{"title":"像 ChatGPT 这样的大型语言模型大有可为,但人工智能的临床应用需要医生的合作,以实现患者护理、行政负担最小化、效率最大化和风险最小化。","authors":"Prem N Ramkumar, Joshua J Woo","doi":"10.1016/j.arthro.2024.08.029","DOIUrl":null,"url":null,"abstract":"<p><p>Forcing ChatGPT and other large language models to perform roles reserved for physicians and other healthcare professionals - namely evaluation, management, and triage - poses a threat from regulatory, risk management, and professional perspectives. The clinical practice of medicine would benefit tremendously from automated administrative support with systems-based transparency and fluidity - not substitution for clinical diagnostics and decision-making. ChatGPT and other large language models are not intended or authorized for clinical use, let alone to be tested or rubber stamped for this application. The best clinical use cases of artificial intelligence require physician partnership to enable personal care, minimize administrative burden, maximize efficiency, and minimize risk - without substitution of core physician tasks.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":null,"pages":null},"PeriodicalIF":4.4000,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Large Language Models Like ChatGPT Show Promise, but Clinical Use of Artificial Intelligence Requires Physician Partnership to Enable Patient Care, Minimize Administrative Burden, Maximize Efficiency, and Minimize Risk.\",\"authors\":\"Prem N Ramkumar, Joshua J Woo\",\"doi\":\"10.1016/j.arthro.2024.08.029\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Forcing ChatGPT and other large language models to perform roles reserved for physicians and other healthcare professionals - namely evaluation, management, and triage - poses a threat from regulatory, risk management, and professional perspectives. The clinical practice of medicine would benefit tremendously from automated administrative support with systems-based transparency and fluidity - not substitution for clinical diagnostics and decision-making. ChatGPT and other large language models are not intended or authorized for clinical use, let alone to be tested or rubber stamped for this application. The best clinical use cases of artificial intelligence require physician partnership to enable personal care, minimize administrative burden, maximize efficiency, and minimize risk - without substitution of core physician tasks.</p>\",\"PeriodicalId\":55459,\"journal\":{\"name\":\"Arthroscopy-The Journal of Arthroscopic and Related Surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":4.4000,\"publicationDate\":\"2024-08-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Arthroscopy-The Journal of Arthroscopic and Related Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.arthro.2024.08.029\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.arthro.2024.08.029","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Large Language Models Like ChatGPT Show Promise, but Clinical Use of Artificial Intelligence Requires Physician Partnership to Enable Patient Care, Minimize Administrative Burden, Maximize Efficiency, and Minimize Risk.
Forcing ChatGPT and other large language models to perform roles reserved for physicians and other healthcare professionals - namely evaluation, management, and triage - poses a threat from regulatory, risk management, and professional perspectives. The clinical practice of medicine would benefit tremendously from automated administrative support with systems-based transparency and fluidity - not substitution for clinical diagnostics and decision-making. ChatGPT and other large language models are not intended or authorized for clinical use, let alone to be tested or rubber stamped for this application. The best clinical use cases of artificial intelligence require physician partnership to enable personal care, minimize administrative burden, maximize efficiency, and minimize risk - without substitution of core physician tasks.
期刊介绍:
Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.