Jakub Pokrywka

Krzysztof Jassem, Michał Ciesiółka, Filip Graliński et al.

This article introduces the first comprehensive benchmark for the Polish language at this scale: LLMzSzŁ (LLMs Behind the School Desk). It is based on a coherent collection of Polish national exams, including both academic and professional tests extracted from the archives of the Polish Central Examination Board. It covers 4 types of exams, coming from 154 domains. Altogether, it consists of almost 19k closed-ended questions. We investigate the performance of open-source multilingual, English, and Polish LLMs to verify LLMs' abilities to transfer knowledge between languages. Also, the correlation between LLMs and humans at model accuracy and exam pass rate levels is examined. We show that multilingual LLMs can obtain superior results over monolingual ones; however, monolingual models may be beneficial when model size matters. Our analysis highlights the potential of LLMs in assisting with exam validation, particularly in identifying anomalies or errors in examination tasks.

Jakub Pokrywka, Jeremi Kaczmarek, Edward Gorzelańczyk

Introduction: Recently, the effectiveness of Large Language Models (LLMs) has increased rapidly, allowing them to be used in a great number of applications. However, the risks posed by the generation of false information through LLMs significantly limit their applications in sensitive areas such as healthcare, highlighting the necessity for rigorous validations to determine their utility and reliability. To date, no study has extensively compared the performance of LLMs on Polish medical examinations across a broad spectrum of specialties on a very large dataset. Objectives: This study evaluated the performance of three Generative Pretrained Transformer (GPT) models on the Polish Board Certification Exam (Państwowy Egzamin Specjalizacyjny, PES) dataset, which consists of 297 tests. Methods: We developed a software program to download and process PES exams and tested the performance of GPT models using OpenAI Application Programming Interface. Results: Our findings reveal that GPT-3.5 did not pass any of the analyzed exams. In contrast, the GPT-4 models demonstrated the capability to pass the majority of the exams evaluated, with the most recent model, gpt-4-0125, successfully passing 222 (75%) of them. The performance of the GPT models varied significantly, displaying excellence in exams related to certain specialties while completely failing others. Conclusions: The significant progress and impressive performance of LLM models hold great promise for the increased application of AI in the field of medicine in Poland. For instance, this advancement could lead to the development of AI-based medical assistants for healthcare professionals, enhancing the efficiency and accuracy of medical services.

Łukasz Grzybowski, Jakub Pokrywka, Michał Ciesiółka et al.

Large Language Models (LLMs) have demonstrated significant potential in handling specialized tasks, including medical problem-solving. However, most studies predominantly focus on English-language contexts. This study introduces a novel benchmark dataset based on Polish medical licensing and specialization exams (LEK, LDEK, PES) taken by medical doctor candidates and practicing doctors pursuing specialization. The dataset was web-scraped from publicly available resources provided by the Medical Examination Center and the Chief Medical Chamber. It comprises over 24,000 exam questions, including a subset of parallel Polish-English corpora, where the English portion was professionally translated by the examination center for foreign candidates. By creating a structured benchmark from these existing exam questions, we systematically evaluate state-of-the-art LLMs, including general-purpose, domain-specific, and Polish-specific models, and compare their performance against human medical students. Our analysis reveals that while models like GPT-4o achieve near-human performance, significant challenges persist in cross-lingual translation and domain-specific understanding. These findings underscore disparities in model performance across languages and medical specialties, highlighting the limitations and ethical considerations of deploying LLMs in clinical practice.

Jeremi I. Kaczmarek, Jakub Pokrywka, Krzysztof Biedalak et al.

Advances in Large Language Models revolutionized medical education by enabling scalable and efficient learning solutions. This paper presents a pipeline employing Retrieval-Augmented Generation (RAG) system to prepare comments generation for Poland's State Specialization Examination (PES) based on verified resources. The system integrates these generated comments and source documents with a spaced repetition learning algorithm to enhance knowledge retention while minimizing cognitive overload. By employing a refined retrieval system, query rephraser, and an advanced reranker, our modified RAG solution promotes accuracy more than efficiency. Rigorous evaluation by medical annotators demonstrates improvements in key metrics such as document relevance, credibility, and logical coherence of generated content, proven by a series of experiments presented in the paper. This study highlights the potential of RAG systems to provide scalable, high-quality, and individualized educational resources, addressing non-English speaking users.