Paper-to-Podcast

Paper Summary

Title: Comparing ChatGPT and GPT‑4 performance in USMLE soft skill assessments


Source: Scientific Reports


Authors: Dana Brin et al.


Published Date: 2023-01-01

Podcast Transcript

Hello, and welcome to Paper-to-Podcast, where the art of academia meets the airwaves. Today, we have a real humdinger of a story, folks. We like to think we're pretty smart, but it turns out we might just have met our match in…drumroll, please…artificial intelligence!

Here's the scoop: Dana Brin and colleagues decided to put two AI models, GPT-4 and ChatGPT, to the test. And not just any test, mind you, but the United States Medical Licensing Examination, a.k.a. the SATs for doctors. This exam doesn't just test medical knowledge, oh no, it also evaluates communication skills, ethics, empathy, and professionalism.

Now, get ready for the plot twist! GPT-4 aced the test with a 90% correct answer rate, outperforming even the average human score. But, it wasn't just about getting the answers right, GPT-4 also showed more confidence than ChatGPT, sticking to its answers 100% of the time. Cue the dramatic music, folks, because it looks like the robots might be coming for the doctor's office next!

Okay, let's dive a bit deeper into how this all happened. The researchers didn't just pick any old questions. They specifically selected 80 queries focusing on "soft skills" and sourced them from the USMLE website and the AMBOSS question bank. They then put the AI models to the test, not just checking if the answers were correct, but also asking, "Are you sure?" to gauge the AI's confidence. It was like a high-tech showdown: AI vs. humans in a medical ethics quiz!

Now, this research wasn't just a fun experiment. It's a pioneering attempt to understand AI capabilities beyond just medical knowledge. The researchers' innovative approach and commitment to deepening our understanding in this area are admirable. They even went the extra mile by comparing the AI's performance to human users, ensuring a fair comparison. Transparency, self-awareness, and a good dollop of humor – what more could you want from a study?

But no research is perfect, folks. This study, like any good story, has its flaws. The pool of questions used was limited to just 80, potentially introducing selection bias. Plus, assessing AI consistency based on a chance to revise answers might not translate to human understanding of uncertainty. After all, asking an AI model to reconsider its answer is a bit like asking a Magic 8-ball to second guess itself!

So, what does all this mean for us? Well, it could have some pretty cool applications in the field of medical training and patient care. These AI models could be used to simulate patient-doctor interactions, helping medical students improve their communication skills, empathy, and ethical judgment. They could even be integrated into medical practice to handle complex ethical dilemmas. And hey, who wouldn't want a little extra help preparing for exams?

But let's not get ahead of ourselves. While these AI models show promise, they're not about to replace human judgment and empathy in healthcare any time soon. Remember, folks, they're tools to supplement our skills, not supplant them!

Well, that's all we have time for today. If you're curious to learn more, you can find this paper and more on the paper2podcast.com website. Thanks for tuning in to Paper-to-Podcast, where we turn the page on science one episode at a time. Until next time, keep on learning!

Supporting Analysis

Findings:
So, it turns out that artificial intelligence (AI) models have a knack for passing medical exams, and they're even a bit of a softy! A bunch of researchers put two AI models, GPT-4 and ChatGPT, into a high-stakes test - the USMLE exam. This exam is like the SATs for doctors, testing their communication skills, ethics, empathy, and professionalism. When the dust settled, GPT-4 had aced the test with a 90% correct answer rate, while ChatGPT lagged behind with a 62.5% success rate. The plot twist? GPT-4's score was higher than the average score of human test-takers in the past! GPT-4 also showed more confidence than ChatGPT, sticking to its answers 100% of the time, while ChatGPT flip-flopped and changed its original answers 82.5% of the time. These results suggest that AI might be able to handle complex ethical dilemmas and demonstrate empathy, which is crucial in patient management. Looks like the robots are coming for the doctor's office next!
Methods:
The researchers decided to test two artificial intelligence models, ChatGPT and GPT-4, on their ability to answer questions that would typically appear on the United States Medical Licensing Examination (USMLE). These weren't just any questions though - they specifically selected 80 queries that focused on "soft skills" like communication, empathy, professionalism, and ethics. The questions were sourced from the USMLE website and the AMBOSS question bank. To evaluate the models' performance, they not only checked if the answers were correct, but also asked a follow-up question, "Are you sure?", to see if the AI models were confident in their responses. The AI's performance was then compared to the performance of human users from AMBOSS's past statistics. So, in essence, this was a head-to-head match-up: AI vs. humans in a medical ethics quiz showdown!
Strengths:
The most compelling aspect of this research is its examination of the performance of AI models on USMLE (United States Medical Licensing Examination) soft skill questions. This is an unexplored area, making the study a pioneering attempt to understand AI capabilities beyond medical knowledge. The researchers' approach of using AI models, specifically ChatGPT and GPT-4, to answer questions involving empathy, professionalism, and ethics is innovative. The research also smartly uses a follow-up query to assess the models’ consistency, a novel approach to understanding AI decision-making processes. The researchers adhered to best practices by comparing the AI models' performance to a human benchmark provided by AMBOSS's user statistics, ensuring a fair comparison. They also acknowledged the limitations of their study, such as the limited question pool and potential selection bias, suggesting a level of transparency and self-awareness often found in robust research. Finally, the call for future research with larger and more diverse question pools shows a commitment to deepening understanding in this area.
Limitations:
The study has several limitations worth mentioning. First, the pool of questions used was limited, comprising only 80 multiple-choice questions from two different sources, potentially introducing selection bias. The selected questions may not accurately reflect the actual USMLE questions and might not cover all aspects of 'soft skills' essential to medical practice. Also, the consistency levels of the two models were assessed based on an opportunity to revise their answers. However, this mechanism for potential reevaluation might not translate to human cognition understanding of ‘uncertainty’, as these AI models operate based on calculated probabilities for an output, rather than human-like confidence. This simplification could limit the depth of our understanding of the models’ decision-making processes. It's like asking a Magic 8-ball to reconsider its answer – it just doesn't work the same way as human uncertainty!
Applications:
The research could have several applications, particularly in the field of medical training and patient care. The AI models evaluated in this study, ChatGPT and GPT-4, could be used to simulate patient-doctor interactions, helping medical students and professionals improve their communication skills, empathy, and ethical judgment. In a world where telemedicine is increasingly common, these AI models could also play a role in patient-centered care, providing empathetic and professional responses to patient queries. They could be integrated into medical practice to augment human capacity, handling complex ethical dilemmas and making quick, accurate decisions. In addition, these models could be used for the development of AI-driven study aids to help medical students prepare for examinations by providing practice questions and answers. However, it's important to note that while these AI models show promise, they should supplement, not replace, human judgment and empathy in healthcare.