评估ChatGPT作为新年标准化患者的能力:定性研究
Joseph Cross1, Tarron Kayalackakom2, Raymond E Robinson3
1Medical University of the Americas, PO Box 701, Charlestown, Saint Kitts and Nevis, 1 9788629500 ext 364.
JMIR medical education
|May 20, 2025
概括
医学学生发现ChatGPT是标准化患者的宝贵补充,增强了实践灵活性和诊断技能. 虽然它对学习有效,但由于现实主义和同情心的局限性,它不能完全取代人类标准化的患者.
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
- 基于模拟的学习
背景情况:
- 标准化患者 (SPs) 在医疗培训中至关重要,但资源密集,访问有限.
- 人工智能 (AI),特别是像ChatGPT这样的大型语言模型,为虚拟SP克服这些局限性提供了潜力.
研究的目的:
- 评估医学学生的感知和经验,使用ChatGPT作为虚拟SP.
- 为了评估ChatGPT在医学院环境中作为虚拟SP的有效性.
主要方法:
- 涉及9名医学学生的定性研究,他们与ChatGPT作为SP互动.
- 互动前后的调查和学生回应的专题分析.
- 实时角色扮演互动的观察与预先确定的提示.
主要成果:
- 互动前的担忧包括快速工程,学习效率,真实性和AI准确性.
- 互动后,学生们注意到提高了提示工程,但持续存在的真实性挑战 (缺乏同情心,非语言线索).
- 学生认为ChatGPT是一种有价值的补充,增强了灵活性和诊断技能,并保持了学习效率.
结论:
- 聊天GPT可以增强医疗教育中的传统SP,提供可访问和灵活的实践.
- 在真实性和快速工程的局限性阻止ChatGPT完全取代人类SPs.
- 建议将快速工程整合到课程中,并推进AI,以提高虚拟SP的利用率.
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