Evidence map›Paper›PMID 41182557›Full record

ArticleHead and neck pathology2025

Performance of AI Chatbots on Head and Neck Pathology Board-Style Exam Questions and Guidelines for Responsible Use.

Zaid H Khoury, Ahmed S Sultan

Abstract read
In one paragraph

Article in Head and neck pathology, 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. Review
  2. 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

2 authors.

Zaid H KhouryDepartment of Oral Diagnostic Sciences & Research, Meharry Medical College School of Dentistry, 1801 Meharry Blvd, Nashville, TN, 37208, USA. ZKhoury@mmc.edu.ORCID http://orcid.org/0000-0001-9596-3560
Ahmed S Sultan, Eli5a Technologies, Geneva, Switzerland. ASultan1@umaryland.edu.ORCID http://orcid.org/0000-0001-5286-4562

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The promising integration of artificial intelligence (AI), particularly large language models (LLMs) or AI chatbots, into medical education and practice necessitates rigorous evaluation of their capabilities. While chatbot performance has been assessed against standardized exams like the bar, medical and dental boards, and in diagnostic specialties such as radiology and ophthalmology, a critical gap exists within the complex discipline of pathology, specifically concerning subspecialty areas like head and neck pathology. Conducting a pilot study evaluating chatbot responses to head and neck pathology board-style questions is therefore essential and novel. Crucially for education, this pilot study evaluated six AI chatbots on their performance in answering multiple-choice questions (MCQs) retrieved from authorities in the field of head and neck pathology. Twenty MCQs relevant to head and neck pathology were identified from the public domain. A total of 120 responses from six chatbots were evaluated for response and citation accuracy. Although AI chatbots answered head and neck pathology board-style questions with 85-100% accuracy, citation accuracy and performance on image-based questions were poor. Considering the pedagogical principle that actively challenging exam questions enhances memory retention and learning outcomes compared to passive text review, AI-generated multiple-choice questions specifically designed for head and neck pathology study revision purposes were generated. The generated MCQs were determined to be at a more fundamental level and suitable for predoctoral dental students or first-year pathology residents. This pilot study probed the limitations of these tools in accurately addressing diagnostic and interpretive challenges. Furthermore, the recommendations and guidelines informed from the results of this pilot study represent a vital first step in the addressing the responsible use of AI for head and neck pathology education and practice.

Indexed as

Artificial IntelligenceEducational MeasurementEducation, MedicalPathologyGenerative Artificial IntelligenceHumansPilot Projects

Identifiers

PMID41182557
PMCPMC12583266

What OpenQuestion holds

Textmetadata
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.