The Advanced Reasoning Capabilities of Large Language Models for Detecting Contraindicated Options in Medical Exams

AbstractEnhancing clinical reasoning and reducing diagnostic errors are essential in medical practice; OpenAI-o1, with advanced reasoning capabilities, performed better than GPT-4 on 15 Japanese National Medical Licensing Examination questions (accuracy: 100% vs 80%; contraindicated optio...

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Main Authors: Yuichiro Yano, Mizuki Ohashi, Taiju Miyagami, Hirotake Mori, Yuji Nishizaki, Hiroyuki Daida, Toshio Naito
Format: Article
Language:English
Published: JMIR Publications 2025-05-01
Series:JMIR Medical Informatics
Online Access:https://medinform.jmir.org/2025/1/e68527
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author Yuichiro Yano
Mizuki Ohashi
Taiju Miyagami
Hirotake Mori
Yuji Nishizaki
Hiroyuki Daida
Toshio Naito
author_facet Yuichiro Yano
Mizuki Ohashi
Taiju Miyagami
Hirotake Mori
Yuji Nishizaki
Hiroyuki Daida
Toshio Naito
author_sort Yuichiro Yano
collection DOAJ
description AbstractEnhancing clinical reasoning and reducing diagnostic errors are essential in medical practice; OpenAI-o1, with advanced reasoning capabilities, performed better than GPT-4 on 15 Japanese National Medical Licensing Examination questions (accuracy: 100% vs 80%; contraindicated option detection: 87% vs 73%), though findings are preliminary due to the small sample size.
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institution OA Journals
issn 2291-9694
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publishDate 2025-05-01
publisher JMIR Publications
record_format Article
series JMIR Medical Informatics
spelling doaj-art-7ea2a0d8bede48628e39814a45415c0d2025-08-20T01:52:12ZengJMIR PublicationsJMIR Medical Informatics2291-96942025-05-0113e68527e6852710.2196/68527The Advanced Reasoning Capabilities of Large Language Models for Detecting Contraindicated Options in Medical ExamsYuichiro Yanohttp://orcid.org/0000-0002-2565-7290Mizuki Ohashihttp://orcid.org/0000-0001-7770-5656Taiju Miyagamihttp://orcid.org/0000-0002-4893-2224Hirotake Morihttp://orcid.org/0000-0002-7988-5758Yuji Nishizakihttp://orcid.org/0000-0002-6964-6702Hiroyuki Daidahttp://orcid.org/0000-0002-3867-0961Toshio Naitohttp://orcid.org/0000-0003-1646-9930 AbstractEnhancing clinical reasoning and reducing diagnostic errors are essential in medical practice; OpenAI-o1, with advanced reasoning capabilities, performed better than GPT-4 on 15 Japanese National Medical Licensing Examination questions (accuracy: 100% vs 80%; contraindicated option detection: 87% vs 73%), though findings are preliminary due to the small sample size.https://medinform.jmir.org/2025/1/e68527
spellingShingle Yuichiro Yano
Mizuki Ohashi
Taiju Miyagami
Hirotake Mori
Yuji Nishizaki
Hiroyuki Daida
Toshio Naito
The Advanced Reasoning Capabilities of Large Language Models for Detecting Contraindicated Options in Medical Exams
JMIR Medical Informatics
title The Advanced Reasoning Capabilities of Large Language Models for Detecting Contraindicated Options in Medical Exams
title_full The Advanced Reasoning Capabilities of Large Language Models for Detecting Contraindicated Options in Medical Exams
title_fullStr The Advanced Reasoning Capabilities of Large Language Models for Detecting Contraindicated Options in Medical Exams
title_full_unstemmed The Advanced Reasoning Capabilities of Large Language Models for Detecting Contraindicated Options in Medical Exams
title_short The Advanced Reasoning Capabilities of Large Language Models for Detecting Contraindicated Options in Medical Exams
title_sort advanced reasoning capabilities of large language models for detecting contraindicated options in medical exams
url https://medinform.jmir.org/2025/1/e68527
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