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AI Models Show Poor Performance on Medical Ethics Reasoning in Mount Sinai Study

Researchers at Mount Sinai tested commercially available large language models on modified medical ethics scenarios and found that AI systems tend to rely on familiar patterns and intuitive answers even when presented with contradictory information, potentially creating risks in healthcare decision-making.

22 July 2025 Β· Reliability and hallucination
22 July 2025
AII-1002-055372 sources ↓
Quick facts
Category
Reliability and hallucination
Country
United States
Source
Medical Xpress - Medical and Health News
Date
22 July 2025
Drafted by
Raidu Incident Detection

What happened

Researchers at the Icahn School of Medicine at Mount Sinai, in collaboration with Rabin Medical Center, tested commercially available large language models on modified medical ethics scenarios and lateral thinking puzzles. The study found that AI models struggled with ethical reasoning when presented with scenarios that had been deliberately altered from classic dilemmas.

In one test using a modified version of the 'Surgeon's Dilemma', researchers explicitly stated that a boy's father was the surgeon, yet some AI models still responded that the surgeon must be the boy's mother, indicating the models clung to familiar patterns despite contradictory information.

Reported impact

According to the study authors, AI systems may default to the most familiar or intuitive answer even when that response overlooks critical details. In healthcare settings where decisions carry serious ethical and clinical implications, missing these nuances can have real consequences for patients.

Index analysis

The research was inspired by Daniel Kahneman's 'Thinking, Fast and Slow' and tested how well AI systems shift between fast, intuitive reactions and slower, analytical reasoning when confronted with well-known ethical dilemmas that had been deliberately tweaked.

Classification

Category
Reliability and hallucination
Industry
Healthcare, drugs and biotechnology
Country
United States
Harm status
Potential harm
Intent
Unintentional
Timing
Post-deployment
Failure modes
Hallucination, Overreliance
AI systems
ChatGPT, Large Language Models

Sources and evidence

This record was researched and written by the Index, based on the following original reporting.

Medical Xpress - Medical and Health News
AI stumbles on medical ethics puzzles, echoing human cognitive shortcuts
22 July 2025
EurekAlert!
Like humans, AI can jump to conclusions, Mount Sinai study finds
22 July 2025