Large language models: a primer and gastroenterology applications

被引:7
作者
Shahab, Omer [1 ]
El Kurdi, Bara [2 ]
Shaukat, Aasma [3 ,4 ]
Nadkarni, Girish [5 ,6 ]
Soroush, Ali [6 ,7 ,8 ]
机构
[1] VHC Hlth, Dept Med, Div Gastroenterol, Arlington, VA USA
[2] Virginia Tech CarilIon Sch Med, Div Gastroenterol & Hepatol, Dept Med, Roanoke, VA USA
[3] NYU, Grossman Sch Med, Dept Med, Div Gastroenterol, New York, NY USA
[4] New York Harbor Vet Affairs Healthcare Syst, New York, NY USA
[5] Icahn Sch Med Mt Sinai, Dept Med, Div Data Driven & Digital Med, New York, NY USA
[6] Icahn Sch Med Mt Sinai, Charles Bronfman Inst Personalized Med, New York, NY 10029 USA
[7] Icahn Sch Med Mt Sinai, Div Data Driven & Digital Med, 1 Gustave L Levy Pl, New York, NY 10029 USA
[8] Icahn Sch Med Mt Sinai, Dept Med, Henry D Janowitz Div Gastroenterol, New York, NY 10029 USA
基金
英国科研创新办公室;
关键词
artificial intelligence; ChatGPT; large language models; machine learning; ELECTRONIC HEALTH RECORDS; PHYSICIANS; CHATGPT; BIAS;
D O I
10.1177/17562848241227031
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Over the past year, the emergence of state-of-the-art large language models (LLMs) in tools like ChatGPT has ushered in a rapid acceleration in artificial intelligence (AI) innovation. These powerful AI models can generate tailored and high-quality text responses to instructions and questions without the need for labor-intensive task-specific training data or complex software engineering. As the technology continues to mature, LLMs hold immense potential for transforming clinical workflows, enhancing patient outcomes, improving medical education, and optimizing medical research. In this review, we provide a practical discussion of LLMs, tailored to gastroenterologists. We highlight the technical foundations of LLMs, emphasizing their key strengths and limitations as well as how to interact with them safely and effectively. We discuss some potential LLM use cases for clinical gastroenterology practice, education, and research. Finally, we review critical barriers to implementation and ongoing work to address these issues. This review aims to equip gastroenterologists with a foundational understanding of LLMs to facilitate a more active clinician role in the development and implementation of this rapidly emerging technology. Large language models in gastroenterology: a simplified overview for cliniciansThis text discusses the recent advancements in large language models (LLMs), like ChatGPT, which have significantly advanced artificial intelligence. These models can create specific, high-quality text responses without needing extensive training data or complex programming. They show great promise in transforming various aspects of clinical healthcare, particularly in improving patient care, medical education, and research. This article focuses on how LLMs can be applied in the field of gastroenterology. It explains the technical aspects of LLMs, their strengths and weaknesses, and how to use them effectively and safely. The text also explores how LLMs could be used in clinical practice, education, and research in gastroenterology. Finally, it discusses the challenges in implementing these models and the ongoing efforts to overcome them, aiming to provide gastroenterologists with the basic knowledge needed to engage more actively in the development and use of this emerging technology.
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页数:15
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