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Abstract
ABSTRACT ChatGPT and other artificial intelligence word prediction large database models are now readily available to the public. Program directors should be aware of the general features of this technology and consider its effect in graduate medical education, including the preparation of materials such as personal statements. The authors provide a sample ChatGPT-generated personal statement and general considerations for program directors and other graduate medical education stakeholders. The authors advocate that programs and applicants will be best served by transparent expectations about how/if programs will accept application materials created using artificial intelligence, starting with this application cycle. Graduate medical education will have many additional factors to consider for the innovative use and safeguards for the ethical application of artificial intelligence in clinical care and educational processes. However, the exponential increase in the application of this technology requires an urgent review for appropriate management of program procedures, iteration of policies, and a meaningful national discussion.
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Affiliation(s)
- Jennifer M Zumsteg
- From the UW Medicine Valley Medical Center, Renton, Washington (JMZ); Division of Rehabilitation Psychology and Neuropsychology, Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Washington (JMZ); and Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Washington (CJ)
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202
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Bhatia G, Kulkarni A. ChatGPT as Co-author: Are researchers impressed or distressed? Asian J Psychiatr 2023; 84:103564. [PMID: 36989732 DOI: 10.1016/j.ajp.2023.103564] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 03/14/2023] [Accepted: 03/17/2023] [Indexed: 03/31/2023]
Affiliation(s)
- Gayatri Bhatia
- Department of Psychiatry, All India Institute of Medical Sciences, Rajkot, India.
| | - Alok Kulkarni
- Department of Psychiatry, S.S. Institute of Medical Sciences, Davanagere, India.
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203
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Hallsworth JE, Udaondo Z, Pedrós‐Alió C, Höfer J, Benison KC, Lloyd KG, Cordero RJB, de Campos CBL, Yakimov MM, Amils R. Scientific novelty beyond the experiment. Microb Biotechnol 2023; 16:1131-1173. [PMID: 36786388 PMCID: PMC10221578 DOI: 10.1111/1751-7915.14222] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 01/09/2023] [Accepted: 01/11/2023] [Indexed: 02/15/2023] Open
Abstract
Practical experiments drive important scientific discoveries in biology, but theory-based research studies also contribute novel-sometimes paradigm-changing-findings. Here, we appraise the roles of theory-based approaches focusing on the experiment-dominated wet-biology research areas of microbial growth and survival, cell physiology, host-pathogen interactions, and competitive or symbiotic interactions. Additional examples relate to analyses of genome-sequence data, climate change and planetary health, habitability, and astrobiology. We assess the importance of thought at each step of the research process; the roles of natural philosophy, and inconsistencies in logic and language, as drivers of scientific progress; the value of thought experiments; the use and limitations of artificial intelligence technologies, including their potential for interdisciplinary and transdisciplinary research; and other instances when theory is the most-direct and most-scientifically robust route to scientific novelty including the development of techniques for practical experimentation or fieldwork. We highlight the intrinsic need for human engagement in scientific innovation, an issue pertinent to the ongoing controversy over papers authored using/authored by artificial intelligence (such as the large language model/chatbot ChatGPT). Other issues discussed are the way in which aspects of language can bias thinking towards the spatial rather than the temporal (and how this biased thinking can lead to skewed scientific terminology); receptivity to research that is non-mainstream; and the importance of theory-based science in education and epistemology. Whereas we briefly highlight classic works (those by Oakes Ames, Francis H.C. Crick and James D. Watson, Charles R. Darwin, Albert Einstein, James E. Lovelock, Lynn Margulis, Gilbert Ryle, Erwin R.J.A. Schrödinger, Alan M. Turing, and others), the focus is on microbiology studies that are more-recent, discussing these in the context of the scientific process and the types of scientific novelty that they represent. These include several studies carried out during the 2020 to 2022 lockdowns of the COVID-19 pandemic when access to research laboratories was disallowed (or limited). We interviewed the authors of some of the featured microbiology-related papers and-although we ourselves are involved in laboratory experiments and practical fieldwork-also drew from our own research experiences showing that such studies can not only produce new scientific findings but can also transcend barriers between disciplines, act counter to scientific reductionism, integrate biological data across different timescales and levels of complexity, and circumvent constraints imposed by practical techniques. In relation to urgent research needs, we believe that climate change and other global challenges may require approaches beyond the experiment.
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Affiliation(s)
- John E. Hallsworth
- Institute for Global Food Security, School of Biological SciencesQueen's University BelfastBelfastUK
| | - Zulema Udaondo
- Department of Biomedical InformaticsUniversity of Arkansas for Medical SciencesLittle RockArkansasUSA
| | - Carlos Pedrós‐Alió
- Department of Systems BiologyCentro Nacional de Biotecnología (CSIC)MadridSpain
| | - Juan Höfer
- Escuela de Ciencias del MarPontificia Universidad Católica de ValparaísoValparaísoChile
| | - Kathleen C. Benison
- Department of Geology and GeographyWest Virginia UniversityMorgantownWest VirginiaUSA
| | - Karen G. Lloyd
- Microbiology DepartmentUniversity of TennesseeKnoxvilleTennesseeUSA
| | - Radamés J. B. Cordero
- Department of Molecular Microbiology and ImmunologyJohns Hopkins Bloomberg School of Public HealthBaltimoreMarylandUSA
| | - Claudia B. L. de Campos
- Institute of Science and TechnologyUniversidade Federal de Sao Paulo (UNIFESP)São José dos CamposSPBrazil
| | | | - Ricardo Amils
- Department of Molecular Biology, Centro de Biología Molecular Severo Ochoa (CSIC‐UAM)Nicolás Cabrera n° 1, Universidad Autónoma de MadridMadridSpain
- Department of Planetology and HabitabilityCentro de Astrobiología (INTA‐CSIC)Torrejón de ArdozSpain
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204
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Shoja MM, Van de Ridder JMM, Rajput V. The Emerging Role of Generative Artificial Intelligence in Medical Education, Research, and Practice. Cureus 2023; 15:e40883. [PMID: 37492829 PMCID: PMC10363933 DOI: 10.7759/cureus.40883] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Accepted: 06/24/2023] [Indexed: 07/27/2023] Open
Abstract
Recent breakthroughs in generative artificial intelligence (GAI) and the emergence of transformer-based large language models such as Chat Generative Pre-trained Transformer (ChatGPT) have the potential to transform healthcare education, research, and clinical practice. This article examines the current trends in using GAI models in medicine, outlining their strengths and limitations. It is imperative to develop further consensus-based guidelines to govern the appropriate use of GAI, not only in medical education but also in research, scholarship, and clinical practice.
