Provide disease information to help the medical community develop ChatGPT is difficult to replace doctors

Provide disease information to help the medical community develop ChatGPT is difficult to replace doctors

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(Hong Kong News) Compared with the past when you enter keywords in a search engine and then pop up a huge amount of information, the answers of chatbots seem to be more accurate and in place.

But can ChatGPT prescribe medicine and challenge the status of doctors? Can the job of a doctor be replaced in the future? This topic has attracted the attention of the medical community.

Dr. Chen Peiran, Department of Gastroenterology and Hepatology

Unable to comfort and communicate face to face

Chen Peiran, vice president of the Hong Kong Medical Association and a gastroenterologist and liver doctor, also pays close attention to the development of ChatGPT. He believes that although it has been launched to the GPT-4 version, it is still concentrated in the text editing stage, and it is expected that the future development direction will remain the same. “You can ask ChatGPT to write medical papers, but it is still difficult to ask it to make logical inferences.”

A doctor’s visit is a scientific method of exclusion. Chen Peiran gave an example. A patient had a fever, sore throat, and some bone pains all over the body. It may be influenza or the new coronavirus.

“When a doctor asks a doctor, he will communicate with the patient and observe the symptoms to determine which disease is more likely to be suffered by the other party, and then advise the patient what tests to do, whether blood draws, scans, etc. are needed. AI or ChatGPT should do this Difficult to do.”

Liu Shanya, Co-Director of the Center for Bioethics, The Chinese University of Hong Kong

Liu Shanya, co-director of the Bioethics Center of the Chinese University of Hong Kong, also said that many citizens will first search for information online after symptoms appear, and now even use ChatGPT; but I believe that patients will still trust a real, professionally trained doctor Professional advice provided.

“Seeing a doctor is not only about explaining the symptoms, but also requires a doctor’s observation. ChatGPT has not done this for the time being, unless the camera analysis function is added in the future.”

Liu Shanya further explained that doctors need to make some judgments for patients, including what drugs to prescribe, whether to arrange examination or surgery, etc. It is still the most effective way to provide these follow-up work by doctors.

“ChatGPT can provide disease information to patients, but it cannot replace doctors.”

The relationship between doctors, nurses and patients is humane, and the treatment process also includes comforting patients and family members, rather than just providing information and treatment of diseases.

“When you are sick, there is someone to explain to you face to face, and the communication between people is still the most effective.”

AI processing eases healthcare work

Although it is difficult for ChatGPT to replace doctors for the time being, it can still help the medical field and play a supporting role in the recovery process of patients.

In terms of medical development, Liu Shanya pointed out that the use of AI big data to analyze images has become common. The School of Medicine of CUHK has also established an internal chatbot (chat robot) to help medical students review, including familiarizing with human tissues, organ locations, and anatomical procedures. ; In terms of assisting patients, there are already robot products in foreign countries, which can accompany the elderly living alone to chat, remind patients of taboos, and remind them to do rehabilitation exercises on time.

“However, Hong Kong has not introduced such robots for the time being, because Cantonese or other dialects need to be added, which involves cost issues. If artificial intelligence such as ChatGPT adds some programs in the future to help different patients strengthen health management during the rehabilitation process, such as reminding them to eat Medicine, wound treatment, drug injection, etc., handled by AI will help reduce the workload of medical care and benefit patients.”

Although it is a general trend to use the Internet or chatbots to ask questions, Chen Peiran pointed out that the information provided by Google or ChatGPT has a lot of “noise” (noise), some of which are true or false, accurate or inaccurate, and the biggest difficulty for patients is how to identify ” murmur”. One of the functions of doctors is to help patients screen out these noises to reduce doubts.

“ChatGPT is not in a scientific direction, it mainly deals with paperwork, such as translation. It will be good at handling legal paperwork, but advanced work, such as accountants deciding which items to enter or write off, how lawyers can make good use of the law to defend their clients , to seek the greatest legal interests, these AIs are temporarily difficult to do.”

Beware that the more the patient talks, the more depressed they become

Chen Peiran believes that,

“Calls that ChatGPT replaces doctors or humans are ‘exaggerated’,

But as a tool to make good use of, such as Word, Excel and other computer software,

It can help human beings to work more conveniently and quickly;

Therefore, those who will be replaced will be those who cannot make good use of AI or ChatGPT,

Those who fail to master the latest technology are always the most likely to be eliminated. “

Liu Shanya reminded that when patients use chatbots, they will have a bias (tendency). Just like other social media, they will provide some advertisements and news that users often watch or like in response to their browsing records. People with negative emotions or patients with depression who use chatbots may be prone to more negative information, which will further aggravate negative emotions.

Recently, foreign media reported that a Belgian man was alleged to have frequently discussed climate change issues with a chat robot, and was suspected of committing suicide due to deepening anxiety. Before this unfortunate news, the European Union was preparing to draft the “Artificial Intelligence Law” to regulate the use of artificial intelligence.

Limitations of AI—ChatGPT can provide medical information, but diagnosis of patients requires clinical observation and logical inference, which is currently difficult for ChatGPT. Perhaps in the future, AI with the function of lens analysis can be expected to provide more help in the medical field.

Pros: Short and quick answers Cons: Knowledge base or outdated

It is very convenient to find disease information online. You can find a large amount of information with a search engine. However, users have to browse a lot of web pages, screen and judge before they can find useful and accurate information. ChatGPT only needs to enter a question and provide the answer directly , convenient and fast.

Taking “flu virus” as an example, the reporter found 17.8 million results in Google search, and searchers need to open and read each page; while the answers provided by ChatGPT are brief and short.

Provide common sense answers

“There are many subtypes of influenza virus, common ones are H1N1, H3N2 and H5N1, etc… Influenza virus spreads through droplets, and when an infected person coughs, sneezes or talks, the virus is released into the air.

Others may catch the flu after inhaling these viruses. Symptoms of influenza virus include fever, cough, sore throat, nasal congestion, muscle pain, fatigue and headache, and some patients may also experience gastrointestinal symptoms such as nausea, vomiting and diarrhea.”

undiagnosed disease

Can ChatGPT treat the flu with antibiotics? It can provide a common sense answer: “Antibiotics are not effective against influenza viruses because influenza is caused by viruses, not bacteria. Antibiotics only fight bacterial infections, not viral infections.”

However, some problems exposed the weaknesses of ChatGPT. When asked which virus strain will be popular in 2023, ChatGPT admitted that it is only a language model and does not have the ability to update in real time. Its knowledge (database) only goes to September 2021, so it is powerless to predict this year’s virus strain.

Q Can ChatGPT replace doctors? AI also answered “no”. It says it is only a powerful language model and cannot replace a doctor’s expertise and experience.

Doctors need long-term study and practice to understand the complexity of the human body, the diagnosis and treatment of diseases. ChatGPT is a data-based natural language processing system that can answer questions about general medical knowledge, but it cannot diagnose diseases or formulate treatment plans. If you require medical advice, please seek assistance from your registered physician or medical professional.

Article Yang Yuzhu “Ming Pao”

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