Evidence map›Paper›PMID 41401168›Full record

ArticlePloS one2025

Diagnostic performance of four AI tools in pharmacology MCQs: Accuracy, sensitivity, and specificity.

Ayah J Al-Rahahleh, Mai Z Rizik, Fahmi Y Al-Ashwal, Rana K Abu-Farha

Abstract read
In one paragraph

Article in PloS one, 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. 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

4 authors.

Ayah J Al-RahahlehClinical Pharmacy and Therapeutics Department, Faculty of Pharmacy, Applied Science Private University, Amman, Jordan.
Mai Z RizikFaculty of Education, University of Ottawa, Ottawa, Ontario, Canada.
Fahmi Y Al-AshwalDepartment of Clinical Pharmacy and Pharmacy Practice, University of Science and Technology, Sana'a, Yemen.ORCID https://orcid.org/0000-0003-2076-0771
Rana K Abu-FarhaClinical Pharmacy and Therapeutics Department, Faculty of Pharmacy, Applied Science Private University, Amman, Jordan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rapid rise of AI in medical and pharmaceutical education has engendered much interest; however, a knowledge gap still exists in the evaluation of performances of these tools in critical academic contexts.

objectivesThe aim of this study was to assess and compare the performances of four openly accessible AI language tools, Microsoft Copilot, ChatGPT-3.5, Google Gemini, and DeepSeek AI, in responding to pharmacology-related MCQs with regard to diagnostic accuracy, sensitivity, specificity, and reproducibility.

methodsA total of 80 MCQs were generated and validated, representing four therapeutic systems: cardiovascular, respiratory, gastrointestinal, and endocrine, including four pharmacological domains: mechanism of action, side effects, pharmacokinetics, and drug-drug interactions. Answers were classified into true/false positives and negatives in order to calculate accuracy, sensitivity, and specificity. After two weeks, a second round of testing was performed with the questions to assess answer reproducibility.

resultsThe top overall performer was Microsoft Copilot: 87.5% accuracy, a sensitivity of 94.6%, and a specificity of 70.8%. It continued to perform strongly across all therapeutic systems, especially in the cardiovascular and respiratory domains, with the highest accuracy in identifying drug mechanisms and side effects. ChatGPT-3.5 performed similarly to Google Gemini (76.3% and 75.0% accuracy, respectively) but with higher sensitivity for ChatGPT-3.5 and higher specificity for Gemini. DeepSeek AI had the lowest accuracy overall (68.8%) and the lowest specificity (29.2%), but the highest consistency of reproducibility (97.5%). The performance of all tools decreased significantly with increasing level of question difficulty (p < 0.05).

conclusionAll tools have some value in pharmacology education, but Microsoft Copilot was the most consistently accurate. Limitations in complexity and reproducibility suggest that caution should be exercised in academic and clinical use, particularly given the variability seen with ChatGPT-3.5.

Indexed as

Artificial IntelligencePharmacologyHumansReproducibility of ResultsSensitivity and SpecificitySoftware

Identifiers

PMID41401168
PMCPMC12707663

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.