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Affiliation(s)
| | | | - Vijay Rajput
- Medical Education, Dr. Kiran C. Patel College of Allopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA
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205
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Abstract
The OpenAI chatbot ChatGPT is an artificial intelligence (AI) application that uses state-of-the-art language processing AI. It can perform a vast number of tasks, from writing poetry and explaining complex quantum mechanics, to translating language and writing research articles with a human-like understanding and legitimacy. Since its initial release to the public in November 2022, ChatGPT has garnered considerable attention due to its ability to mimic the patterns of human language, and it has attracted billion-dollar investments from Microsoft and PricewaterhouseCoopers. The scope of ChatGPT and other large language models appears infinite, but there are several important limitations. This editorial provides an introduction to the basic functionality of ChatGPT and other large language models, their current applications and limitations, and the associated implications for clinical practice and research.
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Affiliation(s)
- Kyle N Kunze
- Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, USA
| | - Seong J Jang
- Weill Cornell Medical College, New York, New York, USA
| | | | - Jonathan M Vigdorchik
- Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, USA
- Adult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, New York, New York, USA
| | - Fares S Haddad
- The Bone & Joint Journal , London, UK
- University College London Hospitals, and The NIHR Biomedical Research Centre at UCLH, London, UK
- Princess Grace Hospital, London, UK
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206
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Chavez MR, Butler TS, Rekawek P, Heo H, Kinzler WL. Chat Generative Pre-trained Transformer: why we should embrace this technology. Am J Obstet Gynecol 2023; 228:706-711. [PMID: 36924908 DOI: 10.1016/j.ajog.2023.03.010] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 03/06/2023] [Accepted: 03/06/2023] [Indexed: 03/17/2023]
Abstract
With the advent of artificial intelligence that not only can learn from us but also can communicate with us in plain language, humans are embarking on a brave new future. The interaction between humans and artificial intelligence has never been so widespread. Chat Generative Pre-trained Transformer is an artificial intelligence resource that has potential uses in the practice of medicine. As clinicians, we have the opportunity to help guide and develop new ways to use this powerful tool. Optimal use of any tool requires a certain level of comfort. This is best achieved by appreciating its power and limitations. Being part of the process is crucial in maximizing its use in our field. This clinical opinion demonstrates the potential uses of Chat Generative Pre-trained Transformer for obstetrician-gynecologists and encourages readers to serve as the driving force behind this resource.
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Affiliation(s)
- Martin R Chavez
- Division of Maternal-Fetal Medicine, Department of Obstetrics Gynecology, New York University Langone Hospital-Long Island, New York University Long Island School of Medicine, Mineola, NY.
| | - Thomas S Butler
- New York University Langone Reproductive Specialists of New York, New York University Langone Hospital-Long Island, New York University Langone Long Island School of Medicine, Mineola, New York
| | - Patricia Rekawek
- Division of Maternal-Fetal Medicine, Department of Obstetrics Gynecology, New York University Langone Hospital-Long Island, New York University Long Island School of Medicine, Mineola, NY
| | - Hye Heo
- Division of Maternal-Fetal Medicine, Department of Obstetrics Gynecology, New York University Langone Hospital-Long Island, New York University Long Island School of Medicine, Mineola, NY
| | - Wendy L Kinzler
- Division of Maternal-Fetal Medicine, Department of Obstetrics Gynecology, New York University Langone Hospital-Long Island, New York University Long Island School of Medicine, Mineola, NY
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207
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Fraser D. Who Wrote This Editorial? The Use of Artificial Intelligence-Generated Content in Nursing Literature. Neonatal Netw 2023; 42:115-117. [PMID: 37258288 DOI: 10.1891/nn-2023-0027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/05/2023] [Indexed: 06/02/2023]
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208
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Darkhabani M, Alrifaai MA, Elsalti A, Dvir YM, Mahroum N. ChatGPT and autoimmunity - A new weapon in the battlefield of knowledge. Autoimmun Rev 2023:103360. [PMID: 37211242 DOI: 10.1016/j.autrev.2023.103360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Accepted: 05/18/2023] [Indexed: 05/23/2023]
Abstract
The field of medical research has been always full of innovation and huge leaps revolutionizing the scientific world. In the recent years, we have witnessed this firsthand by the evolution of Artificial Intelligence (AI), with ChatGPT being the most recent example. ChatGPT is a language chat bot which generates human-like texts based on data from the internet. If viewed from a medical point view, ChatGPT has shown capabilities of composing medical texts similar to those depicted by experienced authors, to solve clinical cases, to provide medical solutions, among other fascinating performances. Nevertheless, the value of the results, limitations, and clinical implications still need to be carefully evaluated. In our current paper on the role of ChatGPT in clinical medicine, particularly in the field of autoimmunity, we aimed to illustrate the implication of this technology alongside the latest utilization and limitations. In addition, we included an expert opinion on the cyber-related aspects of the bot potentially contributing to the risks attributed to its use, alongside proposed defense mechanisms. All of that, while taking into consideration the rapidity of the continuous improvement AI experiences on a daily basis.
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Affiliation(s)
- Mohammad Darkhabani
- International School of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | | | - Abdulrahman Elsalti
- International School of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | | | - Naim Mahroum
- International School of Medicine, Istanbul Medipol University, Istanbul, Turkey.
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209
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Gottlieb M, Kline JA, Schneider AJ, Coates WC. ChatGPT and conversational artificial intelligence: Friend, foe, or future of research? Am J Emerg Med 2023; 70:81-83. [PMID: 37229893 DOI: 10.1016/j.ajem.2023.05.018] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 05/01/2023] [Accepted: 05/12/2023] [Indexed: 05/27/2023] Open
Abstract
Artificial intelligence (AI) and machine learning are increasingly utilized across healthcare. More recently, there has been a rise in the use AI within research, particularly through novel conversational AI platforms, such as ChatGPT. In this Controversies paper, we discuss the advantages, limitations, and future directions for ChatGPT and other forms of conversational AI in research and scholarly dissemination.
