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ChatGPT in medicine: The good, the bad, and the unknown


 

AT DDW 2023

What’s in it for doctors?

Although not specifically trained for health care–related tasks, the panelists noted that ChatGPT does have potential as a virtual medical assistant, chatbot, clinical decision-support tool, source of medical education, natural language processor for documentation, or medical note-taker.

ChatGPT can help physicians write a letter of support to a patient who, for example, was just diagnosed with stage IV colon cancer. It can do that in only 15 seconds, whereas it would take us much longer, Dr. Sharma said.

ChatGPT is the “next frontier” for generating patient education materials, Dr. Parasa said. It can help time-constrained health care providers, as long as the information is accurate.

ChatGPT 4.0, now available by subscription, can do “almost real-time note-taking during patient encounters,” she added.

Another reason to be familiar with the technology: “Many of your patients are using it, even if you don’t know about it,” Dr. Sharma said.

Questions abound

A conference attendee asked the panel what to do when a patient comes in with ChatGPT medical advice that does not align with official guidelines.

Dr. Gralnek said that he would explain to patients that medical information based on guidelines are not “black and white.” The panel likened it to how patients come to an appointment now armed with information from the Internet, which is not always correct, that must then be countered by doctors. The same would likely happen with ChatGPT.

Another attendee asked whether ChatGPT eventually will work in accordance with electronic health record systems.

“Open AI and Microsoft are already working with Epic,” Dr. Parasa said.

A question arose about the reading level of information provided by ChatGPT. Dr. Parasa noted that it’s not standard. However, a person can prompt ChatGPT to provide an answer either at an eighth-grade reading level or for a well-trained physician.

Dr. Sharma offered a final warning: The technology learns over time.

“It knows what your habits are. It will learn what you’re doing,” Dr. Sharma said. “Everything else on your browsers that are open, it’s learning from that also. So be careful what websites you visit before you go to ChatGPT.”

Dr. Sharma is a stock shareholder in Microsoft. Dr. Parasa and Dr. Gralneck reported no relevant financial relationships.

DDW is sponsored by the American Association for the Study of Liver Diseases, the American Gastroenterological Association, the American Society for Gastrointestinal Endoscopy, and The Society for Surgery of the Alimentary Tract.

A version of this article originally appeared on Medscape.com.

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