Evaluation of ChatGPT Family of Models for Biomedical Reasoning and Classification
On the map: LLM reasoning → Clinical and biomedical applications
Abstract (arXiv)
Recent advances in large language models (LLMs) have shown impressive ability in biomedical question-answering, but have not been adequately investigated for more specific biomedical applications. This study investigates the performance of LLMs such as the ChatGPT family of models (GPT-3.5s, GPT-4) in biomedical tasks beyond question-answering. Because no patient data can be passed to the OpenAI API public interface, we evaluated model performance with over 10000 samples as proxies for two fundamental tasks in the clinical domain - classification and reasoning. The first task is classifying whether statements of clinical and policy recommendations in scientific literature constitute health advice. The second task is causal relation detection from the biomedical literature. We compared LLMs with simpler models, such as bag-of-words (BoW) with logistic regression, and fine-tuned BioBERT models. Despite the excitement around viral ChatGPT, we found that fine-tuning for two fundamental NLP tasks remained the best strategy. The simple BoW model performed on par with the most complex LLM prompting. Prompt engineering required significant investment.
Key facts. Cited by 17 papers in the map (data through 7 Oct 2026). Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning. Builds on 17 of its 34 references that are in the map. First posted on arXiv 5 Apr 2023.
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- 2022Chain-of-Thought Prompting Elicits Reasoning in Large Language Modelscited by 12,302
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- 2022Large Language Models are Zero-Shot Reasonerscited by 4,323
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- 2019BioBERT: a pre-trained biomedical language representation model for biomedical text miningcited by 1,935
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- 2023On the Robustness of ChatGPT: An Adversarial and Out-of-distribution Perspectivecited by 208
- 2023Do We Still Need Clinical Language Models?cited by 97
- 2023Translating Radiology Reports into Plain Language using ChatGPT and GPT-4 with Prompt Learning: Promising Results, Limitations, and Potentialcited by 39
- 2023Dr ChatGPT, tell me what I want to hear: How prompt knowledge impacts health answer correctnesscited by 15
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Citing papers per year: 2023: 4; 2024: 9; 2025: 4.
17 papers.
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- 2023Large Language Models to Identify Social Determinants of Health in Electronic Health Recordscited by 55
- 2024A Survey on Medical Large Language Models: Technology, Application, Trustworthiness, and Future Directionscited by 34
- 2023A Zero-shot and Few-shot Study of Instruction-Finetuned Large Language Models Applied to Clinical and Biomedical Taskscited by 25
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- 2023CohortGPT: An Enhanced GPT for Participant Recruitment in Clinical Studycited by 19
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- 2025Large Language Models for Healthcare Text Classification: A Systematic Reviewcited by 3
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- 2024Utilizing Large Language Models for Named Entity Recognition in Traditional Chinese Medicine against COVID-19 Literature: Comparative Studycited by 1
- 2025Automated Thematic Analyses Using LLMs: Xylazine Wound Management Social Media Chatter Use Casecited by 1
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- 2025Review GIDE -- Restaurant Review Gastrointestinal Illness Detection and Extraction with Large Language Modelscited by 0
- 2025Cancer Diagnosis Categorization in Electronic Health Records Using Large Language Models and BioBERT: Model Performance Evaluation Studycited by 0
- 2025Cancer Diagnosis Categorization in Electronic Health Records Using Large Language Models and BioBERT: Model Performance Evaluation Study8 Oct 2025
- 2025Automated Thematic Analyses Using LLMs: Xylazine Wound Management Social Media Chatter Use Case14 Jul 2025
- 2025Review GIDE -- Restaurant Review Gastrointestinal Illness Detection and Extraction with Large Language Models12 Mar 2025
- 2025Large Language Models for Healthcare Text Classification: A Systematic Review3 Mar 2025