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Affiliation(s)
- Michael Gottlieb
- Department of Emergency Medicine, Rush University Medical Center, Chicago, IL, United States of America.
| | - Jeffrey A Kline
- Department of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI, United States of America.
| | | | - Wendy C Coates
- Department of Emergency Medicine, University of California, David Geffen School of Medicine, Los Angeles, CA, United States of America
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210
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Dave T, Athaluri SA, Singh S. ChatGPT in medicine: an overview of its applications, advantages, limitations, future prospects, and ethical considerations. Front Artif Intell 2023; 6:1169595. [PMID: 37215063 PMCID: PMC10192861 DOI: 10.3389/frai.2023.1169595] [Citation(s) in RCA: 492] [Impact Index Per Article: 246.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Accepted: 04/14/2023] [Indexed: 05/24/2023] Open
Abstract
This paper presents an analysis of the advantages, limitations, ethical considerations, future prospects, and practical applications of ChatGPT and artificial intelligence (AI) in the healthcare and medical domains. ChatGPT is an advanced language model that uses deep learning techniques to produce human-like responses to natural language inputs. It is part of the family of generative pre-training transformer (GPT) models developed by OpenAI and is currently one of the largest publicly available language models. ChatGPT is capable of capturing the nuances and intricacies of human language, allowing it to generate appropriate and contextually relevant responses across a broad spectrum of prompts. The potential applications of ChatGPT in the medical field range from identifying potential research topics to assisting professionals in clinical and laboratory diagnosis. Additionally, it can be used to help medical students, doctors, nurses, and all members of the healthcare fraternity to know about updates and new developments in their respective fields. The development of virtual assistants to aid patients in managing their health is another important application of ChatGPT in medicine. Despite its potential applications, the use of ChatGPT and other AI tools in medical writing also poses ethical and legal concerns. These include possible infringement of copyright laws, medico-legal complications, and the need for transparency in AI-generated content. In conclusion, ChatGPT has several potential applications in the medical and healthcare fields. However, these applications come with several limitations and ethical considerations which are presented in detail along with future prospects in medicine and healthcare.
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Affiliation(s)
- Tirth Dave
- Internal Medicine, Bukovinian State Medical University, Chernivtsi, Ukraine
| | | | - Satyam Singh
- GSVM Medical College, Kanpur, Uttar Pradesh, India
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211
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Loh E. ChatGPT and generative AI chatbots: challenges and opportunities for science, medicine and medical leaders. BMJ LEADER 2023; 8:leader-2023-000797. [PMID: 37192124 PMCID: PMC12038121 DOI: 10.1136/leader-2023-000797] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 04/20/2023] [Indexed: 05/18/2023]
Affiliation(s)
- Erwin Loh
- Monash Centre for Health Research and Implementation, Monash University, Clayton, Victoria, Australia
- Group Chief Medical Officer, St Vincent's Health Australia Ltd, East Melbourne, Victoria, Australia
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212
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New Guidance: From Infection Hazards to Artificial Intelligence. Adv Skin Wound Care 2023; 36:231. [PMID: 37079785 DOI: 10.1097/01.asw.0000923088.50751.87] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/22/2023]
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213
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Tahiri R, Sandali O, Baudouin C. [Medical publishing in the chatbots era]. J Fr Ophtalmol 2023; 46:433-440. [PMID: 37236755 DOI: 10.1016/j.jfo.2023.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 03/22/2023] [Accepted: 03/23/2023] [Indexed: 05/28/2023]
Affiliation(s)
- R Tahiri
- Service de chirurgie ambulatoire, centre hospitalier d'Avranches-Granville, 849, rue des Menneries, 50400 Granville, France.
| | - O Sandali
- Service de chirurgie ambulatoire, clinique Guillaume-de-Varye, Bourges, France; Service d'ophtalmologie V, centre hospitalier national d'ophtalmologie des Quinze-Vingts, Paris, France
| | - C Baudouin
- Centre d'investigations cliniques 1423, centre hospitalier national d'ophtalmologie des Quinze-Vingts, IHU FOReSIGHT, Paris, France; Service d'ophtalmologie III, centre hospitalier national d'ophtalmologie des Quinze-Vingts, IHU FOReSIGHT, Paris, France; Inserm UMRS 968, institut de la vision, IHU FOReSIGHT, Sorbonne université, Paris, France
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214
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Affiliation(s)
- Karen H Frith
- About the Author Karen H. Frith, PhD, RN, NEA-BC, CNE, is dean and professor, The University of Alabama in Huntsville College of Nursing. Contact her at
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215
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Miller LE, Bhattacharyya D, Miller VM, Bhattacharyya M. Recent Trend in Artificial Intelligence-Assisted Biomedical Publishing: A Quantitative Bibliometric Analysis. Cureus 2023; 15:e39224. [PMID: 37337487 PMCID: PMC10277011 DOI: 10.7759/cureus.39224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/19/2023] [Indexed: 06/21/2023] Open
Abstract
The rapid advancements in artificial intelligence (AI) technology in recent years have led to its integration into biomedical publishing. However, the extent to which AI has contributed to developing biomedical literature is unclear. This study aimed to identify trends in AI-generated content within peer-reviewed biomedical literature. We first tested the sensitivity and specificity of commercially available AI-detection software (Originality.AI, Collingwood, Ontario, Canada). Next, we conducted a MEDLINE (Medical Literature Analysis and Retrieval System Online) search to identify randomized controlled trials with available abstracts indexed between January 2020 and March 2023. We randomly selected 30 abstracts per quarter during this period and pasted the abstracts into the AI detection software to determine the probability of AI-generated content. The software yielded 100% sensitivity, 95% specificity, and excellent overall discriminatory ability with an area under the receiving operating curve of 97.6%. Among the 390 MEDLINE-indexed abstracts included in the analysis, the prevalence with a high probability (≥ 90%) of AI-generated text increased during the study period from 21.7% to 36.7% (p=0.01) based on a chi-square test for trend. The increasing prevalence of AI-generated text during the study period was also observed in various sensitivity analyses using AI probability thresholds ranging from 50% to 99% (all p≤0.01). The results of this study suggest that the prevalence of AI-assisted publishing in peer-reviewed journals has been increasing in recent years, even before the widespread adoption of ChatGPT (OpenAI, San Francisco, California, United States) and similar tools. The extent to which natural writing characteristics of the authors, utilization of common AI-powered applications, and introduction of AI elements during the post-acceptance publication phase influence AI detection scores warrants further study.
