Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden
Digital Psychiatry, Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
BMJ Health Care Inform. 2024 Sep 17;31(1):e101102. doi: 10.1136/bmjhci-2024-101102.
Following the launch of ChatGPT in November 2022, interest in large language model-powered chatbots has soared with increasing focus on the clinical potential of these tools. We sought to measure general practitioners' (GPs) current use of this new generation of chatbots to assist with any aspect of clinical practice in the UK.
An online survey was distributed to a non-probability sample of GPs registered with the clinician marketing service Doctors.net.uk. The study was launched as a monthly 'omnibus survey' which has a predetermined sample size of 1000 participants.
531 (53%) respondents were men, 544 (54%) were 46 years or older. 20% (205) reported using generative artificial intelligence (AI) tools in clinical practice; of those who answered affirmatively and were invited to clarify further, 29% (47) reported using these tools to generate documentation after patient appointments and 28% (45) to suggest a differential diagnosis.
Administered a year after ChatGPT was launched, this is the largest survey we know of conducted into doctors' use of generative AI in clinical practice. Findings suggest that GPs may derive value from these tools, particularly with administrative tasks and to support clinical reasoning.
Despite a lack of guidance about these tools and unclear work policies, GPs report using generative AI to assist with their job. The medical community will need to find ways to both educate physicians and trainees and guide patients about the safe adoption of these tools.
自 2022 年 11 月 ChatGPT 推出以来,人们对大型语言模型驱动的聊天机器人的兴趣大增,越来越关注这些工具的临床潜力。我们试图衡量全科医生(GP)在英国临床实践的任何方面使用新一代聊天机器人的情况。
我们向 Doctors.net.uk 临床医生营销服务注册的非概率样本全科医生分发了在线调查。该研究作为每月的“综合调查”启动,其预定样本量为 1000 名参与者。
531 名(53%)受访者为男性,544 名(54%)年龄在 46 岁或以上。20%(205 名)报告在临床实践中使用生成式人工智能(AI)工具;在那些回答肯定并被邀请进一步澄清的人中,29%(47 名)报告在就诊后使用这些工具生成文件,28%(45 名)报告使用这些工具支持临床推理以提出鉴别诊断。
这是我们所知的在 ChatGPT 推出一年后进行的最大规模的医生在临床实践中使用生成式 AI 的调查。调查结果表明,全科医生可能从这些工具中获得价值,特别是在行政任务和支持临床推理方面。
尽管缺乏关于这些工具的指导和明确的工作政策,全科医生报告使用生成式 AI 来帮助他们的工作。医疗界将需要找到教育医生和培训生并指导患者安全采用这些工具的方法。