Evidence map›Paper›PMID 40625933›Full record

ArticleMedical science educator2025

ChatGPT as a Virtual Patient: Written Empathic Expressions During Medical History Taking.

Alexandra Aster, Sophia Viktoria Ragaller, Tobias Raupach, Ambra Marx

Abstract read
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Article in Medical science educator, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 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

4 authors.

Alexandra AsterInstitute of Medical Education, University Hospital Bonn, Bonn, Germany.ORCID 0000-0003-0407-3250
Sophia Viktoria RagallerInstitute of Medical Education, University Hospital Bonn, Bonn, Germany.ORCID 0009-0008-4988-3509
Tobias RaupachInstitute of Medical Education, University Hospital Bonn, Bonn, Germany.ORCID 0000-0003-2555-8097
Ambra MarxDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, Bonn, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Virtual patients are already utilized in the teaching of medical history taking. Since its emergence, ChatGPT has been integrated into several areas of medical education. This study aimed to examine whether ChatGPT can be used to train empathic history taking while fostering students' subjective autonomy. Methods: Third-year medical students took histories with ChatGPT 3.5 after entering a predefined prompt covering cardiological diseases. Afterwards, students answered a questionnaire regarding their experienced autonomy. All chats were analyzed using the Empathic Communication Coding System measuring ChatGPT's given empathic opportunities as well as students' responses. Results: Out of 659 interactions, 93 were identified as empathic. ChatGPT provided opportunities mostly through reporting emotional statements or challenges. Students sometimes missed reacting adequately to ChatGPT's opportunities but more often responded by implicit recognition of patient perspective and reported a high level of experienced autonomy. Conclusions: The study yielded preliminary results that ChatGPT might be suitable as a tool mimicking a virtual patient while enabling an empathic history taking. To date, ChatGPT seems valid as a supplement to training with simulated patients. Medical faculty could consider integrating ChatGPT into teaching, such as through a flipped classroom approach, to guide students in its use as ChatGPT continues to gain attention.

Indexed as

ChatGPTEmpathyHistory takingMedical educationVirtual patient

Identifiers

PMID40625933
PMCPMC12228861

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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.