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Yes / no / maybe reasoning over PubMed abstracts

PubMedQA

Models answer yes, no or maybe to biomedical research questions using PubMed abstracts. Includes an October 2026 independent report on the standard 500-question test; nonstandard splits are labelled separately.

Latest available model results

15 models with scores

Checked Oct 24, 2026. One entry per model version from reviewed 2026 reports or undated current sources; historical cohorts are excluded. Sources are selected by publication recency. Entries are shown highest reported score first within each metric type. No model is pinned or promoted.

Latest available evidence does not mean the latest model release. Publication dates, inference settings and metrics remain visible. Scores from different runs are not directly comparable. No automatic live refresh.

Accuracy · high to low · different evaluation protocols remain non-comparable

o3

OpenAI
80.0%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 — standard 500 (Apr 6, 2026)

Standard 500-question PubMedQA test set. Google-run evaluations; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

GPT-4o

OpenAI
78.4%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 — standard 500 (Apr 6, 2026)

Standard 500-question PubMedQA test set. Google-run evaluations; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

Jev 1.13

TypeSafe AI
78.4%Accuracy (%)
independent preprintOct 10, 2026 (v4); runs Sep 26–27, 2026View source ↗
Evaluation details & limitations

Jev in Medicine v4 — official 500-question test (Oct 10, 2026)

95% Wilson CI 74.6–81.8; non-generative choice model

Expert-annotated 500-question PubMedQA test split; abstract conclusions removed. One run per condition, zero-shot; GPT-6 Sol uses constrained JSON, no system prompt.

Independent preprint; preliminary results, no clinical validation or run-to-run replication.

Jev 1.13 is a non-generative choice model, not a conversational LLM.

The paper’s MetaMedQA results are NOT MedQA-English and are not imported into the MedQA/USMLE pages.

Jev in Medicine v4, Table 2 ↗

GPT-6 Sol (medium)

OpenAI
78.2%Accuracy (%)
independent preprintOct 10, 2026 (v4); runs Sep 26–27, 2026View source ↗
Evaluation details & limitations

Jev in Medicine v4 — official 500-question test (Oct 10, 2026)

95% Wilson CI 74.4–81.6

Expert-annotated 500-question PubMedQA test split; abstract conclusions removed. One run per condition, zero-shot; GPT-6 Sol uses constrained JSON, no system prompt.

Independent preprint; preliminary results, no clinical validation or run-to-run replication.

Jev 1.13 is a non-generative choice model, not a conversational LLM.

The paper’s MetaMedQA results are NOT MedQA-English and are not imported into the MedQA/USMLE pages.

Jev in Medicine v4, Table 2 ↗

DeepSeek R1

DeepSeek
77.2%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 — standard 500 (Apr 6, 2026)

Standard 500-question PubMedQA test set. Google-run evaluations; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

MedGemma 27B (test-time scaling)

Google
76.8%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 — standard 500 (Apr 6, 2026)

Standard 500-question PubMedQA test set. Google-run evaluations; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

Claude Opus 4.6

Anthropic
76.6%Raw accuracy (refusals counted wrong, %)
independent preprintJul 12, 2026View source ↗
Evaluation details & limitations

arXiv 2607.10849v1 — 1,000-question nonstandard set (Jul 12, 2026)

1,000 PubMedQA questions (NOT the standard 500-question test set), zero-shot direct answer, no extended thinking, no chain-of-thought, no retrieval.

Nonstandard split: do not compare with official 500-question results.

Claude Fable 5 refused about 20% of questions; its 81.3 scored-subset accuracy excludes refusals and is not ranked.

Independent preprint, not a company endorsement.

arXiv 2607.10849v1, Table 2 ↗

Gemini 2.5 Flash

Google
76.2%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 — standard 500 (Apr 6, 2026)

Standard 500-question PubMedQA test set. Google-run evaluations; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

Gemini 2.5 Pro

Google
75.8%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 — standard 500 (Apr 6, 2026)

Standard 500-question PubMedQA test set. Google-run evaluations; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

Claude Opus 4.8

Anthropic
75.2%Raw accuracy (refusals counted wrong, %)
independent preprintJul 12, 2026View source ↗
Evaluation details & limitations

arXiv 2607.10849v1 — 1,000-question nonstandard set (Jul 12, 2026)

1,000 PubMedQA questions (NOT the standard 500-question test set), zero-shot direct answer, no extended thinking, no chain-of-thought, no retrieval.

