Evidence map›Paper›PMID 42438518›Full record

ArticleMedical science educator2026

Can Generative Artificial Intelligence Reliably Score Open-Ended Question Assessments in Undergraduate Medical Education?

Doreen M Olvet, Marieke Kruidering, Tracy B Fulton, Bao Truong, Kumiko Endo, Robert Lucito, Joanne M Willey

Abstract read
In one paragraph

Article in Medical science educator, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Doreen M OlvetNorthwell, New Hyde Park, NY US.ORCID 0000-0001-9427-3787
Marieke KruideringDepartment of Cellular and Molecular Pharmacology, University of California at San Francisco School of Medicine, San Francisco, CA US.ORCID 0000-0002-9374-8426
Tracy B FultonDepartment of Biochemistry and Biophysics, University of California at San Francisco School of Medicine, San Francisco, CA US.ORCID 0000-0003-2799-5055
Bao TruongDepartment of Pediatrics, University of California at San Francisco School of Medicine, San Francisco, CA US.ORCID 0000-0002-3401-0763
Kumiko EndoMed2Lab, Inc, 44 Montgomery St. Ste 300, San Francisco, 94104 CA US.ORCID 0000-0002-1061-8133
Robert LucitoNorthwell, New Hyde Park, NY US.ORCID 0000-0001-8756-4615
Joanne M WilleyNorthwell, New Hyde Park, NY US.ORCID 0000-0003-4544-4417

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are numerous benefits to including open-ended questions (OEQs) in the assessment of medical knowledge, but one of the biggest challenges is the time it takes to grade student responses. With the widescale introduction of generative artificial intelligence (AI), it is plausible that OEQ exams can be automatically scored. The purpose of this study was to establish the accuracy of generative AI when scoring medical student OEQ exams. Students' responses from OEQs administered at two US allopathic medical schools were analyzed. Case vignettes, questions, rubrics, and student responses were fed into the GPT-4 model via the Med2Lab platform. The Med2Lab system was specifically engineered to manage rubric integration and automate prompt workflows. Scores and feedback on students' responses were generated and compared to faculty scores using Cohen's weighted kappa (k Supplementary Information: The online version contains supplementary material available at 10.1007/s40670-026-02638-2.

Indexed as

AssessmentGenerative artificial intelligenceGPT-4Open-ended questionUndergraduate medical education

Identifiers

PMID42438518
PMCPMC13355965

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.