Can ChatGPT be a new educational tool in medicine?

Luo, Yunpeng; Hu, Na

doi:10.1016/j.medcle.2023.05.023

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"tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "363" "paginaFinal" => "364" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Yunpeng Luo, Na Hu" "autores" => array:2 [ 0 => array:3 [ "nombre" => "Yunpeng" "apellidos" => "Luo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "nombre" => "Na" "apellidos" => "Hu" "email" => array:1 [ 0 => "15519164340@163.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Department of Anesthesiology, Guizhou Provincial People's Hospital, Guiyang, Guizhou Province, China" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Radiology, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou Province, China" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "¿Puede ser ChatGPT una nueva herramienta educativa en medicina?" ] ] "textoCompleto" => "It is already widespread in medicine to use artificial intelligence (AI) as a solution to a variety of problems. The medical domain has investigated language models as tools for individualized patient interactions and consumer education about health. Even though these models have shown potential, they have only had limited success when used for testing clinical knowledge via generative question answering (QA).<a class="elsevierStyleCrossRef" href="#bib0030">1</a>In November 2022, OpenAI released ChatGPT (a chatbot powered by AI) in San Francisco, CA and it has captured the attention of the world.<a class="elsevierStyleCrossRef" href="#bib0035">2</a> Using both supervised and reinforcement learning, ChatGPT augments OpenAI's GPT-3.5 language models.<a class="elsevierStyleCrossRef" href="#bib0035">2</a> This AI-powered chatbot has a wide range of capabilities, including writing poems and essays, resolving coding problems, and explaining complex medical concepts, such as “What's the imaging findings of peripheral lung cancer?” Online search has been advanced to a whole new level by ChatGPT, according to some people.<a class="elsevierStyleCrossRef" href="#bib0040">3</a> With the programme, you will be able to understand complex issues rapidly, in-depth, and generate conversational responses, recalling your own past responses as you ask questions in real-time. Using ChatGPT may represent the first in a new line of clinical knowledge-based models that better capture dialogic interactivity.The ability of ChatGPT to function as a virtual medical tutor was assessed by Gilson A. et al.<a class="elsevierStyleCrossRef" href="#bib0045">4</a> They evaluated ChatGPT's responses qualitatively through using rational justification and extrinsic and intrinsic information. And their results demonstrated that ChatGPT can be used as a novel medical educational tool due to its wealth of medical knowledge. Even though the findings are promising, can we really use ChatGPT as a novel medical educational tool?As such, I experimented with this new AI chatbot. I asked a question: “Can we use ChatGPT as a novel medical educational tool?” in it, and the following was the response it gave:Yes, ChatGPT can be used as a novel medical educational tool. By providing information on medical topics in a conversational format, it can help make learning about complex subjects more accessible and engaging for students and healthcare professionals. Additionally, as a language model, ChatGPT can also assist with answering specific questions and clarifying concepts in real-time, providing a convenient and efficient way for individuals to learn and stay informed about medical topics.However, it's important to note that the information provided by ChatGPT is not a substitute for professional medical advice and should not be used to diagnose or treat medical conditions. Always consult with a qualified healthcare provider for personalized medical advice.This answer is very scientific, its role is affirmed, but the disadvantages are also emphasized. Mogali S.R.<a class="elsevierStyleCrossRef" href="#bib0050">5</a> also experimented with ChatGPT by asking questions about anatomy teaching and learning. However, it returned some errors answers. AI chatbots may require years of human supervision to produce accurate and reliable medical information due to the extensive, complex, and dynamic nature of medical information. As a result, when researching medical subjects, it is wise to use standard resources like peer-reviewed articles, lecture notes, and textbooks until it has been demonstrated that ChatGPT is risk-free for medical education.It seems that large language models (e.g. ChatGPT) could be useful for medical education as well as clinical decision-making in the future. Nonetheless, ChatGPT's medical knowledge based solely on rote memorization of disease mechanisms is not adequate for assessing the skills needed for modern medicine. Choosing the “right” treatment in the clinic requires doctors to discard bias, be creative, and think critically, as well as consider many practical factors. In spite of ChatGPT's significant promise, its deployment into clinical practice will face several challenges.Authors’ contributionsYunpeng Luo contributed to the conception of article and drafted the manuscript. Na Hu critically analyzed the manuscript and provided valuable feedback. All authors contributed towards the acquisition of data, approved the final version of the manuscript, and agree to be responsible for the accuracy and integrity of the study.Ethical considerationsIn my article there is no patient data and does not involve human or animal subjects. Ethical approval and informed consent are not applicable.FundingThis study was supported partly by Science and Technology Projects of Guizhou Province (grant no. Qiankehe Basic-ZK[2022] General 422).Conflicts of interestNone declared." 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Vol. 161. Issue 8.

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