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216
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Thondebhavi Subbaramaiah M, Shanthanna H. ChatGPT in the field of scientific publication - Are we ready for it? Indian J Anaesth 2023; 67:407-408. [PMID: 37333693 PMCID: PMC10269991 DOI: 10.4103/ija.ija_294_23] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 04/26/2023] [Accepted: 04/27/2023] [Indexed: 06/20/2023] Open
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217
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Dave M, Patel N. Artificial intelligence in healthcare and education. Br Dent J 2023; 234:761-764. [PMID: 37237212 DOI: 10.1038/s41415-023-5845-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 03/12/2023] [Accepted: 04/04/2023] [Indexed: 05/28/2023]
Abstract
Artificial intelligence (AI) is rapidly transforming the healthcare and medical and dental education sectors. With advancements in AI technology and its integration into routine tasks, the field of healthcare and education is rapidly evolving. This article aims to provide an in-depth analysis of the impact of AI in these sectors and to discuss the advantages and disadvantages of its integration. The article will begin by examining the use of AI in healthcare, including its impact on patient care, diagnosis and treatment, and the benefits it brings to medical professionals and patients alike. The article will then delve into the use of AI in medical and dental education, exploring its impact on student learning and teaching practices, and the benefits and challenges it presents for educators and students. Additionally, this article will also cover the impact of AI on the publishing of scientific articles in journals. With the increasing volume of submissions and the need for more efficient management, AI is being utilised to streamline the peer-review process and improve the quality of peer-review. The article will also delve into the possibility of AI enabling new forms of publication and supporting reproducibility, helping to improve the overall quality of scientific publications. Furthermore, the authors of this article have written it using AI, making it a landmark paper that showcases the true technological power of AI in the field of writing.
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Affiliation(s)
- Manas Dave
- Lecturer in Dental Education, University of Manchester, Manchester, United Kingdom.
| | - Neil Patel
- Consultant and Senior Lecturer in Oral Surgery, University of Manchester, Manchester, United Kingdom
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218
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Buchanan A. Artificial intelligence-The next frontier of scientific publications? Aust Occup Ther J 2023. [PMID: 37127539 DOI: 10.1111/1440-1630.12877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2023] [Accepted: 04/17/2023] [Indexed: 05/03/2023]
Affiliation(s)
- Angus Buchanan
- Associate Editor, Australian Occupational Therapy Journal, Melbourne, Australia
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219
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Skalidis I, Cagnina A, Luangphiphat W, Mahendiran T, Muller O, Abbe E, Fournier S. ChatGPT takes on the European Exam in Core Cardiology: an artificial intelligence success story? EUROPEAN HEART JOURNAL. DIGITAL HEALTH 2023; 4:279-281. [PMID: 37265864 PMCID: PMC10232281 DOI: 10.1093/ehjdh/ztad029] [Citation(s) in RCA: 70] [Impact Index Per Article: 35.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Revised: 04/12/2023] [Accepted: 04/21/2023] [Indexed: 06/03/2023]
Abstract
Chat Generative Pre-trained Transformer (ChatGPT) is currently a trending topic worldwide triggering extensive debate about its predictive power, its potential uses, and its wider implications. Recent publications have demonstrated that ChatGPT can correctly answer questions from undergraduate exams such as the United States Medical Licensing Examination. We challenged it to answer questions from a more demanding, post-graduate exam-the European Exam in Core Cardiology (EECC), the final exam for the completion of specialty training in Cardiology in many countries. Our results demonstrate that ChatGPT succeeds in the EECC.
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Affiliation(s)
- Ioannis Skalidis
- Cardiology Department, University Hospital of Lausanne, Rue du Bugnon 46, 1011 Lausanne, Switzerland
| | - Aurelien Cagnina
- Cardiology Department, University Hospital of Lausanne, Rue du Bugnon 46, 1011 Lausanne, Switzerland
| | - Wongsakorn Luangphiphat
- Cardiology Department, University Hospital of Lausanne, Rue du Bugnon 46, 1011 Lausanne, Switzerland
| | - Thabo Mahendiran
- Cardiology Department, University Hospital of Lausanne, Rue du Bugnon 46, 1011 Lausanne, Switzerland
- Institute of Mathematics and School of Computer and Communication Sciences, EPFL, EPFL FSB SMA, Station 8,1015 Lausanne, Switzerland
| | - Olivier Muller
- Cardiology Department, University Hospital of Lausanne, Rue du Bugnon 46, 1011 Lausanne, Switzerland
| | - Emmanuel Abbe
- Institute of Mathematics and School of Computer and Communication Sciences, EPFL, EPFL FSB SMA, Station 8,1015 Lausanne, Switzerland
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220
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Alberts IL, Mercolli L, Pyka T, Prenosil G, Shi K, Rominger A, Afshar-Oromieh A. Large language models (LLM) and ChatGPT: what will the impact on nuclear medicine be? Eur J Nucl Med Mol Imaging 2023; 50:1549-1552. [PMID: 36892666 PMCID: PMC9995718 DOI: 10.1007/s00259-023-06172-w] [Citation(s) in RCA: 41] [Impact Index Per Article: 20.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 02/19/2023] [Indexed: 03/10/2023]
Affiliation(s)
- Ian L Alberts
- Department of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Freiburgstr. 18, 3010, Bern, Switzerland.
| | - Lorenzo Mercolli
- Department of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Freiburgstr. 18, 3010, Bern, Switzerland
| | - Thomas Pyka
- Department of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Freiburgstr. 18, 3010, Bern, Switzerland
| | - George Prenosil
- Department of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Freiburgstr. 18, 3010, Bern, Switzerland
| | - Kuangyu Shi
- Department of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Freiburgstr. 18, 3010, Bern, Switzerland
| | - Axel Rominger
- Department of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Freiburgstr. 18, 3010, Bern, Switzerland
| | - Ali Afshar-Oromieh
- Department of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Freiburgstr. 18, 3010, Bern, Switzerland
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221
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Heck TG. What artificial intelligence knows about 70 kDa heat shock proteins, and how we will face this ChatGPT era. Cell Stress Chaperones 2023; 28:225-229. [PMID: 37058213 PMCID: PMC10103022 DOI: 10.1007/s12192-023-01340-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 03/17/2023] [Accepted: 03/24/2023] [Indexed: 04/15/2023] Open
Affiliation(s)
- Thiago Gomes Heck
- Post Graduate Program in Integral Health Care (PPGAIS-UNIJUÍ/UNICRUZ/URI), Regional University of Northwestern Rio Grande Do Sul State (UNIJUI), Ijuí, RS, Brazil.
