Thread by @rohitmarawar

ChatGPT could be of enormous benefit to physicians.

However, there are serious ethical considerations.

A 🧵 with examples of AI-generated:

• Letter to insurance
• Personal statement
• Letter of recommendation
• Patient educational letter
• Review article

& much more

Huge Disclaimer: I am not suggesting these should be used. But, as physicians, we will encounter or create such AI-generated content sooner or later. It is imperative we start thinking about it now.

1. Letter to insurance

I used this with minor changes, and the insurance approved the drug. I saved a few minutes typing it up

Win-Win

But, the reference was wrong. Since then, it has become common knowledge that ref can be wrong. They look real (authors, titles) but are not

Would you use AI to generate a letter to insurance?

@JRGoldstein @caseyalbin @DrJeffRatliff @OligoclonalBand

2. Personal statement

Somewhat bland but better than many PS I review and edit. I helped a resident recently, and it must have taken > 5 hours to create a PSbetween us.

This output was achieved in < 1 min.

@AMahajanMD

If PS wasn't already on coma, AI will kill it as it becomes better.

I feel ERAS will have to ask applicants to acknowledge that they did not use AI to create parts of the application.

3. Letter of recommendation

I thought this was pretty good, even if somewhat generic.

Though with more specific input, the output will get better also.

What do you think?

Would you use AI to generate a letter of recommendation, assuming it captures the essence of your intention and with minor editing?

4. Patient educational letter

The takeaway point here is to prompt the correct reading level.

The advantage is that you could modify the reading level based on the level of the patient's education.

You could generate one for the patient and another for their physician.

It would be amazing if such AI technology could be integrated with the EMR.

Would you use AI to generate an educational letter to patient (or physician)

5. Review article

Generic, lacks personality and style but not a bad start. It could be made more interesting by adding more specific prompts on tone and style.

I could see this as a brainstorming tool.

Ref are wrong

@VineetPuniaMD @drmiketodorovic

6. Abstract

The fact that it made up statistics is scary ( I have not confirmed if the results are accurate).

However, with a few more improvements, this could potentially be submitted.

There are already 4 publications with ChatGPT as coauthor

I see conferences asking applicants to acknowledge that they did not use AI to create parts of the abstract.

If you were reviewing this abstract, would you be able to tell it was AI-generated?

7. Medication titration schedule

One could have commonly used titration regimens as inbuilt template. The advantage I see is having a date specific schedule.

8. Complex medication regimen changes

I needed to change the prompt a few times but I love the final output.

This is a common scenario in my clinic.

I can see myself using a similar prompt frequently.

Many aspects could be further explored:

• Daily notes
• Teaching
• Social media content creation
• Summarization and simplification of complex topics/research

Summary:

• AI-generated content will be prevalent
• It will be difficult to discern original vs. AI-generated
• If used ethically, it has the potential to change physicians' day to day work
• Societies/companies will have to move quickly to counter such content

I plan to keep exploring AI's potential role in clinical, teaching, and academic life.

#AcademicPhysicianLife

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