Commentary

ChatGPT as a tool in the ob.gyn. office


 

Artificial intelligence (AI) has recently gained significant public attention, primarily driven by the launch of a noteworthy program by OpenAI called Chat Generative Pre-trained Transformer (ChatGPT). This large language model is an AI system that enables users to interact with it using plain language. In just the first 2 months since its release, over 100 million subscribers have registered to use ChatGPT.

Dr. Martin Chavez

AI is now deeply integrated into our daily lives, pervading a wide array of smart devices such as phones, tablets, and numerous other gadgets that we rely on every day. These sophisticated technologies operate seamlessly in the background, often without us being consciously aware of their presence. Nevertheless, we greatly appreciate the way they enhance our lives by simplifying tasks and streamlining our routines.

A key factor contributing to ChatGPT’s popularity is its ability to accept input in the form of prompts in plain English. Our team published a comprehensive journal article showcasing examples of how this technology can be utilized by general ob.gyn. practitioners. ChatGPT has the potential to streamline work flow, generate letters to insurance companies, draft clinical plans, and assist with various other routine tasks in any ob.gyn. practice environment.

As with any new technology, it is essential for users to familiarize themselves with its capabilities and understand its limitations. A critical aspect to consider with the current version of ChatGPT is that it was developed using information primarily sourced from the Internet up until September 2021. This limitation is especially significant in the field of medicine, where practitioners consistently seek the most up-to-date and current information to inform their decisions.

However, it is expected that, in the near future, these programs will gain access to real-time information from a diverse range of sources, including but not limited to the Internet. This development will enhance the program’s utility and relevance in medical contexts.

Another limitation of ChatGPT is its propensity to “hallucinate.” Large language models are trained to respond to the best of their abilities, occasionally attempting to fill knowledge gaps with fabricated information. Being aware of these limitations enables users to recognize the program’s potential while also understanding the need for careful monitoring.

Our expertise and clinical knowledge are crucial in guiding and refining this technology, ensuring that it serves as a valuable tool in the ever-evolving landscape of medicine.

Another crucial factor to consider is that users must adhere to all guidelines and policies established within their work environment. This entails complying with HIPAA regulations and ensuring that any information generated by these programs is thoroughly examined before being integrated into practice work flows. As an increasing number of organizations develop specific guidelines for such technologies, the aim is to safeguard patients, users, and the organization itself. The individuals utilizing these technologies must exercise utmost caution and refrain from storing or sharing any sensitive or proprietary information.

The aim of this article is not to provide an exhaustive overview, but rather to offer a selection of examples and inspire readers to consider adopting these programs. By doing so, we hope to facilitate the exploration of innovative approaches that can improve the practice of ob.gyn.

The first example illustrates a common scenario that we frequently encounter – the situation in which an insurance company denies coverage for specific care or treatment for a patient. In fact, this was one of the first examples that was demonstrated by others on social media as a possible benefit for this technology. It effectively demonstrated the ability to save time and surmount the challenges of writer’s block that we occasionally encounter.

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