聊天GPT和Bard的表现在脏病学董事会更新的自我评估问题中
Ryunosuke Noda1, Yuto Izaki2, Fumiya Kitano2
1Division of Nephrology and Hypertension, Department of Internal Medicine, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-Ku, Kawasaki, Kanagawa, 216-8511, Japan. nodaryu00@gmail.com.
Clinical and experimental nephrology
|February 14, 2024
概括
与GPT-3.5和Bard相比,GPT-4在科评估中表现优越,仅略有满足董事会更新标准. 这突显了大型语言模型 (LLM) 在专业医疗领域不断发展的能力和局限性.
科学领域:
- 人工智能在医学中的应用
- 医疗信息学 医疗信息学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 大型语言模型 (LLM) 在一般医学检查中表现有希望,但它们在脏病学等专业领域的有效性仍未得到评估.
- 这项研究调查了领先的LLM在科特定评估中的表现.
研究的目的:
- 评估ChatGPT (GPT-3.5和GPT-4) 和Bard在科应用中的性能.
- 为了比较LLM的表现与既定科委员会考试标准和居民的表现.
主要方法:
- 使用了九十九个脏病学委员会更新自评问题,从2018年至2022年.
- 聊天GPT (GPT-3.5,GPT-4) 和巴德回答了问题;计算了正确答案率.
- 根据年份和问题类别分析了表现,并与科住院患者进行了比较.
主要成果:
- 总体而言,GPT-4的正确答案率为54.5%,明显超过了GPT-3.5 (31.3%) 和Bard (32.3%).
- 在五年中,GPT-4在三年中达到最低通过门,在解决问题和临床问题方面表现更好.
- GPT-4的表现与第三年和第四年科住院医生的表现差不多.
结论:
- GPT-4在科评估方面表现出潜力,在某些年份仅限于满足董事会更新标准.
- 这些发现强调了当前在专业医疗领域的LLM的能力和局限性.
- 了解LLM的表现对于科医生来说至关重要,因为这些技术不断进步.
相关概念视频
Factors Affecting Renal Clearance: Renal Impairment
94
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
94
Renal Clearance
935
The glomerular filtration rate (GFR) is a critical marker of kidney function, reflecting the efficiency of filtration by the glomeruli. Renal clearance of specific substances, such as inulin or creatinine, is commonly used to measure GFR.
Renal clearance refers to the volume of plasma cleared of a specific substance, such as creatinine, per unit of time. To measure clearance, urine samples are collected over a 24-hour period during each bladder voiding, followed by a single blood sample at the...
Renal clearance refers to the volume of plasma cleared of a specific substance, such as creatinine, per unit of time. To measure clearance, urine samples are collected over a 24-hour period during each bladder voiding, followed by a single blood sample at the...
935
Assessment of the Gastrointestinal System II: Health Perception Pattern
115
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
115
Assessment of the Cardiovascular System I: Subjective Data
339
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
339
Renal Failure: Dose Adjustments
89
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
89
Determination of Renal Drug Clearance: Graphical and Midpoint Methods
121
Renal clearance, a crucial parameter in pharmacokinetics, can be determined using two different methods: the graphical method and the midpoint method. These methods provide insights into the rate of drug excretion by the kidneys and aid in assessing renal function.
The graphical method involves plotting the rate of drug excretion in urine against the plasma drug concentration. By analyzing the graph, the clearance can be calculated and obtained. Drugs rapidly excreted by the kidneys exhibit a...
The graphical method involves plotting the rate of drug excretion in urine against the plasma drug concentration. By analyzing the graph, the clearance can be calculated and obtained. Drugs rapidly excreted by the kidneys exhibit a...
121


