tests, the overall accuracy was found to be 48.5%, with an overall concordance of 91%. Notably, English questions exhibited higher accuracy and concordance rates, with 61.4% accuracy and 94.5% concordance, compared to 35.7% accuracy and 88.7% concordance for Persian questions. Conclusion: Our findings demonstrate that ChatGPT performs above the required passing scores on basic sciences and pre-internship exams. Moreover, ChatGPT could obtain the minimal score needed to apply for residency positions in Iran; however, it was lower than the applicants' mean scores. Significantly, the model showcases its ability to provide reasoning and contextual information in the majority of responses. These results provide compelling evidence for the potential use of ChatGPT in medical education.

Indexed as

Artificial intelligenceChat GPTIranMedical education

Identifiers

PMID40486013
PMCPMC12138734

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.