Evidence map›Paper›PMID 41315131›Full record

ArticleJournal of medical systems2025

Towards A Fair Duel: Reflections on the Evaluation of DeepSeek-R1 and ChatGPT-4o in Chinese Medical Education.

Shangxuan Li

Abstract readLetter
PubMed Publisher
In one paragraph

Article in Journal of medical systems, 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. Evaluating the efficacy and readability of advanced large language models in responding to patients' frequently asked questions about chronic rhinosinusitis: a comparative analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  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

1 author.

Shangxuan LiDepartment of Cardiovascular Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou, 215000, Jiangsu Province, PR China. lishangxuannjmu@163.com.ORCID http://orcid.org/0009-0008-1831-1145

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The recent study by Wu et al. (2025) comparing DeepSeek-R1 and ChatGPT-4o on the Chinese National Medical Licensing Examination (CNMLE) provides an important contribution to understanding large language model (LLM) performance in non-English medical contexts. While their findings highlight the potential of LLMs in medical knowledge assessment, several methodological issues merit further discussion. First, the exclusive use of Chinese-language items without bilingual comparison may favor DeepSeek-R1, which demonstrates strong performance in Chinese, over ChatGPT-4o, whose training corpus is predominantly English-based. Second, the evaluation was conducted before the release of GPT-5, leading to potential disparities in reasoning capabilities between models. Third, the restriction to multiple-choice questions limits the assessment to factual recall rather than higher-order reasoning or clinical judgment. We commend the authors for initiating this valuable cross-linguistic analysis and suggest that future studies incorporate bilingual testing, ensure model functional parity, and include open-ended clinical items to more comprehensively evaluate LLMs' reasoning and interpretive competence in real-world medical education contexts.

Indexed as

Clinical CompetenceEducational MeasurementEducation, MedicalLanguageLicensure, MedicalChinaGenerative Artificial IntelligenceHumansMultilingualismChatGPTChinese national medical licensing examinationCross-linguistic comparisonDeepSeekLarge language modelsMedical education

Identifiers

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.