- 2024On Fusing ChatGPT and Ensemble Learning in Discon-tinuous Named Entity Recognition in Health Corpora22 Dec 2024
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- 2024Assessing Generative Language Models in Classification Tasks: Performance and Self-Evaluation Capabilities in the Environmental and Climate Change Domain30 Aug 2024
- 2024Utilizing Large Language Models for Named Entity Recognition in Traditional Chinese Medicine against COVID-19 Literature: Comparative Study24 Aug 2024
- 2024A Survey on Medical Large Language Models: Technology, Application, Trustworthiness, and Future Directions6 Jun 2024
- 2024Coding historical causes of death data with Large Language Models13 May 2024
- 2024Improving Clinical NLP Performance through Language Model-Generated Synthetic Clinical Data28 Mar 2024
5 more
- 2024MoralBERT: A Fine-Tuned Language Model for Capturing Moral Values in Social Discussions12 Mar 2024
- 2023Measuring Pointwise V-Usable Information In-Context-ly18 Oct 2023
- 2023Large Language Models to Identify Social Determinants of Health in Electronic Health Records11 Aug 2023
- 2023A Zero-shot and Few-shot Study of Instruction-Finetuned Large Language Models Applied to Clinical and Biomedical Tasks22 Jul 2023
- 2023CohortGPT: An Enhanced GPT for Participant Recruitment in Clinical Study21 Jul 2023
- 2023Large Language Models to Identify Social Determinants of Health in Electronic Health Recordscited by 55
- 2024A Survey on Medical Large Language Models: Technology, Application, Trustworthiness, and Future Directionscited by 34
- 2023A Zero-shot and Few-shot Study of Instruction-Finetuned Large Language Models Applied to Clinical and Biomedical Taskscited by 25
- 2024MoralBERT: A Fine-Tuned Language Model for Capturing Moral Values in Social Discussionscited by 23
- 2023CohortGPT: An Enhanced GPT for Participant Recruitment in Clinical Studycited by 19
- 2024Assessing Generative Language Models in Classification Tasks: Performance and Self-Evaluation Capabilities in the Environmental and Climate Change Domaincited by 3
- 2024Large Language Models versus Classical Machine Learning: Performance in COVID-19 Mortality Prediction Using High-Dimensional Tabular Datacited by 3
- 2025Large Language Models for Healthcare Text Classification: A Systematic Reviewcited by 3
- 2024Improving Clinical NLP Performance through Language Model-Generated Synthetic Clinical Datacited by 2
- 2024Wait, but Tylenol is Acetaminophen... Investigating and Improving Language Models' Ability to Resist Requests for Misinformationcited by 2
- 2024Utilizing Large Language Models for Named Entity Recognition in Traditional Chinese Medicine against COVID-19 Literature: Comparative Studycited by 1
- 2025Automated Thematic Analyses Using LLMs: Xylazine Wound Management Social Media Chatter Use Casecited by 1
12 most cited of 17 All 17 (JSON)
- 2025Cancer Diagnosis Categorization in Electronic Health Records Using Large Language Models and BioBERT: Model Performance Evaluation Study8 Oct 2025
- 2025Automated Thematic Analyses Using LLMs: Xylazine Wound Management Social Media Chatter Use Case14 Jul 2025
- 2025Review GIDE -- Restaurant Review Gastrointestinal Illness Detection and Extraction with Large Language Models12 Mar 2025
- 2025Large Language Models for Healthcare Text Classification: A Systematic Review3 Mar 2025
- 2024On Fusing ChatGPT and Ensemble Learning in Discon-tinuous Named Entity Recognition in Health Corpora22 Dec 2024
- 2024Wait, but Tylenol is Acetaminophen... Investigating and Improving Language Models' Ability to Resist Requests for Misinformation30 Sep 2024
- 2024Large Language Models versus Classical Machine Learning: Performance in COVID-19 Mortality Prediction Using High-Dimensional Tabular Data2 Sep 2024
- 2024Assessing Generative Language Models in Classification Tasks: Performance and Self-Evaluation Capabilities in the Environmental and Climate Change Domain30 Aug 2024
- 2024Utilizing Large Language Models for Named Entity Recognition in Traditional Chinese Medicine against COVID-19 Literature: Comparative Study24 Aug 2024
- 2024A Survey on Medical Large Language Models: Technology, Application, Trustworthiness, and Future Directions6 Jun 2024
- 2024Coding historical causes of death data with Large Language Models13 May 2024
- 2024Improving Clinical NLP Performance through Language Model-Generated Synthetic Clinical Data28 Mar 2024
12 newest of 17 All 17 (JSON)
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