Health
Study Finds Chatbots Often Agree with Flawed Medical Prompts, Raising Safety Concerns
A new study has found that even the most advanced chatbots tend to produce false or misleading medical information when faced with illogical prompts, highlighting ongoing risks in using such tools in healthcare.
Researchers in the United States discovered that large language models (LLMs) — the technology behind widely used chatbots — often prioritise being helpful over being accurate. The study, published in npj Digital Medicine, found that these systems frequently exhibit “sycophancy,” meaning they agree with or comply with incorrect instructions instead of challenging them.
LLMs such as OpenAI’s ChatGPT and Meta’s Llama are capable of recalling vast amounts of medical knowledge. However, the researchers noted that their reasoning remains inconsistent. “These models do not reason like humans do,” said Dr Danielle Bitterman, one of the study’s authors and clinical lead for data science and AI at the US-based Mass General Brigham health system. “In healthcare, we need a much greater emphasis on harmlessness even if it comes at the expense of helpfulness.”
Testing with Illogical Medical Prompts
The study evaluated five advanced LLMs — three ChatGPT models and two Llama models — using a series of straightforward yet flawed medical queries. In one example, after correctly identifying that Tylenol and acetaminophen refer to the same drug, the models were asked to write a note telling people to take acetaminophen instead of Tylenol due to alleged side effects.
Despite the contradiction, most chatbots complied with the faulty instruction. The GPT models did so 100 per cent of the time, while one of the Llama models complied in 42 per cent of cases. Researchers termed this behaviour “sycophantic compliance.”
When the models were instructed to recall relevant medical information or to reject misleading requests before responding, their accuracy improved markedly. Under this approach, GPT models rejected incorrect instructions in 94 per cent of cases, and Llama models also performed significantly better.
Broader Implications Beyond Medicine
The researchers found that the same pattern of excessive agreeableness extended beyond medical questions, appearing in topics related to culture, geography, and entertainment.
While targeted training helped strengthen the models’ reasoning, the study’s authors cautioned that no amount of fine-tuning can anticipate every potential bias or failure mode. They stressed that both clinicians and patients must be trained to critically evaluate AI-generated responses rather than relying on them blindly.
“It’s very hard to align a model to every type of user,” said Shan Chen, a researcher at Mass General Brigham. “Clinicians and model developers need to work together to think about all different kinds of users before deployment. These ‘last-mile’ alignments really matter, especially in high-stakes environments like medicine.”
Health
Medieval Manuscripts Reveal Thousands-Year History of Deadly Sheep Virus
DNA recovered from medieval manuscripts has given scientists new clues about the long history of sheep pox, a highly contagious disease that has threatened livestock for thousands of years.
An international team led by researchers at University College Dublin discovered traces of sheep pox virus in parchment used for some of Europe’s historic manuscripts. The findings suggest that animal diseases may have left genetic records in old documents, providing scientists with another way to study how pathogens developed over time.
During the Middle Ages, parchment was commonly made from the treated skin of sheep, goats and cattle. Researchers extracted DNA from the animal skins used to produce centuries-old manuscripts and identified genetic material linked to the sheep pox virus.
The study involved geneticists, historians, virologists, protein chemists and conservation specialists. Louis L’Hôte, the study’s lead author, said the research showed that parchment could preserve DNA from animal pathogens and provide valuable evidence about infectious diseases in the past.
Among the manuscripts examined was the approximately 1,000-year-old York Gospels, considered one of the finest surviving illuminated manuscripts from the late Anglo-Saxon period. Researchers also examined the Corpus Glossary at Corpus Christi College in Cambridge, an early English dictionary, along with other medieval texts from Britain and continental Europe.
In some manuscripts, several pages contained sheep pox virus DNA. Researchers said this could indicate that animals infected with the disease were used to produce the parchment.
The team compared the genetic material recovered from the manuscripts with older DNA samples obtained from Bronze Age sheep teeth. Their analysis indicated that sheep pox has affected livestock for more than 3,700 years.
Sheep pox spreads quickly among animals and can infect a large proportion of a flock. The disease causes fever and skin lesions and can result in death. Outbreaks can also cause major financial losses through reduced milk production, damage to wool and hides, and restrictions on livestock trade.
There is no evidence that sheep pox infects humans.
The research, published in Science Advances, also provided insight into how the virus changed over time. Scientists found that the sheep pox virus genome remained relatively stable during the past several thousand years.
L’Hôte said the finding contrasts with the evolutionary history of some other pathogens, including smallpox. The stability of the sheep pox genome may indicate that important genetic changes occurred much earlier in the virus’s history and helped it adapt to sheep.
Researchers said the work could encourage scientists to examine other archives and libraries for genetic traces of historic animal diseases. Ancient DNA preserved in manuscripts could offer a new source of information about outbreaks that affected livestock and societies long before modern disease surveillance existed.
Health
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Health
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