Evidence map›Paper›PMID 41137029›Full record

ArticleBMC medical education2025

Virtual case reasoning and AI-assisted diagnostic instruction: an empirical study based on body interact and large language models.

Guihua Chen, Chuan Lin, Lijie Zhang, Zhao Luo, Yu Seob Shin, Xianxin Li

Abstract read
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Guihua Chen *Department of Biomedical Sciences, Institute for Medical Science, Jeonbuk National University Medical School, Jeonju, Jeollabuk-do, Republic of Korea.ORCID http://orcid.org/0009-0007-0142-3565
Chuan Lin *Department of Obstetrics and Gynecology, Beijing Anzhen Nanchong Hospital, Captial Medical University & Nanchong Central Hospital, Nanchong, Sichuan, China.ORCID http://orcid.org/0009-0005-4204-5375
Lijie ZhangSchool of Food and Biological Engineering, Luohe Food Engineering Vocational University, Luohe, Henan, China.ORCID http://orcid.org/0009-0008-2112-0067
Zhao Luo *Department of Urology, Shenzhen Qianhai Taikang Hospital, Shenzhen, Guangdong, China. luozhao614@163.com.ORCID http://orcid.org/0009-0005-7807-6296
Yu Seob Shin *Department of Urology, Jeonbuk National University Medical School, Jeonju, Jeollabuk-do, Republic of Korea. ball1210@hanmail.net.ORCID http://orcid.org/0000-0002-1126-3821
Xianxin Li *Department of Urology, Shenzhen Qianhai Taikang Hospital, Shenzhen, Guangdong, China. xianxinli@163.com.ORCID http://orcid.org/0000-0002-5690-0150

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntegrating large language models (LLMs) with virtual patient platforms offers a novel approach to teaching clinical reasoning. This study evaluated the performance and educational value of combining Body Interact with two AI models, ChatGPT-4 and DeepSeek-R1, across acute care scenarios.

methodsThree standardized cases (coma, stroke, trauma) were simulated by two medical researchers. Structured case summaries were input into both models using identical prompts. Outputs were assessed for diagnostic and treatment consistency, alignment with clinical reasoning stages, and educational quality using expert scoring, AI self-assessment, text readability indices, and Grammarly analysis.

resultsChatGPT-4 performed best in stroke scenarios but was less consistent in coma and trauma cases. DeepSeek-R1 showed more stable diagnostic and therapeutic output across all cases. While both models received high expert and self-assessment scores, ChatGPT-4 produced more readable outputs, and DeepSeek-R1 demonstrated greater grammatical precision.

conclusionsOur findings suggest that ChatGPT-4 and DeepSeek-R1 each offer unique strengths for AI-assisted instruction. ChatGPT-4's accessible language may better support early learners, whereas DeepSeek-R1 may be more aligned with formal clinical reasoning. Selecting models based on specific teaching goals can enhance the effectiveness of AI-driven medical education.

Indexed as

Artificial IntelligenceClinical ReasoningComputer-Assisted InstructionClinical CompetenceHumansLanguageLarge Language ModelsStrokeWounds and InjuriesAI-assisted medical instructionClinical reasoningLarge language models (LLMs)Virtual patient platforms

Identifiers

PMID41137029
PMCPMC12551265

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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.