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Pitfalls of large language models in medical ethics reasoning

Shelly Soffer, Vera Sorin, Girish N. Nadkarni, Eyal Klang

2025npj Digital Medicine7 citationsDOIOpen Access PDF

Abstract

Large language models (LLMs), such as ChatGPT-o1, display subtle blind spots in complex reasoning tasks. We illustrate these pitfalls with lateral thinking puzzles and medical ethics scenarios. Our observations indicate that patterns in training data may contribute to cognitive biases, limiting the models’ ability to navigate nuanced ethical situations. Recognizing these tendencies is crucial for responsible AI deployment in clinical contexts.

Topics & Concepts

Medical ethicsEngineering ethicsCognitive scienceComputer scienceEpistemologyPsychologyPhilosophyEngineeringPsychiatryEthics in medical practiceClinical Reasoning and Diagnostic SkillsArtificial Intelligence in Healthcare and Education
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