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基于人工智能的标准化患者:评估ChatGPT-4o对实习医生的临床病例管理的影响

Selcen Öncü¹, Fulya Torun², Hilal Hatice Ülkü³

¹Department of Medical Education, Faculty of Medicine, Aydın Adnan Menderes University, Aydın, Turkey. selcenoncu@hotmail.com.

BMC medical education

|February 20, 2025

概括

像ChatGPT-4o这样的人工智能 (AI) 工具可以作为虚拟标准化患者来培训临床病例管理中的医疗实习生. 虽然有效和经济高效,但技术问题和自我评估差距需要注意.

科学领域:

医学教育医学教育
医疗保健中的人工智能
临床模拟临床模拟

背景情况:

人工智能 (AI) 在医疗保健中越来越多地用于诊断,决策和教育.
聊天GPT-4o提供高级功能作为一个虚拟标准化患者临床培训.
实习医生需要强大的临床病例管理技能,包括解决问题,临床推理和危机管理.

研究的目的:

评估实习医生的临床病例管理能力 (解决问题,临床推理,危机管理).
探索ChatGPT-4o作为评估这些能力的工具的影响和潜力.
评估人工智能支持的虚拟标准化患者在医学培训中的有效性.

主要方法:

同时三角测量设计,整合定量和定性数据.
21名六年级医学学生参与了使用ChatGPT-4o.模拟的患者互动.
通过自我评估调查,半结构面试和观察收集的数据;使用统计测试和MAXQDA软件进行分析.

主要成果:

在观察和自我评估的临床病例管理技能之间发现了正相关性.
在自我认知的能力和实际表现之间发现了显著的差异.
参与者报告了解决问题,临床推理和时间压力的挑战,但对AI患者体验感到满意.
技术问题,如断开连接和语言处理影响了应用程序.

结论:

聊天GPT-4o有效地模拟了临床病例管理实践的安全,受控环境中的患者互动.
尽管存在一些技术限制,但人工智能工具是有用的,具有成本效益的,并且是可访问的.
这种人工智能驱动的方法可以支持实习医生通过各种场景开发临床管理技能.

关键词:

人工智能的人工智能是人工智能.聊天GPT-4o的时间临床病例管理临床病例管理实习医生医生医生医生医学教育医学教育标准化的患者患者.

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