articleNature HealthFeb 6, 2026HYBRID OA

Large language model diagnostic assistance for physicians in a lower-middle-income country: a randomized controlled trial

Lahore University of Management Sciences · King Edward Medical University · +2 more institutions

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Abstract

Diagnostic errors remain a major source of preventable patient harm, particularly in low- and middle-income countries. Large language models (LLMs) have the potential to bridge these gaps in diagnostic capacity, but can generate inaccurate information, necessitating artificial intelligence (AI)-literacy training. However, whether AI-trained physicians can leverage LLMs to improve diagnostic reasoning compared with conventional resources is unknown. Here we conducted a single-blind randomized controlled trial involving 60 licensed physicians from multiple medical institutions in Pakistan between January and May 2025. Participants completed a 20-hour AI-literacy curriculum covering LLM capabilities, appropriate…

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6

Topics & keywords

Keywords
  • Randomized controlled trial
  • Grading (engineering)
  • Confidence interval
  • Diagnostic test
  • Exploratory analysis
  • MEDLINE
  • Curriculum
  • Leverage (statistics)
UN Sustainable Development Goals
  • Quality Education
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