From GPT-4 to GPT-5: Measuring progress through MedHELM [pdf]
51–60 of 102 posts
Re: From GPT-4 to GPT-5: Measuring progress through MedHELM [pdf]
#52Re: From GPT-4 to GPT-5: Measuring progress through MedHELM [pdf]
#53Here's my experience: for some coding tasks where GPT 4.1, Claude Sonnet 4, Gemini 2.5 Pro were just spinning for hours and hours and getting nowhere, GPT 5 just did the job without a fuss. So, I switched immediately to GPT 5, and never looked back. Or at least I never looked back until I found out that my company has some Copilot limits for premium models and I blew through the limit. So now I keep my context small,…
Interestingly I'm experiencing the opposite as you. Was mostly using Claude Sonnet 4 and GPT 4.1 through copilot for a few months and was overall fairly satisfied with it. First task I threw at GPT 5, it excelled in a fraction of the time Sonnet 4 normally takes, but after a few iterations, it all went downhill. GPT 5 almost systematically does things I didn't ask it to do. After failing to solve an issue for almost…
Re: From GPT-4 to GPT-5: Measuring progress through MedHELM [pdf]
#54Re: From GPT-4 to GPT-5: Measuring progress through MedHELM [pdf]
#55so since reasoning_effort is not discussed anywhere, I assume you used the default which is "medium"?
Re: From GPT-4 to GPT-5: Measuring progress through MedHELM [pdf]
#56Feels like a mixed bag vs regression? eg - GPT-5 beats GPT-4 on factual recall + reasoning (HeadQA, Medbullets, MedCalc). But then slips on structured queries (EHRSQL), fairness (RaceBias), evidence QA (PubMedQA). Hallucination resistance better but only modestly. Latency seems uneven (maybe more testing?) faster on long tasks, slower on short ones.
GPT-5 feels like cost engineering. The model is incrementally better, but they are optimizing for least amount of compute. I am guessing investors love that.
Re: From GPT-4 to GPT-5: Measuring progress through MedHELM [pdf]
#57Earlier quoted context omitted.
I agree with “feel” and “believe” but what words would you suggest instead of “understand” and “reason’?
None. Don't anthropomorphize at all. Note that "understanding" has now been removed from the HN title but not the linked pdf.
Re: From GPT-4 to GPT-5: Measuring progress through MedHELM [pdf]
#58Earlier quoted context omitted.
This is not a good analogy because reasoning models are not choosing the best from a set of attempts based on knowledge of the correct answer. It really is more like what it sounds like: “did you think about it longer until you ruled out various doubts and became more confident?” Of course nobody knows quite why directing more computation in this way makes them better, and nobody seems to take the reasoning trace too…
Bad news: it doesn't seem to work as well as you might think: https://arxiv.org/pdf/2508.01191 As one might expect, because the AI isn't actually thinking, it's just spending more tokens on the problem. This sometimes leads to the desired outcome but the phenomenon is very brittle and disappears when the AI is pushed outside the bounds of its training. To quote their discussion, "CoT is not a mechanism for genuine lo…
- https://arcprize.org/leaderboard
- https://aider.chat/docs/leaderboards/
- https://arstechnica.com/ai/2025/07/google-deepmind-earns-gol...
Surely the IMO problems weren't "within the bounds" of Gemini's training data.
Re: From GPT-4 to GPT-5: Measuring progress through MedHELM [pdf]
#59Re: From GPT-4 to GPT-5: Measuring progress through MedHELM [pdf]
#60Earlier quoted context omitted.
"This is science at its worst, where you start at an inflammatory conclusion and work backwards" Science starts with a guess and you run experiments to test.
True, but the experiments are engineered to give results they want. It's a mathematical certainty that the performance will drop off here, but is not an accurate assessment of what is going on at scale. If you present an appropriately large and well-trained model with in-context patterns, it often does a decent job, even when it isn't trained on them. By nerfing the model (4 layers), the conclusion is foregone. I hon…