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Unveiling GPT-4V's hidden challenges behind high accuracy on USMLE questions: Observational Study
USMLE consists of 3 steps required to obtain a medical license in the United States. USMLE assesses a physician’s ability to apply knowledge, concepts, and principles, which is critical to both health and disease management and is the foundation for safe, efficient patient care.
J Med Internet Res 2025;27:e65146
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ChatGPT-4 Omni Performance in USMLE Disciplines and Clinical Skills: Comparative Analysis
Some studies suggest LLMs perform better on USMLE sample items compared to third-party question banks [20], and newer versions of LLMs such as Chat GPT 4 (GPT-4) outperform their earlier counterparts [22]. Evaluations of Chat GPT 3.0 found it was able to accurately answer USMLE sample items 36.7% of the time [23], improving to more than 50% correct in a matter of months [21]. Performance also appears to depend on the specific skills tested and the language used in training [24,25].
JMIR Med Educ 2024;10:e63430
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Since its inception in 1992, the United States Medical Licensing Examination (USMLE) has been considered an integral milestone in medical education [1]. The 3 USMLE steps are jointly sponsored by the Federation of State Medical Boards and the National Board of Medical Examiners. Each step is designed to specifically test another facet of the examinee’s skill set.
JMIR Med Educ 2024;10:e51148
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As medical students navigating the new landscape of residency selection after the switch to a pass/fail USMLE (United States Medical Licensing Examination) Step 1, we read a recent viewpoint by Ozair et al [1] with great interest. We hope to offer a unique perspective and present additional potential solutions for residency programs and medical schools to consider.
We agree with the authors’ observation that research productivity is now necessary for a successful match with competitive specialties.
JMIR Med Educ 2023;9:e47763
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Adding to the uncertainty, on May 26, 2020, NRMP announced suspension of the United States Medical Licensing Examination (USMLE) Step 2 Clinical Skills (CS) examination for a period of 12-18 months. It was stated that “The NRMP does not specifically require applicants to take or pass the CS examination in order to participate in the Match.
JMIR Med Educ 2021;7(2):e25903
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The United States Medical Licensing Examination Step 1 Is Changing—US Medical Curricula Should Too
In addition to the pandemic and an increasing number of zero tuition medical schools, the United States Medical Licensing Examination (USMLE) Step 1 has adopted a pass/fail grading system. The percentile students scored on this test has historically been one of the most important determinants of which residency program or even which area of medicine students could apply to. Now that it is pass/fail, doing anything more than just passing has no effect on a student’s residency competitiveness.
JMIR Med Educ 2020;6(2):e20182
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