- 1. Xuzhou Clinical College, Xuzhou Medical University, Xuzhou 221004, P. R. China;
- 2. School of Management, Xuzhou Medical University, Xuzhou 221004, P. R. China;
- 3. The Affiliated Hospital of Xuzhou Medical University, Xuzhou 221006, P. R. China;
TAN Zaixiang,
Email: tanzaixiang@126.com
As one of the hottest artificial intelligence technologies currently, ChatGPT, as one of the hottest artificial intelligence technologies today, plays a significant role in advancing the field of evidence-based medicine, particularly in expanding the sources of original evidence, enhancing the efficiency of evidence acquisition, aiding in shared decision-making between doctors and patients, and promoting education in evidence-based medicine and public science education. Presently, ChatGPT is in its "technological budding phase" and it is crucial to be wary of the risks it brings, such as "evidence contamination", algorithmic black boxes, security vulnerabilities, and the digital divide. To balance the positive effects and potential risks of ChatGPT in the realm of evidence-based medicine, we offer countermeasures and suggestions from the perspectives of ChatGPT's ethical standards, evidence sources, expert verification, and usage norms.
Copyright ? the editorial department of Chinese Journal of Evidence-Based Medicine of West China Medical Publisher. All rights reserved
| 1. | 陸偉, 劉家偉, 馬永強, 等. ChatGPT為代表的大模型對信息資源管理的影響. 圖書情報知識, 2023, 40(2): 6-9,70. |
| 2. | 程思凡. ChatGPT知識生產框架、技術迷思與未來演進. 當代傳播, 2023(6): 60-64. |
| 3. | Liu J, Wang C, Liu S. Utility of ChatGPT in clinical practice. J Med Internet Res, 2023, 25: e48568. |
| 4. | Liu S, Wright AP, Patterson BL, et al. Using AI-generated suggestions from ChatGPT to optimize clinical decision support. J Am Med Inform Assoc, 2023, 30(7): 1237-1245. |
| 5. | Hirosawa T, Kawamura R, Harada Y, et al. ChatGPT-generated differential diagnosis lists for complex case-derived clinical vignettes: diagnostic accuracy evaluation. JMIR Med Inform, 2023, 11: e48808. |
| 6. | Hirosawa T, Harada Y, Yokose M, et al. Diagnostic accuracy of differential-diagnosis lists generated by generative pretrained transformer 3 chatbot for clinical vignettes with common chief complaints: a pilot study. Int J Environ Res Public Health, 2023, 20(4): 3378. |
| 7. | Rao A, Kim J, Kamineni M, et al. Evaluating ChatGPT as an adjunct for radiologic decision-making. medRxiv, 2023, 2023: 2023.02. 02.23285399. |
| 8. | Rao A, Pang M, Kim J, et al. Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study. J Med Internet Res, 2023, 25: e48659. |
| 9. | Kao HJ, Chien TW, Wang WC, et al. Assessing ChatGPT's capacity for clinical decision support in pediatrics: A comparative study with pediatricians using KIDMAP of Rasch analysis. Medicine (Baltimore), 2023, 102(25): e34068. |
| 10. | Levartovsky A, Ben-Horin S, Kopylov U, et al. Towards AI-augmented clinical decision-making: an examination of ChatGPT's utility in acute ulcerative colitis presentations. Am J Gastroenterol, 2023, 118(12): 2283-2289. |
| 11. | 張智雄, 于改紅, 劉熠, 等. ChatGPT對文獻情報工作的影響. 數據分析與知識發現, 2023, 7(3): 36-42. |
| 12. | 王建磊, 曹卉萌. ChatGPT的傳播特質、邏輯、范式. 深圳大學學報(人文社會科學版), 2023, 40(2): 144-152. |
| 13. | Lin Z. Why and how to embrace AI such as ChatGPT in your academic life. R Soc Open Sci, 2023, 10(8): 230658. |
