Exploring the Pros and Cons of Incorporating Artificial Intelligence into Medical Examinations: Insights from a GPT-4 Pilot Study in Medical Education | BMC Medical Education

The Performance of GPT-4 in Generating Multiple-Choice Questions for Medical Exams

In this study, we set out to evaluate the performance of GPT-4, an advanced artificial intelligence application, in generating multiple-choice questions (MCQs) for medical exams. The goal was to assess whether GPT-4 could streamline the process of question creation and produce high-quality questions that are suitable for exams. We compared the performance of GPT-4 to the traditional method of gathering examination writers from different clinical disciplines.

The results of the study showed that GPT-4 performed remarkably well in terms of speed and efficiency. The majority of the questions generated by GPT-4 were deemed suitable for the exam by a panel of specialists, who were unaware of the source of the questions. However, there were some identified errors, including incorrect answers, inconsistencies in age and gender, repeated questions, and methodological flaws.

The Challenge of Enhancing the Healthcare Profession through Education

The healthcare system is facing a significant dilemma – the need to increase the number of healthcare professionals, particularly physicians, while maintaining the quality of their education. Written knowledge tests, such as multiple-choice questions (MCQs), play a crucial role in assessing the core knowledge acquired by medical school graduates. However, creating high-quality MCQs is a challenging task that requires specific capabilities. As Alexander Pope wrote over 200 years ago, “to err is human,” and expertise in a healthcare profession does not automatically translate to the ability to write effective MCQs.

To ensure the quality of written exams, it’s essential to reflect on the qualifications of examination writers and the methods used in the examination process. This is where artificial intelligence, specifically GPT-4, can offer valuable contributions.

The Role of GPT-4 in Education and Examination

GPT-4 is a state-of-the-art artificial intelligence model that has been developed to assist in various educational tasks. Its capabilities include automated scoring of student papers, acting as a teacher assistant, and generating exercises and quizzes for practice and assessment. Additionally, GPT-4 can personalize study plans to enhance student understanding and facilitate tailored learning experiences. The model has even successfully passed the United States Medical Licensing Examination (USMLE) with an impressive score of 87.

GPT-4’s ability to generate high-quality exam questions that are challenging to differentiate from human-generated questions makes it a valuable tool for exam preparation. Its potential in reducing the workload of physician-educators is significant.

Limitations of GPT-4 and the Need for Validation

While GPT-4 offers many benefits, it also has some limitations that need to be acknowledged. One major limitation is its reliance on internet data for training, which can be inaccurate and unreliable. This necessitates the validation of GPT-4’s output for tasks requiring high levels of credibility. Inaccuracies, such as typos or providing incorrect answers, can occur due to either inaccurate training data or a lack of specific training in a particular subject.

One area where GPT-4 falls short is its logical reasoning and integration of knowledge. The model struggles with generating novel findings based on existing knowledge and lacks the capacity to innovate. This limitation stems from GPT-4’s architecture, which focuses on providing coherent responses from its vast knowledge base rather than identifying hidden patterns and relationships.

The Potential of GPT-4 in Exam Preparation

Despite its limitations, GPT-4 can play a valuable role in exam preparation. The model’s rapid and efficient question generation, coupled with its ability to closely mimic human-generated questions, can assist physician-educators in creating high-quality exam content. However, it’s crucial to validate and correct the questions generated by GPT-4 to ensure accuracy and maintain the integrity of the exam.

Editor Notes

GPT-4 proves to be a promising tool in the field of medical education and examination. It offers a potential solution to the challenge of generating high-quality exam questions while reducing the burden on physician-educators. However, it’s important to remember that artificial intelligence models like GPT-4 are tools that should be used in conjunction with human expertise and validation.

To learn more about the latest advancements in artificial intelligence, visit GPT News Room.

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