Nonstandard split: do not compare with official 500-question results.

Claude Fable 5 refused about 20% of questions; its 81.3 scored-subset accuracy excludes refusals and is not ranked.

Independent preprint, not a company endorsement.

arXiv 2607.10849v1, Table 2 ↗

Gemma 3 27B

Google
73.4%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 — standard 500 (Apr 6, 2026)

Standard 500-question PubMedQA test set. Google-run evaluations; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

MedGemma 4B

Google
73.4%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 — standard 500 (Apr 6, 2026)

Standard 500-question PubMedQA test set. Google-run evaluations; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

GPT-5

OpenAI
71.7%Raw accuracy (refusals counted wrong, %)
independent preprintJul 12, 2026View source ↗
Evaluation details & limitations

arXiv 2607.10849v1 — 1,000-question nonstandard set (Jul 12, 2026)

1,000 PubMedQA questions (NOT the standard 500-question test set), zero-shot direct answer, no extended thinking, no chain-of-thought, no retrieval.

Nonstandard split: do not compare with official 500-question results.

Claude Fable 5 refused about 20% of questions; its 81.3 scored-subset accuracy excludes refusals and is not ranked.

Independent preprint, not a company endorsement.

arXiv 2607.10849v1, Table 2 ↗

Gemma 3 4B

Google
68.4%Accuracy (%)
Official · official vendor reportApr 6, 2026View source ↗
Evaluation details & limitations

Google MedGemma technical report v4 — standard 500 (Apr 6, 2026)

Standard 500-question PubMedQA test set. Google-run evaluations; MedGemma 27B uses test-time scaling.

Vendor report; setups follow Google’s own runs.

MedGemma technical report v4, Table 3 ↗

Claude Fable 5

Anthropic
65.0%Raw accuracy (refusals counted wrong, %)
independent preprintJul 12, 2026View source ↗
Evaluation details & limitations

arXiv 2607.10849v1 — 1,000-question nonstandard set (Jul 12, 2026)

~20% refusals; scored-subset 81.3 not ranked

1,000 PubMedQA questions (NOT the standard 500-question test set), zero-shot direct answer, no extended thinking, no chain-of-thought, no retrieval.

Nonstandard split: do not compare with official 500-question results.

Claude Fable 5 refused about 20% of questions; its 81.3 scored-subset accuracy excludes refusals and is not ranked.

Independent preprint, not a company endorsement.

arXiv 2607.10849v1, Table 2 ↗

Recent releases — score not yet verified

No public PubMedQA score verified in our reviewed sources for these exact versions. This is a research gap, not a zero or proof that no result exists. Older model scores are never substituted.

GPT-6.1 Sol · Not verified GPT-6 Astra · Not verified GPT-6 Luna · Not verified Claude Sonnet 5.5 · Not verified Claude Opus 5.5 · Not verified Claude Haiku 5.5 · Not verified Claude Fable 5.1 · Not verified Gemini 4 Argon · Not verified Gemini 3.8 Flash · Not verified Grok 4.7 · Not verified GLM-5.3 · Not verified DeepSeek V4.1 Flash · Not verified Kimi K3.1 Pro · Not verified Muse Wonder Full · Not verified

Model-release references: Artificial Analysis (Oct 19) ↗Artificial Analysis (Oct 23) ↗

Compare models within one evaluation

Ranking

Accuracy (%)
  1. 1o3 OpenAI80.0%
  2. 2GPT-4o OpenAI78.4%
  3. 3DeepSeek R1 DeepSeek77.2%
  4. 4MedGemma 27B (test-time scaling) Google76.8%
  5. 5Gemini 2.5 Flash Google76.2%
  6. 6Gemini 2.5 Pro Google75.8%
  7. 7MedGemma 4B Google73.4%
  8. 8Gemma 3 27B Google73.4%
  9. 9Gemma 3 4B Google68.4%

Official · official vendor report9 rows

Source: MedGemma technical report v4, Table 3 · Source date: Apr 6, 2026 · Verified:

Metric: Accuracy (%). Protocol: Standard 500-question PubMedQA test set. Google-run evaluations; MedGemma 27B uses test-time scaling.

  • Vendor report; setups follow Google’s own runs.

Direct answer

In Google’s MedGemma technical report v4 (Apr 6, 2026), on the standard 500-question PubMedQA test set, o3 has the highest accuracy at 80.0%, followed by GPT-4o at 78.4%.

