06/20/26

Large language models exhibit greater diagnostic anchoring than physicians in a forced-choice vignette study.

Sheppert, Alexander; Shen, Christine; Geissal, Erik; Riley, Craig; Riley, Sylvia. Int J Med Inform.

Summary

Anchoring bias contributes to diagnostic error, but LLM susceptibility is unclear. In this study, eight LLMs and 25 physicians/residents evaluated cases with misleading patient-suggested diagnoses. LLMs ranked the incorrect diagnosis first 56% of the time, compared with 10–21% for clinicians, raising safety concerns for AI-supported medical decision-making.
Sheppert A, Shen C, Geissal E, et al. Large language models exhibit greater diagnostic anchoring than physicians in a forced-choice vignette study. Int J Med Inform. 2026;219:106550.