%0 Journal Article %@ 2369-3762 %I JMIR Publications %V 10 %N %P e63129 %T Performance of ChatGPT-4o on the Japanese Medical Licensing Examination: Evalution of Accuracy in Text-Only and Image-Based Questions %A Miyazaki,Yuki %A Hata,Masahiro %A Omori,Hisaki %A Hirashima,Atsuya %A Nakagawa,Yuta %A Eto,Mitsuhiro %A Takahashi,Shun %A Ikeda,Manabu %K medical education %K artificial intelligence %K clinical decision-making %K GPT-4o %K medical licensing examination %K Japan %K images %K accuracy %K AI technology %K application %K decision-making %K image-based %K reliability %K ChatGPT %D 2024 %7 24.12.2024 %9 %J JMIR Med Educ %G English %X This study evaluated the performance of ChatGPT with GPT-4 Omni (GPT-4o) on the 118th Japanese Medical Licensing Examination. The study focused on both text-only and image-based questions. The model demonstrated a high level of accuracy overall, with no significant difference in performance between text-only and image-based questions. Common errors included clinical judgment mistakes and prioritization issues, underscoring the need for further improvement in the integration of artificial intelligence into medical education and practice. %R 10.2196/63129 %U https://mededu.jmir.org/2024/1/e63129 %U https://doi.org/10.2196/63129