| 14. | Salvagno M, Taccone FS, Gerli AG. Can artificial intelligence help for scientific writing. Crit Care, 2023, 27(1): 75. |
| 15. | 陸瑤, 劉佳寧, 王冕, 等. 人工智能在醫患共同決策中的應用. 協和醫學雜志, 2023. |
| 16. | Abbasgholizadeh Rahimi S, Cwintal M, Huang Y, et al. Application of artificial intelligence in shared decision making: scoping review. JMIR Med Inform, 2022, 10(8): e36199. |
| 17. | 張錦英, 張洪江. 循證醫學與人性化醫療: 實踐現狀、問題與原因分析. 醫學與哲學, 2019, 40(23): 11-14,35. |
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| 19. | Ayoub NF, Lee YJ, Grimm D, et al. Head-to-head comparison of ChatGPT versus google search for medical knowledge acquisition. Otolaryngol Head Neck Surg, 2023. |
| 20. | Jeblick K, Schachtner B, Dexl J, et al. ChatGPT makes medicine easy to swallow: an exploratory case study on simplified radiology reports. Eur Radiol, 2023. |
| 21. | Cascella M, Montomoli J, Bellini V, et al. Evaluating the feasibility of ChatGPT in healthcare: an analysis of multiple clinical and research scenarios. J Med Syst, 2023, 47(1): 33. |
| 22. | Chintagunta B, Katariya N, Amatriain X, et al. Medically aware GPT-3 as a data generator for medical dialogue summarization. Proceedings of the Second Workshop on Natural Language Processing for Medical Conversations, Association for Computational Linguistics, 2021. |
| 23. | 王云云, 靳英輝, 郭毅, 等. 新時代背景下循證醫學助力新型醫學人才培養的思考. 中國循證心血管醫學雜志, 2021, 13(12): 1434-1437. |
| 24. | 余淳, 盧軍, 張瑞琦, 等. 四川大學華西醫院構建基于全生命周期的繼續醫學教育體系實踐. 中國循證醫學雜志, 2021, 21(10): 1219-1221. |
| 25. | 中華人民共和國中央人民政府. 新一代人工智能發展規劃的通知. 2017. |
| 26. | 樊景春, 李金娟, 靳利梅, 等. 如何在醫學生《循證醫學》課程中開展案例教學. 教育教學論壇, 2017(47): 181-184. |
| 27. | Mousavi MA, Amini M, Delavari S, et al. Using team-based learning to teach evidence-based medicine to first-year residents. Acta Fac Medicae Nai, 2019, 36(1): 60-68. |
| 28. | 吳軍其, 吳飛燕, 文思嬌, 等. ChatGPT賦能教師專業發展: 機遇、挑戰和路徑. 中國電化教育, 2023(5): 15-23,33. |
| 29. | Lee H. The rise of ChatGPT: Exploring its potential in medical education. Anat Sci Educ, 2023. |
| 30. | Hou FQ, Wang Y, LI J, et al. Management of acute diarrhea in adults in China: a cross-sectional survey. BMC Public Health, 2013, 13: 41. |
| 31. | Wu T, He S, Liu J, et al. A brief overview of ChatGPT: the history, status quo and potential future development. IEEE/CAA J Autom Sinica, 2023, 10(5): 1122-1136. |
| 32. | De Angelis L, Baglivo F, Arzilli G, et al. ChatGPT and the rise of large language models: the new AI-driven infodemic threat in public health. Front Public Health, 2023, 11: 1166120. |
| 33. | 鞠宏磊, 申欣雨. 生成式人工智能產品的內容安全風險及監管路徑. 經濟問題, 2023(12): 16-19,27. |
| 34. | Lonnie LH. Experts say that soon, almost the entire internet could be generated by AI. 2022. |
| 35. | Dunn AG, Shih I, Ayre J, et al. What generative AI means for trust in health communications. J Commun Healthc, 2023, 16(4): 385-388. |
| 36. | Liu Y, Han T, Ma S, et al. Summary of ChatGPT-Related research and perspective towards the future of large language models. Meta-Radiology, 2023, 1(2): 100017. |
| 37. | Rudin C. Stop explaining black box machine learning models for high stakes decisions and use interpretable models instead. Nat Mach Intell, 2019, 1(5): 206-215. |
| 38. | Tools such as ChatGPT threaten transparent science; here are our ground rules for their use. Nature, 2023, 613(7945): 612-612. |
| 39. | van Dis EAM, Bollen J, Zuidema W, et al. ChatGPT: five priorities for research. Nature, 2023, 614(7947): 224-226. |