- Post Graduate Program in Mathematical and Computational Modeling (PPGMMC), Regional University of Northwestern Rio Grande Do Sul State (UNIJUI), Ijuí, RS, Brazil.
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222
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Tel A, Parodi PC, Robiony M, Zanotti B, Zingaretti N. Letter to the Editor: Could ChatGPT Improve Knowledge in Surgery? Ann Surg Oncol 2023:10.1245/s10434-023-13518-z. [PMID: 37071236 DOI: 10.1245/s10434-023-13518-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Accepted: 04/05/2023] [Indexed: 04/19/2023]
Affiliation(s)
- Alessandro Tel
- Department of Medical Area (DAME), Clinic of Maxillo-facial Surgery, Academic Hospital of Udine, University of Udine, Udine, Italy
| | - Pier Camillo Parodi
- Department of Medical Area (DAME), Clinic of Plastic and Reconstructive Surgery, Academic Hospital of Udine, University of Udine, Udine, Italy
| | - Massimo Robiony
- Department of Medical Area (DAME), Clinic of Maxillo-facial Surgery, Academic Hospital of Udine, University of Udine, Udine, Italy
| | - Bruno Zanotti
- Department of Neuroscience, Neurology with Neurosurgical Activity, C. Poma Hospital, ASST di Mantova, Mantua, Italy
| | - Nicola Zingaretti
- Department of Medical Area (DAME), Clinic of Plastic and Reconstructive Surgery, Academic Hospital of Udine, University of Udine, Udine, Italy.
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223
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Rose PS, Fischgrund JS. Artificial Intelligence and JAAOS. J Am Acad Orthop Surg 2023; 31:529-530. [PMID: 37071888 DOI: 10.5435/jaaos-d-23-00279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/20/2023] Open
Affiliation(s)
- Peter S Rose
- From the Mayo Clinic, Rochester, Minnesota (Rose), and William Beaumont Hospital, Royal Oak, Michigan (Fischgrund)
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224
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Solomon DH, Allen KD, Katz P, Sawalha AH, Yelin E. ChatGPT, et al … Artificial Intelligence, Authorship, and Medical Publishing. ACR Open Rheumatol 2023. [PMID: 37036239 DOI: 10.1002/acr2.11538] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 03/09/2023] [Indexed: 04/11/2023] Open
Affiliation(s)
| | - Kelli D Allen
- University of North Carolina at Chapel Hill, and Durham VA Health Care System, Durham, North Carolina
| | - Patricia Katz
- University of California-San Francisco, San Francisco
| | | | - Ed Yelin
- University of California-San Francisco, San Francisco
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225
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Solomon DH, Allen KD, Katz P, Sawalha AH, Yelin E. ChatGPT, et al…Artificial Intelligence, Authorship, and Medical Publishing. Arthritis Rheumatol 2023; 75:867-868. [PMID: 37036167 DOI: 10.1002/art.42497] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Revised: 03/07/2023] [Accepted: 03/07/2023] [Indexed: 04/11/2023]
Affiliation(s)
- Daniel H Solomon
- Division of Rheumatology, Brigham and Women's Hospital, Harvard Medical School, Cambridge, Massachusetts
| | - Kelli D Allen
- University of North Carolina and Durham VA Healthcare System, Chapel Hill, North Carolina
| | | | | | - Ed Yelin
- University of California, San Francisco
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226
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Blanchard F, Assefi M, Gatulle N, Constantin JM. ChatGPT in the world of medical research: From how it works to how to use it. Anaesth Crit Care Pain Med 2023; 42:101231. [PMID: 37030395 DOI: 10.1016/j.accpm.2023.101231] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 04/02/2023] [Accepted: 04/02/2023] [Indexed: 04/10/2023]
Affiliation(s)
- Florian Blanchard
- Sorbonne University, GRC 29, AP-HP, DMU DREAM, Department of Anaesthesiology and Critical Care, Pitié-Salpêtrière Hospital, Paris, France.
| | - Mona Assefi
- Sorbonne University, GRC 29, AP-HP, DMU DREAM, Department of Anaesthesiology and Critical Care, Pitié-Salpêtrière Hospital, Paris, France
| | - Nicolas Gatulle
- Sorbonne University, GRC 29, AP-HP, DMU DREAM, Department of Anaesthesiology and Critical Care, Pitié-Salpêtrière Hospital, Paris, France
| | - Jean-Michel Constantin
- Sorbonne University, GRC 29, AP-HP, DMU DREAM, Department of Anaesthesiology and Critical Care, Pitié-Salpêtrière Hospital, Paris, France
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227
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Temsah O, Khan SA, Chaiah Y, Senjab A, Alhasan K, Jamal A, Aljamaan F, Malki KH, Halwani R, Al-Tawfiq JA, Temsah MH, Al-Eyadhy A. Overview of Early ChatGPT's Presence in Medical Literature: Insights From a Hybrid Literature Review by ChatGPT and Human Experts. Cureus 2023; 15:e37281. [PMID: 37038381 PMCID: PMC10082551 DOI: 10.7759/cureus.37281] [Citation(s) in RCA: 60] [Impact Index Per Article: 30.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/07/2023] [Indexed: 04/12/2023] Open
Abstract
ChatGPT, an artificial intelligence chatbot, has rapidly gained prominence in various domains, including medical education and healthcare literature. This hybrid narrative review, conducted collaboratively by human authors and ChatGPT, aims to summarize and synthesize the current knowledge of ChatGPT in the indexed medical literature during its initial four months. A search strategy was employed in PubMed and EuropePMC databases, yielding 65 and 110 papers, respectively. These papers focused on ChatGPT's impact on medical education, scientific research, medical writing, ethical considerations, diagnostic decision-making, automation potential, and criticisms. The findings indicate a growing body of literature on ChatGPT's applications and implications in healthcare, highlighting the need for further research to assess its effectiveness and ethical concerns.
