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The Intersection of ChatGPT, Clinical Medicine, and Medical Education

The Intersection of ChatGPT, Clinical Medicine, and Medical Education | healthcare technology | Scoop.it

As we progress deeper into the digital age, the robust development and application of advanced artificial intelligence (AI) technology, specifically generative language models like ChatGPT (OpenAI), have potential implications in all sectors including medicine.

 

ChatGPT, a generative language model launched by OpenAI in November 2022 has essentially has essentially revolutionized the IT world.. What makes ChatGPT a promising tool is the vast amounts of data used in its training and its ability to generate human-like conversations covering diverse topics.

 

The unprecedented capacity of ChatGPT to generate human-like responses, refined through Reinforcement Learning with Human Feedback, could significantly reshape the pedagogical methodologies within medical education.

 

The use of AI in medicine, including the use of generative language models, is often accompanied by challenges and contentions. Some common challenges include privacy, data security, algorithmic transparency and explainability, errors and liability, as well as regulatory issues associated with AI medicine.

 

Lately, the use of generative language models in scientific writing has also stirred up controversies in the academic and publishing communities. Some journals have declined ChatGPT as a coauthor, whereas others have happily accepted manuscripts authored by ChatGPT

 

Through a comprehensive review and the authors’ personal experiences, this viewpoint article elucidates the pros, cons, and ethical considerations of using ChatGPT within clinical medicine and notably, its implications for medical education.

 

This exploration is crucial in a transformative era where AI could potentially augment human capability in the process of knowledge creation and dissemination, potentially revolutionizing medical education and clinical practice.

 

The importance of maintaining academic integrity and professional standards is highlighted. The relevance of establishing clear guidelines for the responsible and ethical use of AI technologies in clinical medicine and medical education is also emphasized.

 

read the whole article at https://mededu.jmir.org/2023/1/e47274

 

Daniel Fonkeng's curator insight, March 30, 4:29 AM
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mHealth platforms are helping healthcare providers with Quick Access to Decision Support Resources

mHealth platforms are helping healthcare providers with Quick Access to Decision Support Resources | healthcare technology | Scoop.it

Healthcare providers who access clinical decision support through mHealth platforms are finding a world of information at their fingertips – and they could be saving lives.

 

Digital technologies are changing the way medical information is gathered and exchanged.  Physicians of all ages and medical subspecialties from across the globe are utilizing tools to discuss potential diagnoses and obtain second opinions.

 

That’s the takeaway from researchers at the Scripps Research Translational Institute who took a closer look at online crowdsourced consult platforms.

 

Their conclusion is that these platforms, which include social media networks like SERMO, Medscape and HealthTap, are giving providers quick access to information that’s helping them reduce serious, costly and potentially deadly medical errors.

 

The study, focusing on an analysis of more than 37,000 active users on the MedScape Consult network between 2015 and 2017, appears in a recent issue of NPJ Digital Medicine.

 

The research points to the value of a mobile health resource for clinical decision support, giving providers a real-time portal for physician-to-physician engagement. Billed as a source for “the second to hundredth opinion in medicine,” these portals allow providers to gather best practices and apply them quickly, reducing the chances of a clinical error.

 

The study also points to the changing nature of clinical decision support.The study noted that providers can’t necessarily rely on informal face-to-face consults with colleagues – commonly known as curbside consults – because they’re “frequently inaccurate and incomplete.” Yet they can’t just call up a nearby specialist at a moment’s notice.

 

The study found that : "At a time when we’re turning to artificial intelligence to help improve diagnostic accuracy, there’s still plenty of room for tapping into human intelligence via such medical consulting platforms, Artificial intelligence has been advocated as the definitive pathway for reducing misdiagnosis, But the study's findings suggest the potential for collective human intelligence, which is algorithm-free and performed rapidly on a voluntary basis, to emerge as a competitive or complementary strategy."

 

 

nrip's insight:

Well how surprising! Collective human intelligence still works :)

 

For us, its not surprising. As I been posting in my articles, speaking at my talks and offering my $0.02 in my insights,  for all the talk of AI and Deep Learning, I feel technology's best use in healthcare is in automation of processes and improving communication and collaboration.  And such studies show that we have lots of gain by building better tools to help clinicians communicate and collaborate better. Someday , AI "may" replace human intelligence, but not today and not anytime soon.

 

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Clinical Decision Support Alerts in EHR's - Pros and Cons

Clinical Decision Support Alerts in EHR's - Pros and Cons | healthcare technology | Scoop.it

Clinical decision support (CDS) alerts may not seem significant on the surface, but these alerts have the potential to save patient lives.

 

CDS alerts permit clinicians to access real-time patient data, ideally resulting in enhanced patient safety and medication accuracy. CDS alerts can also notify clinicians about potential patient warnings to prevent errors and additional adverse drug events from occurring.

 

While EHRs are directly associated with clinician burnout, CDS tools aim to aid clinicians.

 

CDS “provides clinicians, staff, patients or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times, to enhance health and health care.”

 

The  benefits they offer include:

 

Identifying Adverse Drug Events

Promoting Patient Safety

Improving Patient Awareness,

Improve Provider-Patient Communication

 

Where they have been found to be ineffective in current times -

Alert Fatigue and Low-Value Alerts

Failure to Detect Medication Errors

Commercial Influence

 

CDS alerts are an imperfect EHR tool with several pros and cons. But increased stakeholder research could minimize the number of negatives and expand the number of positives.

 

Read the whole article at https://ehrintelligence.com/news/the-pros-and-cons-of-ehr-clinical-decision-support-alerts

 

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Enhancing Patient Care with Clinical Documentation Improvement

Enhancing Patient Care with Clinical Documentation Improvement | healthcare technology | Scoop.it

Clinical documentation improvement (CDI) ensures that health services are accurately documented and helps healthcare coders and physicians work toward improved patient care while also streamlining productivity.

 

When meaningful clinical data is captured, organizations can ensure improved quality reporting, clinician productivity, and even better clinical information delivered at the point of care.

 

Phoenix Children’s Hospital recently opted for CDI at its outpatient clinics with Medicomp Systems.

 

It’s important to help physicians make patient care faster, safer, and more efficient.

 

Every single symptom, sign, medication, surgery, drug, operation procedure, almost a repository of more than 360,000 terms, they have structured and coded with every possible common coding schema, such as ICD-10,” he continued.

 

Having 360,000 terms can be overwhelming, but they were built along disease patterns. If a physician entered that a patient had asthma, or tried to research asthma in the database, it went out to all related items that were related to asthma and it brought them together in a manner of an automatic template that was a quick, rapid initial draft.

 

There is no magic formula with clinical documentation and finding an applicable system for an organization.

“You cannot take shortcuts. You cannot not capture things that are critical and essential,”

 

ScientificAnimations's comment, May 22, 2018 8:46 AM
Blockchain is a system that makes health information accessible to doctors from anywhere, anytime, and on any electronic medical system. http://sco.lt/5yVeuP