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doi: 10.1186/1740-2557-2-5 517 MaesMMihaylovaILeunisJC

What is already known on this topic Colossal advancements in the field of artificial intelligence have led to a flurry of excited and fearful speculation as to whether chatbots surpass human physicians Multiple studies have shown large language models (LLMs) to be remarkably adept at a range of medical diagnostic tasks, outscoring human physicians If we are to rely on LLMs for medical diagnosis and care, we must examine their susceptibility to human impairments such as cognitive decline What this study adds Almost all leading LLMs (ChatGPT, Claude, Gemini) showed signs of mild cognitive impairment in the Montreal Cognitive Assessment test, particularly in the visuospatial sphere As in humans, age is a key determinant of cognitive decline, with older versions of chatbots, like older patients, tending to perform worse on the test These findings challenge the assumption that artificial intelligence will soon replace human doctors Ethics statements Ethical approval Not needed

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