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Affiliation(s)
- Omar Temsah
- Collage of Medicine, Alfaisal University, Riyadh, SAU
| | - Samina A Khan
- Computer Sciences, Universiti Sains Malaysia, Penang, MYS
| | - Yazan Chaiah
- College of Medicine, Alfaisal University, Riyadh, SAU
| | | | | | - Amr Jamal
- Family and Community Medicine, King Saud University, Riyadh, SAU
| | | | | | - Rabih Halwani
- Clinical Sciences, University of Sharjah, Sharjah, ARE
| | - Jaffar A Al-Tawfiq
- Specialty Internal Medicine and Quality, Johns Hopkins Aramco Healthcare, Dhahran, SAU
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228
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Ang TL, Choolani M, See KC, Poh KK. The rise of artificial intelligence: addressing the impact of large language models such as ChatGPT on scientific publications. Singapore Med J 2023; 64:219-221. [PMID: 37006087 PMCID: PMC10144457 DOI: 10.4103/singaporemedj.smj-2023-055] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2023]
Affiliation(s)
| | | | | | - Kian Keong Poh
- Editor-in-Chief, Singapore Medical Journal, Singapore E-mail:
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229
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Graf A, Bernardi RE. ChatGPT in Research: Balancing Ethics, Transparency and Advancement. Neuroscience 2023; 515:71-73. [PMID: 36813155 DOI: 10.1016/j.neuroscience.2023.02.008] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 02/11/2023] [Indexed: 02/24/2023]
Affiliation(s)
- Akseli Graf
- Institute of Psychopharmacology, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
| | - Rick E Bernardi
- Institute of Psychopharmacology, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany
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230
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Vaishya R, Misra A, Vaish A. ChatGPT: Is this version good for healthcare and research? Diabetes Metab Syndr 2023; 17:102744. [PMID: 36989584 DOI: 10.1016/j.dsx.2023.102744] [Citation(s) in RCA: 98] [Impact Index Per Article: 49.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Revised: 03/07/2023] [Accepted: 03/10/2023] [Indexed: 03/17/2023]
Abstract
BACKGROUND AND AIMS There have been advancements in artificial intelligence (AI) and deep learning in the past decade. Recently, OpenAI Inc. has launched a new chatbot, called ChatGPT that interacts in a conversational way and its dialogue format makes is user friendly and fast. In this paper we aimed to explore the current position and the accuracy of currently available version of ChatGPT in relation to healthcare and medical research. METHODS We searched the PubMed, Scopus, and Google databases from 15th to 25th February 2023, using the keywords: 'ChatGPT' AND 'medical research, healthcare, and scientific writing'. We found 29 results in PubMed and 9 results in Scopus database., in English language. In addition, we (RV, AM) interacted with ChatGPT multiple times to review accuracy of responses of various medical questions. RESULTS Using literature search and interactions with ChatGPT with medical questions, we infer that this version generates answers rapidly but narrates data from existing internet literature in a general manner. However, as emphasised by the company in the landing page of ChatGPT, we found errors in responses to medical questions, Further, narrated data were limited up to September 2021. Positive features include admission of its limitations in medical field, and as it has been designed, learning from previous answers. CONCLUSION Current version of ChatGPT may be useful in a limited manner as a narrative AI chatbot for medical personnel, however, researchers are advised to fact check all statements provided, keeping in mind its limitations.
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Affiliation(s)
- Raju Vaishya
- Department of Orthopaedics, Indraprastha Apollo Hospitals, Sarita Vihar, 110076, New Delhi, India.
| | - Anoop Misra
- Department of Endocrinology, Fortis C Doc Hospital, Nehru Place, New Delhi, India
| | - Abhishek Vaish
- Department of Orthopaedics, Indraprastha Apollo Hospitals, Sarita Vihar, 110076, New Delhi, India
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231
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Affiliation(s)
- Tzeng-Ji Chen
- Department of Family Medicine, Taipei Veterans General Hospital Hsinchu Branch, Hsinchu County, Taiwan, ROC
- Department of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC
- Department of Post-Baccalaureate Medicine, National Chung Hsing University, Taichung, Taiwan, ROC
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232
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Moisset X, Ciampi de Andrade D. Neuro-ChatGPT? Potential threats and certain opportunities. Rev Neurol (Paris) 2023:S0035-3787(23)00879-2. [PMID: 36959062 DOI: 10.1016/j.neurol.2023.02.066] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2023] [Accepted: 02/22/2023] [Indexed: 03/25/2023]
Affiliation(s)
- X Moisset
- Université Clermont-Auvergne, CHU de Clermont-Ferrand, Inserm, Neuro-Dol, service de neurologie, 58, rue Montalembert, 63000 Clermont-Ferrand, France.
| | - D Ciampi de Andrade
- Center for Neuroplasticity and Pain, Health Science and Technology department, Faculty of Medicine, Aalborg University, Aalborg, Denmark
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233
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Sallam M. ChatGPT Utility in Healthcare Education, Research, and Practice: Systematic Review on the Promising Perspectives and Valid Concerns. Healthcare (Basel) 2023; 11:887. [PMID: 36981544 PMCID: PMC10048148 DOI: 10.3390/healthcare11060887] [Citation(s) in RCA: 809] [Impact Index Per Article: 404.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 03/17/2023] [Accepted: 03/17/2023] [Indexed: 03/22/2023] Open
Abstract
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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Affiliation(s)
- Malik Sallam
- Department of Pathology, Microbiology and Forensic Medicine, School of Medicine, The University of Jordan, Amman 11942, Jordan; ; Tel.: +962-79-184-5186
- Department of Clinical Laboratories and Forensic Medicine, Jordan University Hospital, Amman 11942, Jordan
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234
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Martínez-Ezquerro JD. Authors in the Age of Language-generation AI: To be or not to be, is that Really the Question? Arch Med Res 2023; 54:163-167. [PMID: 36941174 DOI: 10.1016/j.arcmed.2023.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Accepted: 03/07/2023] [Indexed: 03/23/2023]
Affiliation(s)
- José Darío Martínez-Ezquerro
- Unidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.
