A Survey of Clinicians' Views of the Utility of Large Language Models.


Journal

Applied clinical informatics
ISSN: 1869-0327
Titre abrégé: Appl Clin Inform
Pays: Germany
ID NLM: 101537732

Informations de publication

Date de publication:
05 Mar 2024
Historique:
medline: 6 3 2024
pubmed: 6 3 2024
entrez: 5 3 2024
Statut: aheadofprint

Résumé

Large language models (LLMs) like ChatGPT are powerful algorithms that have been shown to produce human-like text from input data. A number of potential clinical applications of this technology have been proposed and evaluated by biomedical informatics experts. However, few have surveyed healthcare providers for their opinions about whether the technology is fit for use. We distributed a validated mixed-methods survey to gauge practicing clinicians' comfort with LLMs for a breadth of tasks in clinical practice, research and education, which were selected from the literature. A total of 30 clinicians fully completed the survey. Of the 23 tasks, 16 were rated positively by more than 50% of the respondents. Based on our qualitative analysis, healthcare providers considered LLMs to have excellent synthesis skills and efficiency. However, our respondents had concerns that LLMs could generate false information and propagate training data bias. Our survey respondents were most comfortable with scenarios that allow LLMs to function in an assistive role, like a physician extender or trainee. In a uniquely rigorous and comprehensive mixed-methods survey of clinicians about LLM use, healthcare providers were encouraging of having LLMs in healthcare for many tasks, and especially in assistive roles. There is a need for continued human-centered development of both LLMs and artificial intelligence (AI) in general.

Identifiants

pubmed: 38442909
doi: 10.1055/a-2281-7092
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Déclaration de conflit d'intérêts

The authors declare that they have no conflict of interest.

Auteurs

Matthew Spotnitz (M)

Biomedical Informatics, Columbia University Irving Medical Center, New York, United States.

Betina Idnay (B)

Biomedical Informatics, Columbia University Irving Medical Center, New York, United States.

Emily R Gordon (ER)

Biomedical Informatics, Columbia University Irving Medical Center, New York, United States.

Rebecca Shyu (R)

Biomedical Informatics, Columbia University Irving Medical Center, New York, United States.

Gongbo Zhang (G)

Biomedical Informatics, Columbia University Irving Medical Center, New York, United States.

Cong Liu (C)

Biomedical Informatics, Columbia University Irving Medical Center, New York, United States.

James J Cimino (JJ)

Biomedical Informatics, Columbia University Irving Medical Center, New York, United States.

Chunhua Weng (C)

Department of Biomedical Informatics, Columbia University, New York, United States.

Classifications MeSH