| 40. | Temsah MH, Aljamaan F, Malki KH, et al. ChatGPT and the future of digital health: a study on healthcare workers' perceptions and expectations. Healthcare (Basel), 2023, 11(13): 1812. |
| 41. | Praveen SV, Vajrobol V. Can ChatGPT be trusted for consulting. Uncovering doctor's perceptions using deep learning techniques. Ann Biomed Eng, 2023, 51(10): 2116-2119. |
| 42. | Goodman RS, Patrinely JR, Osterman T, et al. On the cusp: considering the impact of artificial intelligence language models in healthcare. Med, 2023, 4(3): 139-140. |
| 43. | Macnish K. Unblinking eyes: the ethics of automating surveillance. Ethics Inf Technol, 2012, 14(2): 151-167. |
| 44. | 付翔, 魏曉偉, 張浩, 等. 數字安全角度下審視和剖析ChatGPT. 航空兵器, 2023, 30(6): 1-7. |
| 45. | 意大利宣布禁用ChatGPT. 2023. |
| 46. | ChatGPT服務中斷, 還泄露對話記錄?OpenAI回應. 2023. |
| 47. | 李佩芳, 陳佳麗, 寧寧, 等. ChatGPT在醫學領域的應用進展及思考. 華西醫學, 2023, 38(10): 1456-1460. |
| 48. | Introducing ChatGPT. 2022. |
| 49. | Money will kill ChatGPT’s magic. 2022. |
| 50. | Liebrenz M, Schleifer R, Buadze A, et al. Generating scholarly content with ChatGPT: ethical challenges for medical publishing. Lancet Digit Health, 2023, 5(3): e105-e106. |
| 51. | 劉淼. 數字鴻溝: 定義域的擴展與實踐場景的分析. 湖南師范大學社會科學學報, 2023, 52(4): 135-142. |
| 52. | 瞿星, 楊金銘, 陳滔, 等. ChatGPT對醫學教育模式改變的思考. 四川大學學報(醫學版), 2023, 54(5): 937-940. |
| 53. | Wang C, Liu S, Yang H, et al. Ethical considerations of using ChatGPT in health care. J Med Internet Res, 2023, 25: e48009. |
| 54. | 李雨, 張崇凡, 劉瀚旻, 等. 基于現代思想理解現代醫學困境和循證醫學實踐. 中國循證兒科雜志, 2021, 16(5): 398-401. |
| 55. | McDougall RJ. Computer knows best. The need for value-flexibility in medical AI. J Med Ethics, 2019, 45(3): 156-160. |
| 56. | Karabacak M, Margetis K. Embracing large language models for medical applications: opportunities and challenges. Cureus, 2023, 15(5): e39305. |
| 57. | 李曉潔, 劉瑞爽, 叢亞麗. ChatGPT在醫療健康領域應用的倫理挑戰及治理建議. 中華醫學信息導報, 2023, 38(8): 5. |
| 58. | Luo X, Estill J, Chen Y. The use of ChatGPT in medical research: do we need a reporting guideline. Int J Surg, 2023, 109(12): 3750-3751. |
| 59. | Khlaif ZN, Mousa A, Hattab MK, et al. The potential and concerns of using AI in scientific research: ChatGPT performance evaluation. JMIR Med Educ, 2023, 9: e47049. |
- 1. 陸偉, 劉家偉, 馬永強, 等. ChatGPT為代表的大模型對信息資源管理的影響. 圖書情報知識, 2023, 40(2): 6-9,70.
- 2. 程思凡. ChatGPT知識生產框架、技術迷思與未來演進. 當代傳播, 2023(6): 60-64.
- 3. Liu J, Wang C, Liu S. Utility of ChatGPT in clinical practice. J Med Internet Res, 2023, 25: e48568.
- 4. Liu S, Wright AP, Patterson BL, et al. Using AI-generated suggestions from ChatGPT to optimize clinical decision support. J Am Med Inform Assoc, 2023, 30(7): 1237-1245.
- 5. Hirosawa T, Kawamura R, Harada Y, et al. ChatGPT-generated differential diagnosis lists for complex case-derived clinical vignettes: diagnostic accuracy evaluation. JMIR Med Inform, 2023, 11: e48808.
- 6. Hirosawa T, Harada Y, Yokose M, et al. Diagnostic accuracy of differential-diagnosis lists generated by generative pretrained transformer 3 chatbot for clinical vignettes with common chief complaints: a pilot study. Int J Environ Res Public Health, 2023, 20(4): 3378.
- 7. Rao A, Kim J, Kamineni M, et al. Evaluating ChatGPT as an adjunct for radiologic decision-making. medRxiv, 2023, 2023: 2023.02. 02.23285399.
- 8. Rao A, Pang M, Kim J, et al. Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study. J Med Internet Res, 2023, 25: e48659.