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235
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Teubner T, Flath CM, Weinhardt C, van der Aalst W, Hinz O. Welcome to the Era of ChatGPT et al. BUSINESS & INFORMATION SYSTEMS ENGINEERING 2023. [DOI: 10.1007/s12599-023-00795-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/29/2023]
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236
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Nakaura T, Naganawa S. Writing medical papers using large-scale language models: a perspective from the Japanese Journal of Radiology. Jpn J Radiol 2023; 41:457-458. [PMID: 36897551 DOI: 10.1007/s11604-023-01408-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/11/2023]
Affiliation(s)
- Takeshi Nakaura
- Department of Diagnostic Radiology, Kumamoto University Graduate School of Medicine, 1-1-1 Honjo Chuo-ku, Kumamoto, 860-8556, Japan.
| | - Shinji Naganawa
- Department of Radiology, Nagoya University Graduate School of Medicine, Nagoya, Japan
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237
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Using ChatGPT for language editing in scientific articles. Maxillofac Plast Reconstr Surg 2023; 45:13. [PMID: 36882591 PMCID: PMC9992464 DOI: 10.1186/s40902-023-00381-x] [Citation(s) in RCA: 41] [Impact Index Per Article: 20.5] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2023] Open
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238
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Teixeira da Silva JA. Is ChatGPT a valid author? Nurse Educ Pract 2023; 68:103600. [PMID: 36906947 DOI: 10.1016/j.nepr.2023.103600] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 03/06/2023] [Indexed: 03/09/2023]
Abstract
This letter to the editors takes a deeper look at the validity and ethics of authorship of a recently published article in Nurse Education in Practice in which authorship was shared with a chatbox software program, ChatGPT (https://doi.org/10.1016/j.nepr.2022.103537). In particular, a closer assessment is made of the authorship of that article from the established principles of authorship as delineated by the ICMJE.
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239
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Affiliation(s)
- Malcolm Koo
- Graduate Institute of Long-term Care, Tzu Chi University of Science and Technology, 880, Sec. 2, Chien-kuo Road, Hualien 970302, Taiwan, Republic of China.,Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
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240
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Abbott JA. A New Dawn, or the Sunset on Science? Artificial intelligence and JMIG. J Minim Invasive Gynecol 2023; 30:337-338. [PMID: 36893899 DOI: 10.1016/j.jmig.2023.02.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 02/27/2023] [Indexed: 03/09/2023]
Affiliation(s)
- Jason A Abbott
- School of Clinical Medicine, UNSW Sydney, New South Wales, Australia, and Gynaecological Research and Clinical Evaluation Unit, RHW, Sydney, Australia (Dr. Abbott).
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241
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Cascella M, Montomoli J, Bellini V, Bignami E. Evaluating the Feasibility of ChatGPT in Healthcare: An Analysis of Multiple Clinical and Research Scenarios. J Med Syst 2023; 47:33. [PMID: 36869927 PMCID: PMC9985086 DOI: 10.1007/s10916-023-01925-4] [Citation(s) in RCA: 332] [Impact Index Per Article: 166.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Accepted: 02/20/2023] [Indexed: 03/05/2023]
Abstract
This paper aims to highlight the potential applications and limits of a large language model (LLM) in healthcare. ChatGPT is a recently developed LLM that was trained on a massive dataset of text for dialogue with users. Although AI-based language models like ChatGPT have demonstrated impressive capabilities, it is uncertain how well they will perform in real-world scenarios, particularly in fields such as medicine where high-level and complex thinking is necessary. Furthermore, while the use of ChatGPT in writing scientific articles and other scientific outputs may have potential benefits, important ethical concerns must also be addressed. Consequently, we investigated the feasibility of ChatGPT in clinical and research scenarios: (1) support of the clinical practice, (2) scientific production, (3) misuse in medicine and research, and (4) reasoning about public health topics. Results indicated that it is important to recognize and promote education on the appropriate use and potential pitfalls of AI-based LLMs in medicine.
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Affiliation(s)
- Marco Cascella
- Department of Anesthesia and Critical Care, Istituto Nazionale Tumori - IRCCS, Fondazione Pascale, Via Mariano Semmola, 53, 80131, Naples, Italy
| | - Jonathan Montomoli
- Department of Anesthesia and Intensive Care, Infermi Hospital, AUSL Romagna, Viale Settembrini 2, 47923, Rimini, Italy
| | - Valentina Bellini
- Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Viale Gramsci 14, 43126, Parma, Italy
| | - Elena Bignami
- Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Viale Gramsci 14, 43126, Parma, Italy.
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242
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Rozencwajg S, Kantor E. Elevating scientific writing with ChatGPT: A guide for reviewers, editors… and authors. Anaesth Crit Care Pain Med 2023; 42:101209. [PMID: 36871626 DOI: 10.1016/j.accpm.2023.101209] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 02/24/2023] [Accepted: 02/24/2023] [Indexed: 03/06/2023]
Affiliation(s)
- S Rozencwajg
- Anesthesiology and Intensive Care Department, Bichat University Hospital, APHP, Nord, Paris, France; Paris-Cité University, France.
| | - E Kantor
- Anesthesiology and Intensive Care Department, Bichat University Hospital, APHP, Nord, Paris, France
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243
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Siegerink B, Pet LA, Rosendaal FR, Schoones JW. ChatGPT as an author of academic papers is wrong and highlights the concepts of accountability and contributorship. Nurse Educ Pract 2023; 68:103599. [PMID: 36898252 DOI: 10.1016/j.nepr.2023.103599] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
Affiliation(s)
- Bob Siegerink
- Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands; Directorate of Research Policy, Leiden University Medical Center, Leiden, the Netherlands.
