Large Language Models Like ChatGPT Show Promise, but Clinical Use of Artificial Intelligence Requires Physician Partnership to Enable Patient Care, Minimize Administrative Burden, Maximize Efficiency, and Minimize Risk.

Prem N Ramkumar, Joshua J Woo
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Abstract

Forcing ChatGPT and other large language models to perform roles reserved for physicians and other healthcare professionals - namely evaluation, management, and triage - poses a threat from regulatory, risk management, and professional perspectives. The clinical practice of medicine would benefit tremendously from automated administrative support with systems-based transparency and fluidity - not substitution for clinical diagnostics and decision-making. ChatGPT and other large language models are not intended or authorized for clinical use, let alone to be tested or rubber stamped for this application. The best clinical use cases of artificial intelligence require physician partnership to enable personal care, minimize administrative burden, maximize efficiency, and minimize risk - without substitution of core physician tasks.

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像 ChatGPT 这样的大型语言模型大有可为,但人工智能的临床应用需要医生的合作,以实现患者护理、行政负担最小化、效率最大化和风险最小化。
从监管、风险管理和专业角度来看,强迫 ChatGPT 和其他大型语言模型执行专属于医生和其他医疗保健专业人员的角色(即评估、管理和分诊)构成了威胁。基于系统的透明度和流动性的自动化管理支持将使临床医疗实践受益匪浅,而不是取代临床诊断和决策。ChatGPT 和其他大型语言模型并不打算或授权用于临床,更不用说为这种应用进行测试或盖章了。人工智能的最佳临床应用案例需要医生的合作,以实现个人护理、最小化管理负担、最大化效率和最小化风险,而不会取代医生的核心任务。
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来源期刊
CiteScore
9.30
自引率
17.00%
发文量
555
审稿时长
58 days
期刊介绍: Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.
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