• David J Ozeri, Adiel Cohen, Noa Bacharach, Offir Ukashi, and Amit Oppenheim.
• Division of Rheumatology, Sheba Medical Center, Tel Hashomer, Israel.
• Isr Med Assoc J. 2024 Feb 1; 26 (2): 868886-88.

BackgroundCompleting internal medicine specialty training in Israel involves passing the Israel National Internal Medicine Exam (Shlav Aleph), a challenging multiple-choice test. multiple-choice test. Chat generative pre-trained transformer (ChatGPT) 3.5, a language model, is increasingly used for exam preparation.ObjectivesTo assess the ability of ChatGPT 3.5 to pass the Israel National Internal Medicine Exam in Hebrew.MethodsUsing the 2023 Shlav Aleph exam questions, ChatGPT received prompts in Hebrew. Textual questions were analyzed after the appeal, comparing its answers to the official key.ResultsChatGPT 3.5 correctly answered 36.6% of the 133 analyzed questions, with consistent performance across topics, except for challenges in nephrology and biostatistics.ConclusionsWhile ChatGPT 3.5 has excelled in English medical exams, its performance in the Hebrew Shlav Aleph was suboptimal. Factors include limited training data in Hebrew, translation complexities, and unique language structures. Further investigation is essential for its effective adaptation to Hebrew medical exam preparation.

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