Format
Yes / no / maybe
Context
PubMed abstracts
Metric
Accuracy (%)
Source date
Apr 6, 2026
Last checked
Oct 24, 2026

Source-backed snapshots, last checked Oct 24, 2026; not an exhaustive census. Counts include reported configurations and repeat appearances across sources, not unique base models. A missing model is not a zero. Cohorts are never combined; vendor-reported does not mean independently validated.

Results in selected cohort

9 rows
9 results
PubMedQA: Google MedGemma technical report v4 — standard 500 (Apr 6, 2026)
RankModelOrganizationScoreMetricSource dateNotesSource
01o3OpenAI80.0%Accuracy (%)Apr 6, 2026—Source
02GPT-4oOpenAI78.4%Accuracy (%)Apr 6, 2026—Source
03DeepSeek R1DeepSeek77.2%Accuracy (%)Apr 6, 2026—Source
04MedGemma 27B (test-time scaling)Google76.8%Accuracy (%)Apr 6, 2026—Source
05Gemini 2.5 FlashGoogle76.2%Accuracy (%)Apr 6, 2026—Source
06Gemini 2.5 ProGoogle75.8%Accuracy (%)Apr 6, 2026—Source
07MedGemma 4BGoogle73.4%Accuracy (%)Apr 6, 2026—Source
08Gemma 3 27BGoogle73.4%Accuracy (%)Apr 6, 2026—Source
09Gemma 3 4BGoogle68.4%Accuracy (%)Apr 6, 2026—Source

All evaluation cohorts

6 cohorts, 53 result rows, 53 distinct model names. Many models appear in more than one cohort; rows are not unique models. Source-backed snapshots, last checked Oct 24, 2026; not an exhaustive census. Counts include reported configurations and repeat appearances across sources, not unique base models. A missing model is not a zero. Cohorts are never combined; vendor-reported does not mean independently validated.

Google MedGemma technical report v4 — standard 500 (Apr 6, 2026) · Accuracy (%) · default

Official · official vendor report9 rows

Source: MedGemma technical report v4, Table 3 · Source date: Apr 6, 2026 · Verified:

Metric: Accuracy (%). Protocol: Standard 500-question PubMedQA test set. Google-run evaluations; MedGemma 27B uses test-time scaling.

  • Vendor report; setups follow Google’s own runs.

In Google’s MedGemma technical report v4 (Apr 6, 2026), on the standard 500-question PubMedQA test set, o3 has the highest accuracy at 80.0%, followed by GPT-4o at 78.4%.

  1. o3 (OpenAI): 80.0%
  2. GPT-4o (OpenAI): 78.4%
  3. DeepSeek R1 (DeepSeek): 77.2%
  4. MedGemma 27B (test-time scaling) (Google): 76.8%
  5. Gemini 2.5 Flash (Google): 76.2%
  6. Gemini 2.5 Pro (Google): 75.8%
  7. MedGemma 4B (Google): 73.4%
  8. Gemma 3 27B (Google): 73.4%
  9. Gemma 3 4B (Google): 68.4%
Official PubMedQA leaderboard (2022–2024 entries) · Accuracy (%)

Official · official benchmark leaderboard11 rows

Source: PubMedQA official results page · Source date: Nov 2022–Mar 2024 entries; live page checked Oct 24, 2026 · Verified:

Metric: Accuracy (%). Protocol: Reasoning-required setting, as listed on the official leaderboard; per-row entry dates copied from the page.

  • Each row keeps its individual leaderboard entry date.
  • Claude 3 is listed without a variant; no Opus/Sonnet variant is inferred.

On the official PubMedQA results page, GPT-4 (Medprompt), dated Nov 28, 2023, is listed at 82.0% accuracy, followed by Med-PaLM 2 at 81.8%, across 11 entries dated Nov 2022 to Mar 2024.

