Evidence map›Paper›PMID 40918587›Full record

ArticleFrontiers in artificial intelligence2025

A multi-model longitudinal assessment of ChatGPT performance on medical residency examinations.

Maria Eduarda Varela Cavalcanti Souto, Alexandre Chaves Fernandes, Ana Beatriz Santana Silva, Louise Helena de Freitas Ribeiro, Thales Allyrio Araújo de Medeiros Fernandes

Abstract read
In one paragraph

Article in Frontiers in artificial intelligence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

3 citing papers in PubMed.

  1. Article
  2. AI-Powered Clinical Decision Support in Dentistry: Comparative Evaluation of Large Language Models for Oral Medicine and Periodontal Diagnosis.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  3. Review
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

5 authors.

Maria Eduarda Varela Cavalcanti SoutoDepartment of Biomedical Sciences, School of Health Sciences, State University of Rio Grande do Norte, Mossoró, Brazil.
Alexandre Chaves FernandesInstitute of Mathematics and Computer Sciences, University of São Paulo, São Paulo, Brazil.
Ana Beatriz Santana SilvaDepartment of Biomedical Sciences, School of Health Sciences, State University of Rio Grande do Norte, Mossoró, Brazil.
Louise Helena de Freitas RibeiroDepartment of Biomedical Sciences, School of Health Sciences, State University of Rio Grande do Norte, Mossoró, Brazil.
Thales Allyrio Araújo de Medeiros FernandesDepartment of Biomedical Sciences, School of Health Sciences, State University of Rio Grande do Norte, Mossoró, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: ChatGPT, a generative artificial intelligence, has potential applications in numerous fields, including medical education. This potential can be assessed through its performance on medical exams. Medical residency exams, critical for entering medical specialties, serve as a valuable benchmark. Materials and methods: This study aimed to assess the accuracy of ChatGPT-4 and GPT-4o in responding to 1,041 medical residency questions from Brazil, examining overall accuracy and performance across different medical areas, based on evaluations conducted in 2023 and 2024. The questions were classified into higher and lower cognitive levels according to Bloom's taxonomy. Additionally, questions answered incorrectly by both models were tested using the recent GPT models that use chain-of-thought reasoning (e.g., o1-preview, o3, o4-mini-high) with evaluations carried out in both 2024 and 2025. Results: GPT-4 achieved 81.27% accuracy (95% CI: 78.89-83.64%), while GPT-4o reached 85.88% (95% CI: 83.76-88.00%), significantly outperforming GPT-4 ( Conclusion: Artificial intelligence could be a beneficial tool in medical education, enhancing residency exam preparation, helping to understand complex topics, and improving teaching strategies. However, careful use of artificial intelligence is essential due to ethical concerns and potential limitations in both educational and clinical practice.

Indexed as

artificial intelligencechain-of-thought reasoninggenerative artificial intelligencelarge language modelmedical educationmedical residency examinations

Identifiers

PMID40918587
PMCPMC12411524

What OpenQuestion holds

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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.