One of the most significant pieces missing from LLM’s is the capacity for judgement and reasoning. The mark of a good physician is the one who listens to the patient to figure out which question to ask next, and to know what testing would be useful. I’m studying for boards right now, and the question stems give you the exam and history findings…in the real world, you have to get those yourself. Medical students are terrible at H&Ps because they have to go through every single question and exam by a list, and they only gain skill in paring the interview and exam down to the relevant portions with experience.