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在高级烧伤生命支持考试中对ChatGPT,ChatGPT-4和谷歌Bard性能进行比较分析
Mario Alessandri-Bonetti1, Hilary Y Liu1, James M Donovan2
1Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
概括
在高级烧伤生命支持 (ABLS) 考试中,ChatGPT-4和ChatGPT-3.5获得了高分,明显超过了谷歌Bard. 这些大型语言模型 (LLM) 在医学教育中表现有前途,但需要对临床使用进行仔细评估.
科学领域:
- 医疗教育 技术 技术 医学教育
- 医疗保健中的人工智能
- 紧急医疗培训培训 紧急医疗培训
背景情况:
- 人工智能 (AI) 和大型语言模型 (LLM) 正在成为医疗保健中宝贵的工具,影响临床决策,医学教育和研究.
- 由美国烧伤协会认可的高级烧伤生命支持 (ABLS) 计划为严重烧伤患者的立即护理提供了关键知识.
研究的目的:
- 在ABLS考试中评估和比较三种领先的大型语言模型 (LLM) ChatGPT-3.5,ChatGPT-4和Google Bard的表现.
- 评估LLM在回答与关键烧伤患者护理协议有关的问题的准确性.
主要方法:
- 该研究使用了ABLS考试最新版本的50个多选题.
- 在2023年7月18日,ChatGPT-3.5,ChatGPT-4和谷歌巴德都接受了ABLS考试问题.
- 绩效以正确答案的百分比来衡量,通过门为80%.
主要成果:
- 聊天GPT-4获得了90%的准确性 (45/50),聊天GPT-3.5获得了86% (43/50),谷歌巴德获得了70% (35/50).
- 聊天GPT-4的表现明显优于谷歌巴德 (P = .012).
- 在ChatGPT-3.5和ChatGPT-4 (P = .538) 或在ChatGPT-3.5和Bard (P = .054) 之间没有发现显著的性能差异.
结论:
- 在ABLS考试中,ChatGPT-3.5和ChatGPT-4表现出高准确度,超过了谷歌Bard的表现.
- 虽然LLM在紧急烧伤和创伤护理教育中显示出潜力,但其应用需要严格的监督.
- 应将LLM视为补充工具,以增强,而不是取代重症监护机构的人类专业知识.
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