| | - Lodewijk A Pet
- Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands
| | - Frits R Rosendaal
- Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands
| | - Jan W Schoones
- Directorate of Research Policy, Leiden University Medical Center, Leiden, the Netherlands
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244
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Koo M. Harnessing the potential of chatbots in education: The need for guidelines to their ethical use. Nurse Educ Pract 2023; 68:103590. [PMID: 36870226 DOI: 10.1016/j.nepr.2023.103590] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 02/24/2023] [Indexed: 03/02/2023]
Affiliation(s)
- Malcolm Koo
- Graduate Institute of Long-term Care, Tzu Chi University of Science and Technology, Hualien City, Hualien, Taiwan; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
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245
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Kaushik A. Preprint Citation Index. Br Dent J 2023; 234:359. [PMID: 36964338 PMCID: PMC10037373 DOI: 10.1038/s41415-023-5695-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Accepted: 02/28/2023] [Indexed: 03/26/2023]
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246
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Rahimi F, Talebi Bezmin Abadi A. ChatGPT and Publication Ethics. Arch Med Res 2023; 54:272-274. [PMID: 36990890 DOI: 10.1016/j.arcmed.2023.03.004] [Citation(s) in RCA: 22] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 03/07/2023] [Indexed: 03/29/2023]
Abstract
Academic publishing is crucial for scientific communication, is governed by accepted ethical norms, and underpins the collective literature on basic science, and technological and medical principles and advances. In November 2022, the public and professional global communities, including the scientific community, witnessed the release of ChatGPT by OpenAI in San Francisco, California, USA. Excluding its public appeal and entertaining aspects but considering its diverse potential applications, some ethical concerns must be considered before establishing guidelines on using and including ChatGPT or similar platforms in scientific publishing. Some academic publishers and preprints have accepted manuscripts with ChatGPT listed as a "co-author". Though excluding such platforms from scientific publishing may not be practicable with time, establishing ethical principles is essential before ChatGPT could become a "co-author" in any scientific, published manuscript.
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247
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Marchandot B, Matsushita K, Carmona A, Trimaille A, Morel O. ChatGPT: the next frontier in academic writing for cardiologists or a pandora's box of ethical dilemmas. EUROPEAN HEART JOURNAL OPEN 2023; 3:oead007. [PMID: 36915398 PMCID: PMC10006694 DOI: 10.1093/ehjopen/oead007] [Citation(s) in RCA: 38] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Revised: 02/02/2023] [Indexed: 02/17/2023]
Affiliation(s)
- Benjamin Marchandot
- Division of Cardiovascular Medicine, Nouvel Hôpital Civil, Strasbourg University Hospital, 1 place de l'Hôpital, 67000 Strasbourg, France
| | - Kensuke Matsushita
- Division of Cardiovascular Medicine, Nouvel Hôpital Civil, Strasbourg University Hospital, 1 place de l'Hôpital, 67000 Strasbourg, France.,UMR 1260, INSERM (French National Institute of Health and Medical Research), Regenerative Nanomedicine, FMTS, 1 rue Eugene Boeckel, Strasbourg 67000, France
| | - Adrien Carmona
- Division of Cardiovascular Medicine, Nouvel Hôpital Civil, Strasbourg University Hospital, 1 place de l'Hôpital, 67000 Strasbourg, France
| | - Antonin Trimaille
- Division of Cardiovascular Medicine, Nouvel Hôpital Civil, Strasbourg University Hospital, 1 place de l'Hôpital, 67000 Strasbourg, France.,UMR 1260, INSERM (French National Institute of Health and Medical Research), Regenerative Nanomedicine, FMTS, 1 rue Eugene Boeckel, Strasbourg 67000, France
| | - Olivier Morel
- Division of Cardiovascular Medicine, Nouvel Hôpital Civil, Strasbourg University Hospital, 1 place de l'Hôpital, 67000 Strasbourg, France.,UMR 1260, INSERM (French National Institute of Health and Medical Research), Regenerative Nanomedicine, FMTS, 1 rue Eugene Boeckel, Strasbourg 67000, France
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Flanagin A, Bibbins-Domingo K, Berkwits M, Christiansen SL. Nonhuman "Authors" and Implications for the Integrity of Scientific Publication and Medical Knowledge. JAMA 2023; 329:637-639. [PMID: 36719674 DOI: 10.1001/jama.2023.1344] [Citation(s) in RCA: 163] [Impact Index Per Article: 81.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- Annette Flanagin
- Ms Flanagin is Executive Managing Editor, Dr Bibbins-Domingo is Editor in Chief, and Dr Berkwits is Electronic Editor, JAMA and the JAMA Network, and Ms Christiansen is Managing Editor, JAMA
| | - Kirsten Bibbins-Domingo
- Ms Flanagin is Executive Managing Editor, Dr Bibbins-Domingo is Editor in Chief, and Dr Berkwits is Electronic Editor, JAMA and the JAMA Network, and Ms Christiansen is Managing Editor, JAMA
| | - Michael Berkwits
- Ms Flanagin is Executive Managing Editor, Dr Bibbins-Domingo is Editor in Chief, and Dr Berkwits is Electronic Editor, JAMA and the JAMA Network, and Ms Christiansen is Managing Editor, JAMA
| | - Stacy L Christiansen
- Ms Flanagin is Executive Managing Editor, Dr Bibbins-Domingo is Editor in Chief, and Dr Berkwits is Electronic Editor, JAMA and the JAMA Network, and Ms Christiansen is Managing Editor, JAMA
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249
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Rates against the machine. Nat Catal 2023. [DOI: 10.1038/s41929-023-00933-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
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250
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Lee JY. Can an artificial intelligence chatbot be the author of a scholarly article? JOURNAL OF EDUCATIONAL EVALUATION FOR HEALTH PROFESSIONS 2023; 20:6. [PMID: 36842449 PMCID: PMC10033224 DOI: 10.3352/jeehp.2023.20.6] [Citation(s) in RCA: 22] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Accepted: 02/21/2023] [Indexed: 05/05/2023]
Abstract
At the end of 2022, the appearance of ChatGPT, an artificial intelligence (AI) chatbot with amazing writing ability, caused a great sensation in academia. The chatbot turned out to be very capable, but also capable of deception, and the news broke that several researchers had listed the chatbot (including its earlier version) as co-authors of their academic papers. In response, Nature and Science expressed their position that this chatbot cannot be listed as an author in the papers they publish. Since an AI chatbot is not a human being, in the current legal system, the text automatically generated by an AI chatbot cannot be a copyrighted work; thus, an AI chatbot cannot be an author of a copyrighted work. Current AI chatbots such as ChatGPT are much more advanced than search engines in that they produce original text, but they still remain at the level of a search engine in that they cannot take responsibility for their writing. For this reason, they also cannot be authors from the perspective of research ethics.
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Affiliation(s)
- Ju Yoen Lee
- Hanyang University School of Law, Seoul, Korea
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