ChatGPT应用于医学临床实践及伦理探索

Application and ethical exploration of ChatGPT in medical clinical practice

随着人工智能技术的快速进步,尤其是大语言模型如ChatGPT的发展,医学临床实践领域正经历一场前所未有的技术变革。这些先进技术通过高效处理和分析大规模数据集,不仅为医疗专业人员提供辅助诊断和治疗建议,还显著提升了医学教育的质量和效率。本研究深入分析并综述了大语言模型在临床问诊、病史搜集、医学文献编写、临床决策支持、医疗门户网站优化、患者健康管理、医学教育、学术研究及科研论文撰写等多个方面的应用。尽管如此,这些技术应用并非无懈可击,伴随着若干限制和伦理挑战。本文重点讨论了技术误差、学术不诚实行为、滥用风险、过度依赖、误诊及治疗失误可能性以及责任划分等方面的问题。大语言模型在医疗整合和发展中展示出巨大潜力。然而,在充分利用ChatGPT带来益处的同时,我们亟需认识到并解决这些伦理上的挑战,以确保ChatGPT在医学领域的应用是负责任且有效的。

Following the rapid advancement of artificial intelligence technologies,especially the development of large language models like ChatGPT,the field of medical clinical practice is undergoing an unprecedented technological revolution.These advanced technologies,through efficient processing and analysis of large datasets,not only provide medical professionals with auxiliary diagnoses and treatment suggestions but also significantly enhance the quality and efficiency of medical education.This study conducts a comprehensive analysis and review of the applications of large language models in various aspects,including clinical inquiry,history collection,medical literature writing,clinical decision support,optimization of medical portal websites,patient health management,medical education,academic research,and scientific writing.However,the application of these technologies is not without flaws and presents several limitations and ethical challenges.This paper focuses on challenges related to technological errors,academic dishonesty,abuse risks,over-reliance,possibilities of misdiagnosis and treatment errors,and issues of accountability.In conclusion,large language models demonstrate tremendous potential in the integration and advancement of medical practices.Nevertheless,while fully harnessing the benefits brought by ChatGPT,it is essential to acknowledge and address these ethical challenges to ensure that the application of ChatGPT in the medical field is responsible and effective.