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Accepted for/Published in: JMIR Medical Education

Date Submitted: Apr 26, 2023
Open Peer Review Period: Apr 26, 2023 - Jun 21, 2023
Date Accepted: Dec 11, 2023
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Performance of ChatGPT on the Chinese Postgraduate Examination for Clinical Medicine: Survey Study

Liu X, Fang C, Yan Z, Liu X, Jiang Y, Jiang Y, Cao Z, Wu M, Wu M, Wu M, Wu M, Chen Z, Ma J, Yu P, Zhu W, Chen Y, Zhang Y, Ayiguli A, Wang Y, Wang J

Performance of ChatGPT on the Chinese Postgraduate Examination for Clinical Medicine: Survey Study

JMIR Med Educ 2024;10:e48514

DOI: 10.2196/48514

PMID: 38335017

PMCID: 10891494

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Performance of ChatGPT on Clinical Medicine Entrance Examination for Chinese Postgraduate in Chinese

  • Xiao Liu; 
  • Changchang Fang; 
  • ZiWei Yan; 
  • Xiaoling Liu; 
  • Yuan Jiang; 
  • Yuan Jiang; 
  • Zhengyu Cao; 
  • Maoxiong Wu; 
  • Maoxiong Wu; 
  • Maoxiong Wu; 
  • Maoxiong Wu; 
  • Zhiteng Chen; 
  • Jianyong Ma; 
  • Peng Yu; 
  • Wengen Zhu; 
  • Yangxin Chen; 
  • Yuling Zhang; 
  • Abudukeremu Ayiguli; 
  • Yue Wang; 
  • Jingfeng Wang

ABSTRACT

Background:

The ChatGPT, a Large-scale language models-based Artificial intelligence (AI), has fueled interest in medical care. However, the ability of AI to understand and generate text is constrained by the quality and quantity of training data available for that language. This study aims to provide qualitative feedback on ChatGPT's problem-solving capabilities in medical education and clinical decision-making in Chinese.

Objective:

This study aims to provide qualitative feedback on ChatGPT's problem-solving capabilities in medical education and clinical decision-making in Chinese.

Methods:

A dataset of Clinical Medicine Entrance Examination for Chinese Postgraduate was used to assess the effectiveness of ChatGPT3.5 in medical knowledge in Chinese language. The indictor of accuracy, concordance (explaining affirms the answer) and frequency of insights was used to assess performance of ChatGPT in original and encoding medical questions.

Results:

According to our evaluation, ChatGPT received a score of 153.5/300 for original questions in Chinese, which is slightly above the passing threshold of 129/300. Additionally, ChatGPT showed low accuracy in answering open-ended medical questions, with total accuracy of 31.5%. While ChatGPT demonstrated a commendable level of concordance (achieving 90% concordance across all questions) and generated innovative insights for most problems (at least one significant insight for 80% of all questions).

Conclusions:

ChatGPT's performance was suboptimal for medical education and clinical decision-making in Chinese compared with in English. However, ChatGPT demonstrated high internal concordance and generated multiple insights in Chinese language. Further research should investigate language-based differences in ChatGPT's healthcare performance.


 Citation

Please cite as:

Liu X, Fang C, Yan Z, Liu X, Jiang Y, Jiang Y, Cao Z, Wu M, Wu M, Wu M, Wu M, Chen Z, Ma J, Yu P, Zhu W, Chen Y, Zhang Y, Ayiguli A, Wang Y, Wang J

Performance of ChatGPT on the Chinese Postgraduate Examination for Clinical Medicine: Survey Study

JMIR Med Educ 2024;10:e48514

DOI: 10.2196/48514

PMID: 38335017

PMCID: 10891494

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