- 9. Kao HJ, Chien TW, Wang WC, et al. Assessing ChatGPT's capacity for clinical decision support in pediatrics: A comparative study with pediatricians using KIDMAP of Rasch analysis. Medicine (Baltimore), 2023, 102(25): e34068.
- 10. Levartovsky A, Ben-Horin S, Kopylov U, et al. Towards AI-augmented clinical decision-making: an examination of ChatGPT's utility in acute ulcerative colitis presentations. Am J Gastroenterol, 2023, 118(12): 2283-2289.
- 11. 張智雄, 于改紅, 劉熠, 等. ChatGPT對文獻情報工作的影響. 數據分析與知識發現, 2023, 7(3): 36-42.
- 12. 王建磊, 曹卉萌. ChatGPT的傳播特質、邏輯、范式. 深圳大學學報(人文社會科學版), 2023, 40(2): 144-152.
- 13. Lin Z. Why and how to embrace AI such as ChatGPT in your academic life. R Soc Open Sci, 2023, 10(8): 230658.
- 14. Salvagno M, Taccone FS, Gerli AG. Can artificial intelligence help for scientific writing. Crit Care, 2023, 27(1): 75.
- 15. 陸瑤, 劉佳寧, 王冕, 等. 人工智能在醫患共同決策中的應用. 協和醫學雜志, 2023.
- 16. Abbasgholizadeh Rahimi S, Cwintal M, Huang Y, et al. Application of artificial intelligence in shared decision making: scoping review. JMIR Med Inform, 2022, 10(8): e36199.
- 17. 張錦英, 張洪江. 循證醫學與人性化醫療: 實踐現狀、問題與原因分析. 醫學與哲學, 2019, 40(23): 11-14,35.
- 18. 趙羚谷, 許衛衛, 王穎, 等. 我國臨床實踐中的醫患共同決策流程設計和挑戰. 醫學與哲學, 2019, 40(18): 1-6,22.
- 19. Ayoub NF, Lee YJ, Grimm D, et al. Head-to-head comparison of ChatGPT versus google search for medical knowledge acquisition. Otolaryngol Head Neck Surg, 2023.
- 20. Jeblick K, Schachtner B, Dexl J, et al. ChatGPT makes medicine easy to swallow: an exploratory case study on simplified radiology reports. Eur Radiol, 2023.
- 21. Cascella M, Montomoli J, Bellini V, et al. Evaluating the feasibility of ChatGPT in healthcare: an analysis of multiple clinical and research scenarios. J Med Syst, 2023, 47(1): 33.
- 22. Chintagunta B, Katariya N, Amatriain X, et al. Medically aware GPT-3 as a data generator for medical dialogue summarization. Proceedings of the Second Workshop on Natural Language Processing for Medical Conversations, Association for Computational Linguistics, 2021.
- 23. 王云云, 靳英輝, 郭毅, 等. 新時代背景下循證醫學助力新型醫學人才培養的思考. 中國循證心血管醫學雜志, 2021, 13(12): 1434-1437.
- 24. 余淳, 盧軍, 張瑞琦, 等. 四川大學華西醫院構建基于全生命周期的繼續醫學教育體系實踐. 中國循證醫學雜志, 2021, 21(10): 1219-1221.
- 25. 中華人民共和國中央人民政府. 新一代人工智能發展規劃的通知. 2017.
- 26. 樊景春, 李金娟, 靳利梅, 等. 如何在醫學生《循證醫學》課程中開展案例教學. 教育教學論壇, 2017(47): 181-184.
- 27. Mousavi MA, Amini M, Delavari S, et al. Using team-based learning to teach evidence-based medicine to first-year residents. Acta Fac Medicae Nai, 2019, 36(1): 60-68.
- 28. 吳軍其, 吳飛燕, 文思嬌, 等. ChatGPT賦能教師專業發展: 機遇、挑戰和路徑. 中國電化教育, 2023(5): 15-23,33.
- 29. Lee H. The rise of ChatGPT: Exploring its potential in medical education. Anat Sci Educ, 2023.
- 30. Hou FQ, Wang Y, LI J, et al. Management of acute diarrhea in adults in China: a cross-sectional survey. BMC Public Health, 2013, 13: 41.
- 31. Wu T, He S, Liu J, et al. A brief overview of ChatGPT: the history, status quo and potential future development. IEEE/CAA J Autom Sinica, 2023, 10(5): 1122-1136.
