The integration of large language models (LLMs), such as those in the Generative Pre-trained Transformers (GPT) series, into medical education has the potential to transform learning experiences for students and elevate their knowledge, skills, and competence. Drawing on a wealth of professional and academic experience, we propose that LLMs hold promise for revolutionizing medical curriculum development, teaching methodologies, personalized study plans and learning materials, student assessments, and more. However, we also critically examine the challenges that such integration might pose by addressing issues of algorithmic bias, overreliance, plagiarism, misinformation, inequity, privacy, and copyright concerns in medical education. As we navigate the shift from an information-driven educational paradigm to an artificial intelligence (AI)–driven educational paradigm, we argue that it is paramount to understand both the potential and the pitfalls of LLMs in medical education. This paper thus offers our perspective on the opportunities and challenges of using LLMs in this context. We believe that the insights gleaned from this analysis will serve as a foundation for future recommendations and best practices in the field, fostering the responsible and effective use of AI technologies in medical education.
In Ireland, the most common method of disposal of dairy parlour washings is by land spreading. This treatment method has numerous problems, namely high-labour requirements and the potential for eutrophication of surface and ground waters. Constructed wetlands are commonly used for treatment of secondary municipal wastewaters and they have been gaining popularity for treatment of agricultural wastewaters in Ireland. Intermittent sand filtration may offer an alternative to traditional treatment methods. As well as providing comparable treatment performance, they also have a smaller footprint, due to the substantially higher organic loading rates that may be applied to their surfaces. This paper discusses the performance and design criteria of constructed wetlands for the treatment of domestic and agricultural wastewater, and sand filters for the treatment of domestic wastewater. It also proposes sand filtration as an alternative treatment mechanism for agricultural wastewater and suggests design guidelines.
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