I Asked a ChatGPT to Write an Editorial About How We Can Incorporate Chatbots Into Neurosurgical Research and Patient Care…

D’Amico, Randy S.; White, Timothy G; Shah, Harshal A.; Langer, David

doi:10.1227/neu.0000000000002414

Cited by 76 publications

(74 citation statements)

References 16 publications

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“…Moreover, ChatGPT showed moderate accuracy in determining the imaging steps needed in breast cancer screening and in the evaluation of breast pain, which can be a promising application in decision making in radiology [ 69 ]. ChatGPT in health care settings also has the prospects of refining personalized medicine and the ability to improve health literacy by providing easily accessible and understandable health information to the general public [ 30 , 32 , 59 , 73 , 74 ]. This utility was demonstrated by ChatGPT responses, highlighting the need to consult health care providers among other reliable sources on specific situations [ 16 , 54 ].…”

Section: Discussionmentioning

confidence: 99%

“…Ethical issues including the risk of bias and transparency issues appeared as recurring major concerns [ 51 , 68 , 69 , 77 ]. Additionally, the generation of inaccurate content can have severe negative consequences in health care; therefore, this valid concern should be cautiously considered in health care practice [ 30 , 32 , 53 , 84 ]. This concern also extends to involve the ability of ChatGPT to provide justification for incorrect decisions [ 69 ].…”

Section: Discussionmentioning

confidence: 99%

“…Importantly, the current LLMs including ChatGPT are unable to comprehend the complexity of biologic systems, which is an important concept needed in health care decisions and research [ 52 , 68 ]. The concerns regarding data governance, health care cybersecurity, and data privacy should draw specific attention in the discussion regarding the utility of LLMs in health care [ 32 , 39 , 53 ].…”

Section: Discussionmentioning

confidence: 99%

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ChatGPT Utility in Healthcare Education, Research, and Practice: Systematic Review on the Promising Perspectives and Valid Concerns

2023

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ChatGPT is an artificial intelligence (AI)-based conversational large language model (LLM). The potential applications of LLMs in health care education, research, and practice could be promising if the associated valid concerns are proactively examined and addressed. The current systematic review aimed to investigate the utility of ChatGPT in health care education, research, and practice and to highlight its potential limitations. Using the PRIMSA guidelines, a systematic search was conducted to retrieve English records in PubMed/MEDLINE and Google Scholar (published research or preprints) that examined ChatGPT in the context of health care education, research, or practice. A total of 60 records were eligible for inclusion. Benefits of ChatGPT were cited in 51/60 (85.0%) records and included: (1) improved scientific writing and enhancing research equity and versatility; (2) utility in health care research (efficient analysis of datasets, code generation, literature reviews, saving time to focus on experimental design, and drug discovery and development); (3) benefits in health care practice (streamlining the workflow, cost saving, documentation, personalized medicine, and improved health literacy); and (4) benefits in health care education including improved personalized learning and the focus on critical thinking and problem-based learning. Concerns regarding ChatGPT use were stated in 58/60 (96.7%) records including ethical, copyright, transparency, and legal issues, the risk of bias, plagiarism, lack of originality, inaccurate content with risk of hallucination, limited knowledge, incorrect citations, cybersecurity issues, and risk of infodemics. The promising applications of ChatGPT can induce paradigm shifts in health care education, research, and practice. However, the embrace of this AI chatbot should be conducted with extreme caution considering its potential limitations. As it currently stands, ChatGPT does not qualify to be listed as an author in scientific articles unless the ICMJE/COPE guidelines are revised or amended. An initiative involving all stakeholders in health care education, research, and practice is urgently needed. This will help to set a code of ethics to guide the responsible use of ChatGPT among other LLMs in health care and academia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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ChatGPT Utility in Healthcare Education, Research, and Practice: Systematic Review on the Promising Perspectives and Valid Concerns

