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人工智能工具在降低医学不确定性方面的潜力和医学教育方向。

The Potential of Artificial Intelligence Tools for Reducing Uncertainty in Medicine and Directions for Medical Education.

机构信息

Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.

Department of Computer Science, Temerty Centre for AI Research and Education in Medicine, University of Toronto, 27 King's College Circle, Toronto, ON, M5S 1A1, Canada, 1 6478922470.

出版信息

JMIR Med Educ. 2024 Nov 4;10:e51446. doi: 10.2196/51446.

Abstract

In the field of medicine, uncertainty is inherent. Physicians are asked to make decisions on a daily basis without complete certainty, whether it is in understanding the patient's problem, performing the physical examination, interpreting the findings of diagnostic tests, or proposing a management plan. The reasons for this uncertainty are widespread, including the lack of knowledge about the patient, individual physician limitations, and the limited predictive power of objective diagnostic tools. This uncertainty poses significant problems in providing competent patient care. Research efforts and teaching are attempts to reduce uncertainty that have now become inherent to medicine. Despite this, uncertainty is rampant. Artificial intelligence (AI) tools, which are being rapidly developed and integrated into practice, may change the way we navigate uncertainty. In their strongest forms, AI tools may have the ability to improve data collection on diseases, patient beliefs, values, and preferences, thereby allowing more time for physician-patient communication. By using methods not previously considered, these tools hold the potential to reduce the uncertainty in medicine, such as those arising due to the lack of clinical information and provider skill and bias. Despite this possibility, there has been considerable resistance to the implementation of AI tools in medical practice. In this viewpoint article, we discuss the impact of AI on medical uncertainty and discuss practical approaches to teaching the use of AI tools in medical schools and residency training programs, including AI ethics, real-world skills, and technological aptitude.

摘要

在医学领域,不确定性是固有的。医生每天都需要在没有完全确定的情况下做出决策,无论是在理解患者的问题、进行体格检查、解释诊断测试结果还是提出治疗方案方面。造成这种不确定性的原因有很多,包括对患者的了解不足、医生个体的局限性以及客观诊断工具的预测能力有限。这种不确定性在提供有能力的患者护理方面带来了重大问题。研究努力和教学是减少不确定性的尝试,现在已成为医学的固有组成部分。尽管如此,不确定性仍然普遍存在。人工智能 (AI) 工具正在迅速发展并融入实践,可能会改变我们处理不确定性的方式。在其最强形式下,AI 工具可能有能力改善对疾病、患者信念、价值观和偏好的数据收集,从而为医患沟通留出更多时间。这些工具通过使用以前未考虑过的方法,有可能减少医学中的不确定性,例如由于缺乏临床信息和提供者技能和偏见而产生的不确定性。尽管存在这种可能性,但在医疗实践中实施 AI 工具仍然面临相当大的阻力。在这篇观点文章中,我们讨论了 AI 对医学不确定性的影响,并讨论了在医学院和住院医师培训计划中教授使用 AI 工具的实用方法,包括 AI 伦理、现实世界技能和技术能力。

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