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理解和培训大语言模型和人工智能在医疗实践中的影响:叙事性综述。

Understanding and training for the impact of large language models and artificial intelligence in healthcare practice: a narrative review.

机构信息

Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.

Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.

出版信息

BMC Med Educ. 2024 Oct 7;24(1):1096. doi: 10.1186/s12909-024-06048-z.

DOI:10.1186/s12909-024-06048-z
PMID:39375721
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11459854/
Abstract

Reports of Large Language Models (LLMs) passing board examinations have spurred medical enthusiasm for their clinical integration. Through a narrative review, we reflect upon the skill shifts necessary for clinicians to succeed in an LLM-enabled world, achieving benefits while minimizing risks. We suggest how medical education must evolve to prepare clinicians capable of navigating human-AI systems.

摘要

大语言模型(LLM)通过专业考试的报告激发了医学界将其临床应用的热情。通过叙述性回顾,我们反思了临床医生在 LLM 支持的世界中取得成功所需的技能转变,在实现收益的同时将风险最小化。我们建议医学教育必须如何发展,以培养能够驾驭人机系统的临床医生。

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本文引用的文献

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2
Large language models to identify social determinants of health in electronic health records.利用大语言模型识别电子健康记录中的健康社会决定因素。
NPJ Digit Med. 2024 Jan 11;7(1):6. doi: 10.1038/s41746-023-00970-0.
3
The Impact of Multimodal Large Language Models on Health Care's Future.多模态大型语言模型对医疗保健未来的影响。
J Med Internet Res. 2023 Nov 2;25:e52865. doi: 10.2196/52865.
4
Prompt Engineering as an Important Emerging Skill for Medical Professionals: Tutorial.医学专业人员的新兴技能:提示工程教程
J Med Internet Res. 2023 Oct 4;25:e50638. doi: 10.2196/50638.
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Harnessing the Power of Large Language Models (LLMs) for Electronic Health Records (EHRs) Optimization.利用大语言模型(LLMs)的力量优化电子健康记录(EHRs)
Cureus. 2023 Jul 29;15(7):e42634. doi: 10.7759/cureus.42634. eCollection 2023 Jul.
6
Medical transformer for multimodal survival prediction in intensive care: integration of imaging and non-imaging data.用于重症监护多模态生存预测的医疗变压器:成像和非成像数据的集成。
Sci Rep. 2023 Jul 1;13(1):10666. doi: 10.1038/s41598-023-37835-1.
7
A transformer-based representation-learning model with unified processing of multimodal input for clinical diagnostics.一种基于变压器的表示学习模型,可统一处理临床诊断的多模态输入。
Nat Biomed Eng. 2023 Jun;7(6):743-755. doi: 10.1038/s41551-023-01045-x. Epub 2023 Jun 12.
8
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