- 32. De Angelis L, Baglivo F, Arzilli G, et al. ChatGPT and the rise of large language models: the new AI-driven infodemic threat in public health. Front Public Health, 2023, 11: 1166120.
- 33. 鞠宏磊, 申欣雨. 生成式人工智能產品的內容安全風險及監管路徑. 經濟問題, 2023(12): 16-19,27.
- 34. Lonnie LH. Experts say that soon, almost the entire internet could be generated by AI. 2022.
- 35. Dunn AG, Shih I, Ayre J, et al. What generative AI means for trust in health communications. J Commun Healthc, 2023, 16(4): 385-388.
- 36. Liu Y, Han T, Ma S, et al. Summary of ChatGPT-Related research and perspective towards the future of large language models. Meta-Radiology, 2023, 1(2): 100017.
- 37. Rudin C. Stop explaining black box machine learning models for high stakes decisions and use interpretable models instead. Nat Mach Intell, 2019, 1(5): 206-215.
- 38. Tools such as ChatGPT threaten transparent science; here are our ground rules for their use. Nature, 2023, 613(7945): 612-612.
- 39. van Dis EAM, Bollen J, Zuidema W, et al. ChatGPT: five priorities for research. Nature, 2023, 614(7947): 224-226.
- 40. Temsah MH, Aljamaan F, Malki KH, et al. ChatGPT and the future of digital health: a study on healthcare workers' perceptions and expectations. Healthcare (Basel), 2023, 11(13): 1812.
- 41. Praveen SV, Vajrobol V. Can ChatGPT be trusted for consulting. Uncovering doctor's perceptions using deep learning techniques. Ann Biomed Eng, 2023, 51(10): 2116-2119.
- 42. Goodman RS, Patrinely JR, Osterman T, et al. On the cusp: considering the impact of artificial intelligence language models in healthcare. Med, 2023, 4(3): 139-140.
- 43. Macnish K. Unblinking eyes: the ethics of automating surveillance. Ethics Inf Technol, 2012, 14(2): 151-167.
- 44. 付翔, 魏曉偉, 張浩, 等. 數字安全角度下審視和剖析ChatGPT. 航空兵器, 2023, 30(6): 1-7.
- 45. 意大利宣布禁用ChatGPT. 2023.
- 46. ChatGPT服務中斷, 還泄露對話記錄?OpenAI回應. 2023.
- 47. 李佩芳, 陳佳麗, 寧寧, 等. ChatGPT在醫學領域的應用進展及思考. 華西醫學, 2023, 38(10): 1456-1460.
- 48. Introducing ChatGPT. 2022.
- 49. Money will kill ChatGPT’s magic. 2022.
- 50. Liebrenz M, Schleifer R, Buadze A, et al. Generating scholarly content with ChatGPT: ethical challenges for medical publishing. Lancet Digit Health, 2023, 5(3): e105-e106.
- 51. 劉淼. 數字鴻溝: 定義域的擴展與實踐場景的分析. 湖南師范大學社會科學學報, 2023, 52(4): 135-142.
- 52. 瞿星, 楊金銘, 陳滔, 等. ChatGPT對醫學教育模式改變的思考. 四川大學學報(醫學版), 2023, 54(5): 937-940.
- 53. Wang C, Liu S, Yang H, et al. Ethical considerations of using ChatGPT in health care. J Med Internet Res, 2023, 25: e48009.
- 54. 李雨, 張崇凡, 劉瀚旻, 等. 基于現代思想理解現代醫學困境和循證醫學實踐. 中國循證兒科雜志, 2021, 16(5): 398-401.
- 55. McDougall RJ. Computer knows best. The need for value-flexibility in medical AI. J Med Ethics, 2019, 45(3): 156-160.
- 56. Karabacak M, Margetis K. Embracing large language models for medical applications: opportunities and challenges. Cureus, 2023, 15(5): e39305.
- 57. 李曉潔, 劉瑞爽, 叢亞麗. ChatGPT在醫療健康領域應用的倫理挑戰及治理建議. 中華醫學信息導報, 2023, 38(8): 5.
- 58. Luo X, Estill J, Chen Y. The use of ChatGPT in medical research: do we need a reporting guideline. Int J Surg, 2023, 109(12): 3750-3751.
- 59. Khlaif ZN, Mousa A, Hattab MK, et al. The potential and concerns of using AI in scientific research: ChatGPT performance evaluation. JMIR Med Educ, 2023, 9: e47049.