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Commentary

Artificial intelligence in clinical practice: A look at ChatGPT

Jiawen Deng, MS-2, Kiyan Heybati, MS-3, MSc(c), Ye-Jean Park, MS-2, Fangwen Zhou, MSc(c) and Anthony Bozzo, MD, MSc, FRCSC
Cleveland Clinic Journal of Medicine March 2024, 91 (3) 173-180; DOI: https://doi.org/10.3949/ccjm.91a.23070
Jiawen Deng
Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
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  • For correspondence: [email protected]
Kiyan Heybati
Mayo Clinic Alix School of Medicine, Jacksonville, FL
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Ye-Jean Park
Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
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Fangwen Zhou
Faculty of Health Sciences and Faculty of Engineering, McMaster University, Hamilton, ON, Canada
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Anthony Bozzo
Orthopedic Oncology, McGill University, Montréal, QC, Canada
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    Figure 1

    (A) Training and (B) output-generation processes of typical general-purpose large language models (LLMs) like ChatGPT.

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    Figure 2

    Common technical limitations of current general-purpose large language models (LLMs) like ChatGPT include (A) hallucinations, (B) lack of transparency, (C) biases in training data, and (D) randomness. Prompts and responses shown are for illustrative purposes only and do not represent actual output from LLMs.

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    TABLE 1

    Resources for clinicians to learn more about large language models and machine learning research

    Newsletters
    Doctor Penguindoctorpenguin.com
    NEJM AI Email Newsletterstore.nejm.org/signup/ai/newsletter
    Podcasts
    Medicine and the Machine by Medscapemedscape.com/features/public/machine
    NEJM AI Grand Rounds by NEJM Groupai-podcast.nejm.org
    The AI Health Podcastpodbay.fm/p/the-ai-health-podcast/about
    Journals
    NEJM AIai.nejm.org
    The Lancet Digital Healththelancet.com/journals/landig/home
    npj Digital Medicinenature.com/npjdigitalmed/
    Journal of Medical Internet Research and related journalsjmir.org
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Cleveland Clinic Journal of Medicine: 91 (3)
Cleveland Clinic Journal of Medicine
Vol. 91, Issue 3
1 Mar 2024
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Artificial intelligence in clinical practice: A look at ChatGPT
Jiawen Deng, Kiyan Heybati, Ye-Jean Park, Fangwen Zhou, Anthony Bozzo
Cleveland Clinic Journal of Medicine Mar 2024, 91 (3) 173-180; DOI: 10.3949/ccjm.91a.23070

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Artificial intelligence in clinical practice: A look at ChatGPT
Jiawen Deng, Kiyan Heybati, Ye-Jean Park, Fangwen Zhou, Anthony Bozzo
Cleveland Clinic Journal of Medicine Mar 2024, 91 (3) 173-180; DOI: 10.3949/ccjm.91a.23070
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  • Article
    • WHAT IS CHATGPT?
    • HOW DOES IT WORK?
    • WHAT DOES THE EVIDENCE SAY?
    • LIMITATIONS OF CURRENT LARGE LANGUAGE MODELS
    • A REALISTIC VIEW OF ChatGPT’S CLINICAL APPLICATIONS
    • WHAT DOES THE FUTURE HOLD?
    • DISCLOSURES
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