Evidence map›Paper›PMID 41218187›Full record

ArticleJMIR formative research2025

Perceptions, Usage, and Educational Impact of ChatGPT Among Medical Students in Germany: Cross-Sectional Mixed Methods Survey.

Anna Fußhöller, Fabian Lechner, Nadine Schlicker, Felix Muehlensiepen, Andreas Mayr, Sebastian Kuhn, Martin Christian Hirsch, Johannes Knitza

Abstract read
In one paragraph

Article in JMIR formative research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

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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

8 authors.

Anna FußhöllerInstitute for Digital Medicine, School of Medicine, Philipps-Universität Marburg, Baldingerstrasse 1, Marburg, 35043, Germany, 49 (0)6421586258.ORCID 0009-0008-1650-1332
Fabian LechnerInstitute for Digital Medicine, School of Medicine, Philipps-Universität Marburg, Baldingerstrasse 1, Marburg, 35043, Germany, 49 (0)6421586258.ORCID 0009-0003-9200-477X
Nadine SchlickerInstitute for Artificial Intelligence in Medicine, School of Medicine, Philipps-Universität Marburg, Marburg, Germany.ORCID 0000-0003-0368-3081
Felix MuehlensiepenCenter for Health Services Research, Brandenburg Medical School Theodor Fontane, Rüdersdorf, Germany.ORCID 0000-0001-8571-7286
Andreas MayrInstitute for Medical Biometry and Statistics, Philipps-Universität Marburg, Marburg, Germany.ORCID 0000-0001-7106-9732
Sebastian KuhnInstitute for Digital Medicine, School of Medicine, Philipps-Universität Marburg, Baldingerstrasse 1, Marburg, 35043, Germany, 49 (0)6421586258.ORCID 0000-0002-8031-2973
Martin Christian HirschInstitute for Artificial Intelligence in Medicine, School of Medicine, Philipps-Universität Marburg, Marburg, Germany.ORCID 0000-0003-3268-4921
Johannes KnitzaInstitute for Digital Medicine, School of Medicine, Philipps-Universität Marburg, Baldingerstrasse 1, Marburg, 35043, Germany, 49 (0)6421586258.ORCID 0000-0001-9695-0657

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Large language models such as ChatGPT offer significant opportunities for medical education. However, empirical data on actual usage patterns, perceived benefits, and limitations among medical students remain limited. Objective: This study aimed to assess how medical students in Germany use ChatGPT, their perceptions of its educational value, and the challenges and concerns associated with its use. Methods: A cross-sectional 17-item online survey was conducted between May and August 2024 among medical students from Philipps University Marburg, Germany. A mixed methods approach was applied, combining descriptive and inferential statistical analysis with qualitative content analysis of open-ended responses. Results: A total of 84 fully completed surveys were included in the analysis (response rate: 26.7%; 315 surveys started). Overall, 76.2% (64/84) of the participants reported having used ChatGPT for medical education, with significantly higher usage during exam periods (P=.003). Preclinical students reported higher overall usage than clinical students (P=.02). ChatGPT was primarily used for summarizing information by 60.7% (51/84) of students, for literature research by 57.7% (49/84), and for clarifying concepts by 47.1% (40/84). A total of 70.2% (59/84) felt that it helped them save time, and 51.2% (43/84) reported an improved understanding of content. In contrast, only 31% (26/84) saw benefits for applying knowledge and 15.5% (13/84) for long-term knowledge retention. Qualitative responses highlighted clear benefits such as time savings and support in exam preparation, while also pointing to potential applications in clinical documentation and expressing concerns about misinformation and source transparency. However, 73.3% (55/75) expressed concerns about misinformation, and 72.6% (61/84) reported lacking confidence in their artificial intelligence (AI)-related skills. Only 41.7% (35/84) stated that they trust ChatGPT's outputs. Students who used the tool more frequently also reported higher levels of trust in ChatGPT's outputs (r=0.374, P<.001). Over 70% of respondents indicated a strong desire for increased integration of AI-related education and practical applications within the medical curriculum. Conclusions: ChatGPT was already widely used among medical students, especially in exam preparation and the early stages of training. Students valued its efficiency and support for understanding complex material, but its long-term influence on learning is limited. Concerns about reliability, source transparency, and data privacy remain, and AI skills played a key role in shaping usage. These findings underscore the need to integrate structured, practice-oriented AI education into medical training to support critical, informed, and ethical use of large language models.

Indexed as

Computer-Assisted InstructionEducation, MedicalGenerative Artificial IntelligenceLarge Language ModelsStudents, MedicalAdultConfidentialityCross-Sectional StudiesCurriculumFemaleGermanyHumansLearningMaleQualitative ResearchSurveys and Questionnairesartificial intelligenceChatGPTdigital health literacyGermanylarge language modelmedical educationmedical studentsself-directed learningsurvey

Identifiers

PMID41218187
PMCPMC12604828

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.