将基于大型语言模型的代理程序集成到虚拟患者聊天机器人中,用于临床病史培训
Nicolas Laverde1, Christian Grévisse2, Sandra Jaramillo3
1Department of Systems and Computing Engineering, Universidad de los Andes, Bogotá, Colombia.
Computational and structural biotechnology journal
|June 23, 2025
概括
本研究介绍了一种使用大型语言模型 (LLM) 进行医疗保健沟通培训的新型虚拟患者系统. 该LLM驱动的聊天机器人提供可扩展,个性化的实践,改善临床推理和决策技能.
科学领域:
- 医学教育 医学教育
- 医疗保健中的人工智能
- 临床交流 临床沟通
背景情况:
- 有效的医疗保健沟通对于患者的信任和临床决策至关重要.
- 传统的训练方法,如角色扮演是昂贵的,缺乏现实主义.
- 目前的模拟工具在可扩展性和个性化实践方面面临限制.
研究的目的:
- 开发和评估一个虚拟的患者系统,利用大型语言模型 (LLM) 进行医疗保健沟通培训.
- 为实践临床沟通技巧提供一个可扩展,自主和互动的平台.
- 解决传统和现有的基于模拟的培训方法的局限性.
主要方法:
- 开发一个由大型语言模型 (LLM) 驱动的虚拟患者系统.
- 实施模拟患者角色的交互式聊天机器人场景.
- 包括用于学生案例选择和教师创建的定制案例的功能.
- 评估系统响应的一致性,可信性和可用性.
主要成果:
- 这种由LLM驱动的代理提供了与临床病例描述一致的一致和可信的反应.
- 该系统在聊天机器人可用性问卷 (CUQ) 中获得了86.25/100的高分.
- 这种方法促进了灵活,重复和异步的实践,并提供实时反.
结论:
- 基于LLM的虚拟患者系统为医疗保健沟通培训提供了一个有希望的,可扩展的解决方案.
- 这项技术通过提供个性化,可访问和互动的实践机会来增强学习.
- 开发的工具支持通过模拟患者互动来改善临床推理和决策技能.
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