Mondal Himel, Karri Juhu Kiran Krushna, Ramasubramanian Swaminathan, Mondal Shaikat, Juhi Ayesha, Gupta Pratima
Department of Physiology, All India Institute of Medical Sciences, Deoghar, Jharkhand, India.
Department of Internal Medicine, All India Institute of Medical Sciences, Mangalagiri, India.
Adv Physiol Educ. 2025 Mar 1;49(1):27-36. doi: 10.1152/advan.00088.2024. Epub 2024 Oct 24.
Large language models (LLMs)-based chatbots use natural language processing and are a type of generative artificial intelligence (AI) that is capable of comprehending user input and generating output in various formats. They offer potential benefits in medical education. This study explored the student's feedback on the utilization of LLMs in medical education. We conducted an in-depth interview with open-ended questions with Indian medical students via telephone conversation. The recording (average time: 55.28 ± 18.04 min) was transcribed and thematically analyzed to find major themes and subthemes. We used QDA Miner Lite v.2.0.8 (Provalis Research, Montreal, Canada) for the thematic analysis of the text. A total of 25 students from eight Indian states studying from the first to final year of studies participated in this study. Three major themes were identified: usage scenario, augmented learning, and limitation of LLMs. Students use LLMs for clarifying complex topics, searching for customized answers, solving multiple-choice questions, making simplified notes, and streamlining assignments. While they appreciated the ease of access, ready reference for getting clarity on doubts, lucid explanation of questions, and time-saving aspects of LLMs, concerns were raised regarding erroneous results, limited usage due to reliability and privacy issues, and the overreliance on chatbots for educational needs. Hence, they emphasized the need for training for the integration of LLM in medical education. In conclusion, according to students' perception, LLMs have the potential to enhance medical education. However, addressing challenges and leveraging the strengths of LLMs are crucial for optimizing their integration into medical education. The study demonstrates the student's perspective on the role of large language models (LLM)-based chatbots in medical education. Students' responses generated three major themes of various usage scenarios, how LLMs can enhance learning, and the ethical considerations in the integration of LLMs into medical curricula. By identifying both the benefits and limitations of LLMs in medical education, the study offers insights for educators and policymakers to navigate the complexities of LLM in educational settings.
基于大语言模型(LLMs)的聊天机器人使用自然语言处理,是一种生成式人工智能(AI),能够理解用户输入并以各种格式生成输出。它们在医学教育中具有潜在的益处。本研究探讨了学生对在医学教育中使用大语言模型的反馈。我们通过电话访谈对印度医学生进行了开放式问题的深入访谈。对录音(平均时长:55.28 ± 18.04分钟)进行转录并进行主题分析,以找出主要主题和子主题。我们使用QDA Miner Lite v.2.0.8(加拿大蒙特利尔的Provalis Research公司)对文本进行主题分析。来自印度八个邦的25名从一年级到最后一年学习的学生参与了本研究。确定了三个主要主题:使用场景、增强学习以及大语言模型的局限性。学生使用大语言模型来澄清复杂主题、搜索定制答案、解决多项选择题、制作简化笔记以及简化作业。虽然他们赞赏大语言模型易于获取、便于随时参考以消除疑问、对问题解释清晰以及节省时间等方面,但也有人对错误结果、由于可靠性和隐私问题导致的使用受限以及在教育需求方面过度依赖聊天机器人表示担忧。因此,他们强调了在医学教育中对整合大语言模型进行培训的必要性。总之,根据学生的看法,大语言模型有增强医学教育的潜力。然而,应对挑战并利用大语言模型的优势对于优化其在医学教育中的整合至关重要。该研究展示了学生对基于大语言模型(LLM)的聊天机器人在医学教育中作用的看法。学生的回答产生了各种使用场景、大语言模型如何增强学习以及将大语言模型整合到医学课程中的伦理考量这三个主要主题。通过识别大语言模型在医学教育中的益处和局限性,该研究为教育工作者和政策制定者在教育环境中应对大语言模型的复杂性提供了见解。