Claims

GPT-4 achieved almost perfect inter-rater reliability with faculty after three iterations of rubric engineering on three of four medical school OEQ questions

Claim · All claims
Evidence · 1 study · design r3 · q3
Currency · newest study 2026 · checked against its sources 2026-10-20 (automated, 1 of 1 entry) · not reviewed by a person · recheck by 2029: tool and model accuracy changes quickly

Subclaims

Reading the evidence codes

q is the design tier, i the impact, n the sample, and the kind with its r the rigour judged within that kind: what each code means.

This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.

q3 i? After rubric refinement across iterations, weighted kappa between faculty and GPT-4 reached almost perfect agreement for questions 1A (kw=0.94) and 2A (kw=0.88) with the analytic rubric and question 2H (kw=0.89) with the holistic rubric. → Olvet DM 2026

Evidence

Olvet DM 2026

Olvet DM, Kruidering M, Fulton TB, Truong B, Endo K, Lucito R, Willey JM. (2026). Can Generative Artificial Intelligence Reliably Score Open-Ended Question Assessments in Undergraduate Medical Education? Medical Science Educator 36:1539–1552. https://doi.org/10.1007/s40670-026-02638-2

q3 · i? · design · r3

Results of the three-iteration scoring study at ZSOM and UCSF, where faculty scores were compared to GPT-4 scores using Cohen's weighted kappa with quadratic weighting. The article reports "almost perfect agreement" for both analytic-rubric questions by iteration 3, with the printed kappas and percent agreement.

"After refining scoring rubrics, the IRR increased to almost perfect agreement for both questions on iteration 2 (question 1A: kw=0.88, 95% CI: 0.81–0.96, 83% agreement; question 2A: kw=0.85, 95% CI: 0.78–0.92, 68% agreement) and iteration 3 (question 1A: kw=0.94, 95% CI: 0.91–0.98, 86% agreement; question 2A: kw=0.88, 95% CI: 0.81–0.94, 74% agreement)."

Discussion

Page metadata
Field Value
type claim
id gpt4-almost-perfect-irr-after-rubric-engineering
title GPT-4 achieved almost perfect inter-rater reliability with faculty after three iterations of rubric engineering on three of four medical school OEQ questions
description GPT-4 achieved almost perfect inter-rater reliability with faculty after three iterations of rubric engineering on three of four medical school OEQ questions
status review
evidence_strength moderate
newest_evidence 2026
source_checked 2026-10-20
recheck_by 2029
generated by process:wiki-ingest on 2026-10-11
trust unverified — no one has confirmed this page's content
sources 1 — olvet-dm-2026

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