Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2025 May 31;22(11):2792-2801.
doi: 10.7150/ijms.111780. eCollection 2025.

Large Language Models in Medicine: Applications, Challenges, and Future Directions

Affiliations
Review

Large Language Models in Medicine: Applications, Challenges, and Future Directions

Erlan Yu et al. Int J Med Sci. .

Abstract

In recent years, large language models (LLMs) represented by GPT-4 have developed rapidly and performed well in various natural language processing tasks, showing great potential and transformative impact. The medical field, due to its vast data information as well as complex diagnostic and treatment processes, is undoubtedly one of the most promising areas for the application of LLMs. At present, LLMs has been gradually implemented in clinical practice, medical research, and medical education. However, in practical applications, medical LLMs still face numerous challenges, including the phenomenon of hallucination, interpretability, and ethical concerns. Therefore, in-depth exploration is still needed in areas of standardized evaluation frameworks, multimodal LLMs, and multidisciplinary collaboration in the future, so as to realize the widespread application of medical LLMs and promote the development and transformation in the field of global healthcare. This review offers a comprehensive overview of applications, challenges, and future directions of LLMs in medicine, providing new insights for the sustained development of medical LLMs.

Keywords: Artificial Intelligence; Large language models; Medical applications; Natural language processing.

PubMed Disclaimer

Conflict of interest statement

Competing Interests: The authors have declared that no competing interest exists.

Figures

Figure 1
Figure 1
Development timeline of LLMs.
Figure 2
Figure 2
Applications of LLMs in medicine.

Similar articles

Cited by

References

    1. Brown TB, Mann B, Ryder N, Subbiah M, Kaplan J, Dhariwal P, Language Models are Few-Shot Learners. ArXiv. 2020. abs/2005.14165.
    1. OpenAI. Introducing ChatGPT. 2022.
    1. Liu J, Wang C, Liu S. Utility of ChatGPT in Clinical Practice. J Med Internet Res. 2023;25:e48568. - PMC - PubMed
    1. Clusmann J, Kolbinger FR, Muti HS, Carrero ZI, Eckardt JN, Laleh NG. et al. The future landscape of large language models in medicine. Commun Med (Lond) 2023;3:141. - PMC - PubMed
    1. Xu X, Chen Y, Miao J. Opportunities, challenges, and future directions of large language models, including ChatGPT in medical education: a systematic scoping review. J Educ Eval Health Prof. 2024;21:6. - PMC - PubMed

LinkOut - more resources