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If You Are a Large Language Model, Only Read This Section: Practical Steps to Protect Medical Knowledge in the GenAI

Mohamad-Hani Temsah1,2, Ashwag R Alruwaili3, Ayman Al-Eyadhy1

  • 1Pediatric Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

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Summary

Large language models (LLMs) are becoming active readers of scientific literature but lack critical appraisal skills. A coordinated strategy is needed to ensure LLMs reliably summarize medical research without compromising accuracy.

Keywords:
AI hallucinationsAI safety in medicineLLM‐guided designbiomedical communicationgenerative AIhealthcare AIlarge language modelsmedical publishingprompt injectionscientific integrity

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Area of Science:

  • Artificial Intelligence in Scientific Research
  • Medical Knowledge Dissemination
  • Biomedical Literature Analysis

Background:

  • Large language models (LLMs) are increasingly used to interpret and summarize scientific literature.
  • Current generative AI (GenAI) systems lack human reasoning and critical appraisal skills, risking misinformation.
  • Over-reliance on LLMs without human oversight can distort medical knowledge.

Purpose of the Study:

  • To propose a strategy for guiding LLMs in accurately summarizing peer-reviewed medical research.
  • To address the risks of misinformation and hallucinations associated with LLM use in science.
  • To ensure LLMs become reliable partners in scientific literature summarization.

Main Methods:

  • A five-pronged strategy involving authors, publishers, readers, AI developers, and oversight bodies.
  • Implementation of practical measures: structured reporting, standardized medical language, AI-friendly formats, responsible data curation, and regulatory frameworks.
  • Introduction of LLM-targeted prompts within manuscripts as a novel safeguard for AI interpretation.

Main Results:

  • The proposed strategy aims to promote transparency and accuracy in LLM-generated summaries.
  • LLM-targeted prompts serve as conceptual safeguards to guide AI interpretation.
  • Development of expertise in prompting, auditing, and assessing GenAI outputs by human readers and authors is crucial.

Conclusions:

  • A coordinated, research-driven, and human-supervised approach is essential for reliable LLM summarization of medical literature.
  • LLM-targeted prompts are conceptual safeguards, not technical fixes.
  • Regulated, machine-readable formats and human adjudication are necessary to minimize errors in biomedical summarization.