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Updated: Jul 24, 2025

Augmenting Large Language Models via Vector Embeddings to Improve Domain-Specific Responsiveness
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Will code one day run a code? Performance of language models on ACEM primary examinations and implications.

Jesse Smith1, Philip Mc Choi2,3, Paul Buntine1,2

  • 1Eastern Health Emergency Medicine Program, Eastern Health, Melbourne, Victoria, Australia.

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|July 6, 2023
PubMed
Summary

Large language models (LLMs) passed the Australasian College for Emergency Medicine primary examination, showing promise for medical education. GPT 4.0 notably exceeded average candidate performance in this emergency medicine assessment.

Keywords:
Bingartificial intelligencechat GPTemergency medicinemedical educationspecialty examination

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Area of Science:

  • Artificial Intelligence in Medicine
  • Medical Education Technology
  • Emergency Medicine Assessment

Background:

  • Large language models (LLMs) exhibit variable performance on specialist medical examinations.
  • The efficacy of LLMs in emergency medicine assessments is not well-established.

Purpose of the Study:

  • To evaluate the performance of prominent LLMs on the Australasian College for Emergency Medicine (ACEM) primary examination.
  • To determine the potential utility of LLMs in emergency medicine training and evaluation.

Main Methods:

  • Three leading LLMs (OpenAI's GPT series, Google's Bard, Microsoft's Bing Chat) were tested.
  • Performance was assessed using a practice ACEM primary examination.

Main Results:

  • All evaluated LLMs successfully passed the ACEM primary examination.
  • GPT 4.0 demonstrated superior performance compared to the average human candidate.

Conclusions:

  • LLMs show potential as valuable tools for medical education and practice in emergency medicine.
  • Despite passing the examination, existing limitations of LLMs require further investigation and discussion.