  1. GPT-4 (Medprompt) (Microsoft / OpenAI): 82.0% — Entry date Nov 28, 2023
  2. Med-PaLM 2 (Google Research): 81.8% — Entry date May 16, 2023
  3. MEDITRON (EPFL / collaborators): 81.6% — Entry date Nov 27, 2023
  4. Palmyra-Med (Writer): 81.1% — Entry date Jul 6, 2023
  5. AntGLM-Med (Ant Group): 80.6% — Entry date Dec 1, 2023
  6. GPT-4-base (Microsoft / OpenAI): 80.4% — Entry date Apr 12, 2023
  7. Claude 3 (Anthropic): 79.7% — Entry date Mar 4, 2024
  8. GPT-3.5 + Z-Code++ (Microsoft Azure AI): 79.6% — Entry date Jan 11, 2023
  9. Flan-PaLM (3-shot) (Google): 79.0% — Entry date Dec 26, 2022
  10. Galactica (Meta AI): 77.6% — Entry date Nov 16, 2022
  11. GPT-4 (Microsoft / OpenAI): 75.2% — Entry date Mar 20, 2023
arXiv 2607.10849v1 — 1,000-question nonstandard set (Jul 12, 2026) · Raw accuracy (refusals counted wrong, %)

independent preprint4 rows

Source: arXiv 2607.10849v1, Table 2 · Source date: Jul 12, 2026 · Verified:

Metric: Raw accuracy (refusals counted wrong, %). Protocol: 1,000 PubMedQA questions (NOT the standard 500-question test set), zero-shot direct answer, no extended thinking, no chain-of-thought, no retrieval.

  • Nonstandard split: do not compare with official 500-question results.
  • Claude Fable 5 refused about 20% of questions; its 81.3 scored-subset accuracy excludes refusals and is not ranked.
  • Independent preprint, not a company endorsement.

In arXiv 2607.10849v1 (Jul 12, 2026), on a nonstandard 1,000-question PubMedQA set, Claude Opus 4.6 has the highest raw accuracy at 76.6%, followed by Claude Opus 4.8 at 75.2%. This is not the official 500-question test set.

  1. Claude Opus 4.6 (Anthropic): 76.6%
  2. Claude Opus 4.8 (Anthropic): 75.2%
  3. GPT-5 (OpenAI): 71.7%
  4. Claude Fable 5 (Anthropic): 65.0% — ~20% refusals; scored-subset 81.3 not ranked
BioMistral author report — SFT / 3-shot (2024) · Accuracy (%)

Official · official vendor report11 rows

Source: BioMistral authors’ repository, Supervised Fine-tuning Benchmark · Source date: 2024 report; repository snapshot checked Oct 24, 2026 · Verified:

Original BioMistral paper

Metric: Accuracy (%). Protocol: PubMedQA, author-reported supervised fine-tuning evaluation, 3-shot averaged across 3 seeds. GPT-3.5 Turbo is a no-SFT baseline.

  • Original model-author report, not an independent replication.
  • SFT, ensembles and merged models are distinct configurations, not extra base models.
  • PubMedQA split details are not specified in the repository table; do not assume equivalence to another report’s 500-question run.

The BioMistral SFT table reports BioMistral 7B SLERP at 77.8% on PubMedQA, followed by DARE at 77.7%. These are author-reported SFT configurations.

  1. BioMistral 7B SLERP (SFT) (BioMistral research team): 77.8% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  2. BioMistral 7B DARE (SFT) (BioMistral research team): 77.7% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  3. BioMistral 7B (SFT) (BioMistral research team): 77.5% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  4. BioMistral 7B Ensemble (SFT) (BioMistral research team): 77.5% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  5. BioMistral 7B TIES (SFT) (BioMistral research team): 77.5% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  6. BioMedGPT-LM 7B (SFT) (BioMedGPT research team): 76.8% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  7. Mistral 7B Instruct (SFT) (Mistral AI): 75.7% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  8. MediTron 7B (SFT) (EPFL / collaborators): 74.9% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  9. MedAlpaca 7B (SFT) (MedAlpaca research team): 73.6% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  10. PMC-LLaMA 7B (SFT) (PMC-LLaMA research team): 72.9% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
  11. GPT-3.5 Turbo 1106 (3-shot, no SFT) (OpenAI): 72.66% — BioMistral author-run comparison; GPT baseline is not fine-tuned.
OpenBioLLM author model card — mixed reported protocols · Accuracy (%)

Official · official vendor report15 rows

Source: OpenBioLLM 70B author model card, evaluation table · Source date: Undated evaluation table; checked Oct 24, 2026 · Verified:

Metric: Accuracy (%). Protocol: PubMedQA column transcribed from the original model card. Comparator prompting/training protocols vary; this table is not a controlled head-to-head evaluation.

  • Original model-author claims, not independent verification.
  • The card does not give a uniform sampling protocol or exact PubMedQA split for every row. Comparators may reproduce earlier reports.
  • No Gemini 1.0 variant or GPT-4 snapshot is inferred. Precision is preserved as reported, not an uncertainty estimate.

