HEALTH

How ChatGPT's Different Versions Measure Up in Medical Training

Mon Oct 20 2025

The Rise of AI in Medical Training

ChatGPT has become a hot topic in medical education, particularly for teaching clinical reasoning skills. One way to test this is through Script Concordance Tests (SCTs), which evaluate decision-making in uncertain scenarios.

Recently, four versions of ChatGPT—3.5, 4, 4o, and 5—were pitted against experts in Geriatric Medicine to assess their capabilities.

The Challenge: AI vs. Human Experts

The goal was to determine if AI models could match human expertise in geriatric care. As AI becomes more prevalent in medical training, understanding its limitations is crucial.

Results: Impressive but Not Perfect

While ChatGPT showed promise, none of the versions fully matched the expertise of human geriatricians. Each had strengths and weaknesses, raising questions about AI's reliability in medical training.

Key Considerations

1. Lack of Real-World Experience

AI models are trained on vast data but lack real-world experience. They don’t face the pressure of life-or-death decisions, a critical factor in a doctor’s reasoning.

2. Rapid Evolution of AI

New versions of ChatGPT are released frequently, each with improvements. This means AI performance in medical training could change rapidly, making it a fast-moving field.

Conclusion: AI as a Tool, Not a Replacement

The study highlights AI’s potential in medical education but also its limitations. While AI can be a powerful tool, it is not yet a replacement for human expertise.

questions

    Is there a possibility that the expert opinions used for comparison were manipulated to favor certain ChatGPT versions?
    If ChatGPT were a medical student, which version would be the class clown and why?
    If ChatGPT versions were characters in a sitcom, which one would be the wise old doctor and which one the clueless intern?

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