2023

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“…Moreover, ChatGPT showed moderate accuracy to determine the imaging steps needed in breast cancer screening and evaluation of breast pain which can be a promising application in decision making in radiology [50]. There is also the prospects of personalized medicine and improved health literacy by providing easily accessible and understandable health information for the general public [52,54,59,61,72]. This utility was demonstrated by ChatGPT responses highlighting the need to consult healthcare providers among other reliable sources on specific situations [16,56].…”

Section: Discussionmentioning

confidence: 99%

The Utility of ChatGPT as an Example of Large Language Models in Healthcare Education, Research and Practice: Systematic Review on the Future Perspectives and Potential Limitations

Sallam¹

2023

Preprint

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An artificial intelligence (AI)-based conversational large language model (LLM) was launched in November 2022 namely, “ChatGPT”. Despite the wide array of potential applications of LLMs in healthcare education, research and practice, several valid concerns were raised. The current systematic review aimed to investigate the possible utility of ChatGPT and to highlight its limitations in healthcare education, research and practice. Using the PRIMSA guidelines, a systematic search was conducted to retrieve English records in PubMed/MEDLINE and Google Scholar under the term “ChatGPT”. Eligibility criteria included the published research or preprints of any type that discussed ChatGPT in the context of healthcare education, research and practice. A total of 280 records were identified, and following full screening, a total of 60 records were eligible for inclusion. Benefits/applications of ChatGPT were cited in 51/60 (85.0%) records with the most common being the utility in scientific writing followed by benefits in healthcare research (efficient analysis of massive datasets, code generation and rapid concise literature reviews besides utility in drug discovery and development). Benefits in healthcare practice included cost saving, documentation, personalized medicine and improved health literacy. Concerns/possible risks of ChatGPT use were expressed in 58/60 (96.7%) records with the most common being the ethical issues including the risk of bias, plagiarism, copyright issues, transparency issues, legal issues, lack of originality, incorrect responses, limited knowledge, and inaccurate citations. Despite the promising applications of ChatGPT which can result in paradigm shifts in healthcare education, research and practice, the embrace of this application should be done with extreme caution. Specific applications of ChatGPT in health education include the promising utility in personalized learning tools and shift towards more focus on critical thinking and problem-based learning. In healthcare practice, ChatGPT can be valuable for streamlining the workflow and refining personalized medicine. Saving time for the focus on experimental design and enhancing research equity and versatility are the benefits in scientific research. Regarding authorship in scientific articles, as it currently stands, ChatGPT does not qualify to be listed as an author unless the ICJME/COPE guidelines are revised and amended. An initiative involving all stakeholders involved in healthcare education, research and practice is urgently needed to set a code of ethics and conduct on the responsible practices involving ChatGPT among other LLMs.

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“…ChatGPT's incredible capabilities derive specifically from this two-part construction, taking advantage of GPT3's incredible modeling of human language while fine-tuning it to generate new text that is conversational and responsive to human feedback. In their paper in this issue of Neurosurgery , D'Amico et al 7 asked the obvious question, “How can ChatGPT be incorporated into neurosurgical practice?” Appropriately, they asked this question of ChatGPT itself and reported ChatGPT's response as well as their own commentary on it.…”

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confidence: 99%

On Chatbots and Generative Artificial Intelligence

Oermann

Kondziolka

2023

Neurosurgery

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I Asked a ChatGPT to Write an Editorial About How We Can Incorporate Chatbots Into Neurosurgical Research and Patient Care…

Cited by 76 publications

References 16 publications

ChatGPT Utility in Healthcare Education, Research, and Practice: Systematic Review on the Promising Perspectives and Valid Concerns

ChatGPT Utility in Healthcare Education, Research, and Practice: Systematic Review on the Promising Perspectives and Valid Concerns

The Utility of ChatGPT as an Example of Large Language Models in Healthcare Education, Research and Practice: Systematic Review on the Future Perspectives and Potential Limitations

On Chatbots and Generative Artificial Intelligence

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