The OpenBioLLM author card reports OpenBioLLM 70B at 78.97% and OpenBioLLM 8B at 74.12% on PubMedQA. Comparator protocols and split details are not uniform, so these results remain separate.

  1. Med-PaLM 2 (5-shot) (Google Research): 79.2% — Author-card table; comparator protocols vary and are not independently reproduced here.
  2. Med-PaLM 1 (Flan-PaLM, 5-shot) (Google Research): 79.0% — Author-card table; comparator protocols vary and are not independently reproduced here.
  3. OpenBioLLM 70B (OpenBioLLM research team): 78.97% — Author-card table; comparator protocols vary and are not independently reproduced here.
  4. BioMistral 7B (BioMistral research team): 77.5% — Author-card table; comparator protocols vary and are not independently reproduced here.
  5. Meditron 70B (EPFL / collaborators): 76.6% — Author-card table; comparator protocols vary and are not independently reproduced here.
  6. Gemma 7B (Google): 76.2% — Author-card table; comparator protocols vary and are not independently reproduced here.
  7. Mistral 7B v0.1 (Mistral AI): 75.4% — Author-card table; comparator protocols vary and are not independently reproduced here.
  8. GPT-4 (OpenBioLLM table) (OpenAI): 75.2% — Author-card table; comparator protocols vary and are not independently reproduced here.
  9. OpenBioLLM 8B (OpenBioLLM research team): 74.12% — Author-card table; comparator protocols vary and are not independently reproduced here.
  10. MedAlpaca 7B (MedAlpaca research team): 72.8% — Author-card table; comparator protocols vary and are not independently reproduced here.
  11. GPT-3.5 Turbo 1106 (OpenAI): 72.66% — Author-card table; comparator protocols vary and are not independently reproduced here.
  12. AlpaCare Llama2 7B (AlpaCare research team): 72.2% — Author-card table; comparator protocols vary and are not independently reproduced here.
  13. Gemini 1.0 (Google): 70.7% — Author-card table; comparator protocols vary and are not independently reproduced here.
  14. ClinicalGPT (ClinicalGPT research team): 63.8% — Author-card table; comparator protocols vary and are not independently reproduced here.
  15. Apollo 7B (Apollo research team): 39.8% — Author-card table; comparator protocols vary and are not independently reproduced here.
Jev in Medicine v4 — official 500-question test (Oct 10, 2026) · Accuracy (%)

independent preprint3 rows

Source: Jev in Medicine v4, Table 2 · Source date: Oct 10, 2026 (v4); runs Sep 26–27, 2026 · Verified:

Metric: Accuracy (%). Protocol: Expert-annotated 500-question PubMedQA test split; abstract conclusions removed. One run per condition, zero-shot; GPT-6 Sol uses constrained JSON, no system prompt.

  • Independent preprint; preliminary results, no clinical validation or run-to-run replication.
  • Jev 1.13 is a non-generative choice model, not a conversational LLM.
  • The paper’s MetaMedQA results are NOT MedQA-English and are not imported into the MedQA/USMLE pages.

In Jev in Medicine v4 (Oct 10, 2026), Jev 1.13 scores 78.4%, GPT-6 Sol (medium) 78.2%, and GPT-6 Sol (none) 76.6% on the official 500-question PubMedQA test split.

  1. Jev 1.13 (TypeSafe AI): 78.4% — 95% Wilson CI 74.6–81.8; non-generative choice model
  2. GPT-6 Sol (medium) (OpenAI): 78.2% — 95% Wilson CI 74.4–81.6
  3. GPT-6 Sol (none) (OpenAI): 76.6% — 95% Wilson CI 72.7–80.1; no reasoning

Definition

PubMedQA is a biomedical question answering dataset in which each question is derived from a PubMed article title and must be answered yes, no or maybe using the accompanying abstract.

The official test set has 500 questions. Any cohort using a different question set is labelled nonstandard and must not be compared with official 500-question results.

Source and date

Default cohort: MedGemma technical report v4, Table 3 (Apr 6, 2026; last checked Oct 24, 2026). Cohorts are never combined and nothing updates automatically. PubMedQA and model names belong to their respective owners; REAGEN, Inc. is not affiliated with them.

Other benchmarks

Have a sourced PubMedQA result not listed here? Apply to the index.