美国GPT-3.5和GPT-4在标准化泌尿病知识评估项目上的表现:一项描述性研究
Max Samuel Yudovich1, Elizaveta Makarova2, Christian Michael Hague1
1Department of Urology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
概括
包括GPT-4和GPT-3.5在内的ChatGPT在泌尿器科委员会考试问题上表现不佳. GPT-4的准确性高于GPT-3.5,但两者都低于60%的合格标准,这表明AI的反应需要仔细审查.
科学领域:
- 人工智能在医学中的应用
- 医疗教育 技术 技术 医学教育
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 人工智能 (AI) 越来越多地融入医疗保健,需要评估其在专业医疗领域的表现.
- 在医学检查中评估像ChatGPT这样的大型语言模型的能力对于理解其潜力和局限性至关重要.
- 标准化测试为评估复杂医疗领域的AI性能提供了可靠的基准.
研究的目的:
- 评估聊天生成预训练变压器 (ChatGPT) 模型的性能,特别是GPT-3.5和GPT-4,在标准化泌尿病学多选择题上.
- 为了比较GPT-3.5和GPT-4在不同泌尿器科子专业和问题复杂性的准确性.
- 为了确定当前的AI模型是否符合医疗委员会检查所需的标准.
主要方法:
- 700个多项选择性泌尿器科委员会考试样式的项目被管理到GPT-3.5和GPT-4.
- 项目按泌尿病学主题 (例如瘤学,性医学,儿科) 和认知复杂性 (回忆,解释,解决问题) 分类.
- 两种AI模型的准确率在各个项目类别之间进行了统计比较.
主要成果:
- GPT-4的精度达到44.4%,显著超过了GPT-3.5的30.9% (P>0.0001).
- 在泌尿外科瘤学,性医学和儿科泌尿外科以及回忆和解释问题上,GPT-4的准确性更高.
- 两种模型的性能都没有达到美国泌尿病学会为知识增强设定的60%准确度值.
结论:
- 目前的ChatGPT模型在标准化泌尿病学委员会考试问题上表现出有限的准确性,GPT-4显示出比GPT-3.5.5的改进.
- 两种AI版本的性能都低于医疗认证的既定基准,强调需要谨慎应用.
- 随着人工智能技术的进步,对其在医学教育和实践中的实用性和准确性的持续评估至关重要.
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