In a research letter published in, physician-scientists at Beth Israel Deaconess Medical Center compared a large language model's reasoning abilities directly against human performance using standards developed to assess physicians.
"The first stage is the triage data, when the patient tells you what's bothering them and you obtain vital signs," said lead author Stephanie Cabral, MD, a third-year internal medicine resident at BIDMC."The second stage is the system review, when you obtain additional information from the patient. The third stage is the physical exam, and the fourth is diagnostic testing and imaging.
"Early studies suggested AI could makes diagnoses, if all the information was handed to it," Rodman said."What our study shows is that AI demonstrates real reasoning -- maybe better reasoning than people through multiple steps of the process. We have a unique chance to improve the quality and experience of healthcare for patients."
Potential Conflicts of Interest: Rodman reports grant funding from the Gordon and Betty Moore Foundation. Crowe reports employment and equity in Solera Health. Kanjee reports receipt of royalties for books edited and membership on a paid advisory board for medical education products not related to AI from Wolters Kluwer, as well as honoraria for continuing medical education delivered from Oakstone Publishing.
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