提高医科学生的临床推理能力:风湿病学中由 LLM 驱动的社交机器人与基于计算机的虚拟病人的定性比较。

IF 3.2 3区 医学 Q2 RHEUMATOLOGY
Rheumatology International Pub Date : 2024-12-01 Epub Date: 2024-10-16 DOI:10.1007/s00296-024-05731-0
Alexander Borg, Benjamin Jobs, Viking Huss, Cidem Gentline, Fabricio Espinosa, Mini Ruiz, Samuel Edelbring, Carina Georg, Gabriel Skantze, Ioannis Parodis
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引用次数: 0

摘要

医学教育中越来越多地使用虚拟病人(VP)来训练临床推理(CR)技能。然而,增强互动性和真实性的最佳虚拟病人设计仍不明确。新颖的互动模式,如大语言模型(LLM)增强型社交机器人虚拟病人,可能会增加临床推理技能练习中的互动性和真实性。与传统的基于计算机的 VP 平台相比,评估医学生对使用 LLM 增强型社交机器人 VP 平台进行 CR 培训的看法。一项定性研究涉及 23 名来自卡罗林斯卡医学院的三年级医学生,他们在 LLM 增强型社交机器人平台和基于计算机的半线性平台上完成了 VP 案例。深入访谈评估了学生使用这两个平台获得 CR 技能的自我认知情况。采用主题分析法确定主题和次主题。确定了三大主题:真实性、VP 应用以及优势和局限性。学生认为社交机器人平台更真实、更吸引人。它实现了高度互动的交流,表达了情感,共同提供了逼真的体验。它促进了主动学习、假设生成和适应性思维。不足之处包括缺乏体格检查选项,偶尔会出现机械对话。与传统的基于计算机的平台相比,LLM 增强型社交机器人 VP 平台提供了更真实、更互动的学习体验。尽管存在一些局限性,但它在训练 CR 技能、交流和适应性思维方面还是大有可为的。社交机器人虚拟人机界面可以为医科学生提供有用、安全的学习环境,让他们接触多样化、高度互动的病人模拟。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhancing clinical reasoning skills for medical students: a qualitative comparison of LLM-powered social robotic versus computer-based virtual patients within rheumatology.

Virtual patients (VPs) are increasingly used in medical education to train clinical reasoning (CR) skills. However, optimal VP design for enhancing interactivity and authenticity remains unclear. Novel interactive modalities, such as large language model (LLM)-enhanced social robotic VPs might increase interactivity and authenticity in CR skill practice. To evaluate medical students' perceptions of CR training using an LLM-enhanced social robotic VP platform compared with a conventional computer-based VP platform. A qualitative study involved 23 third-year medical students from Karolinska Institutet, who completed VP cases on an LLM-enhanced social robotic platform and a computer-based semi-linear platform. In-depth interviews assessed students' self-perceived acquirement of CR skills using the two platforms. Thematic analysis was employed to identify themes and sub-themes. Three main themes were identified: authenticity, VP application, and strengths and limitations. Students found the social robotic platform more authentic and engaging. It enabled highly interactive communication and expressed emotions, collectively offering a realistic experience. It facilitated active learning, hypothesis generation, and adaptive thinking. Limitations included lack of physical examination options and, occasionally, mechanical dialogue. The LLM-enhanced social robotic VP platform offers a more authentic and interactive learning experience compared to the conventional computer-based platform. Despite some limitations, it shows promise in training CR skills, communication, and adaptive thinking. Social robotic VPs may prove useful and safe learning environments for exposing medical students to diverse, highly interactive patient simulations.

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来源期刊
Rheumatology International
Rheumatology International 医学-风湿病学
CiteScore
7.30
自引率
5.00%
发文量
191
审稿时长
16. months
期刊介绍: RHEUMATOLOGY INTERNATIONAL is an independent journal reflecting world-wide progress in the research, diagnosis and treatment of the various rheumatic diseases. It is designed to serve researchers and clinicians in the field of rheumatology. RHEUMATOLOGY INTERNATIONAL will cover all modern trends in clinical research as well as in the management of rheumatic diseases. Special emphasis will be given to public health issues related to rheumatic diseases, applying rheumatology research to clinical practice, epidemiology of rheumatic diseases, diagnostic tests for rheumatic diseases, patient reported outcomes (PROs) in rheumatology and evidence on education of rheumatology. Contributions to these topics will appear in the form of original publications, short communications, editorials, and reviews. "Letters to the editor" will be welcome as an enhancement to discussion. Basic science research, including in vitro or animal studies, is discouraged to submit, as we will only review studies on humans with an epidemological or clinical perspective. Case reports without a proper review of the literatura (Case-based Reviews) will not be published. Every effort will be made to ensure speed of publication while maintaining a high standard of contents and production. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.
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